Medicines coverage and community-based health insurance in low-income countries

Health Research Policy and Systems

Volumn 6, Issue , 2008, Pages

  Vialle Valentin, Catherine E ^a   Ross Degnan, Dennis ^a   Ntaganira, Joseph ^b   Wagner, Anita K ^a  

^a HARVARD MEDICAL SCHOOL   (United States)

^b UNIVERSITY OF RWANDA   (Rwanda)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; COMMUNITY CARE; EVIDENCE BASED PRACTICE; HEALTH CARE ACCESS; HEALTH CARE AVAILABILITY; HEALTH CARE COST; HEALTH CARE POLICY; HEALTH CARE UTILIZATION; HEALTH INSURANCE; HUMAN; LOWEST INCOME GROUP; QUALITATIVE ANALYSIS; STRUCTURED INTERVIEW; WORLD HEALTH ORGANIZATION;

EID: 56649120700     PISSN: None     EISSN: 14784505     Source Type: Journal    
DOI: 10.1186/1478-4505-6-11     Document Type: Article

References (84)

1. Macroeconomics and Health: Investing in Health for Economic Development Commission on Macroeconomics and Health, WHO Press 2001.
2. Palmer N Mueller DH Gilson L Mills A Haines A Health financing to promote access in low income settings-how much do we know? Lancet 2004, 364(9442):1365-1370. 10.1016/S0140-6736(04)17195-X 15474141
3. Jakab M Krisnan C Review of the strengths and weaknesses of community financing. Health Financing for Poor People: Resource Mobilization and Risk Sharing The World Bank, Washington, DC Preker A, Carrin G 2004:53-117.
4. Bennett S The role of community-based health insurance within the health care financing system: A framework for analysis Health Policy Plan 2004, 19:147-158. 15070863 10.1093/heapol/czh018
5. Extending social protection in health through community based health organizations: Evidence and challenges Discussion Paper STEP unit, Social Security Policy and Development Branch, Universitas Programme, International Labor Organization 2002.
6. Ekman B Community-based health insurance in low-income countries: A systematic review of the evidence Health Policy Plan 2004, 19:249-270. 15310661 10.1093/heapol/czh031
7. Asfaw A von Braun J Innovations in health care financing: New evidence on the prospect of community health insurance schemes in the rural areas of Ethiopia Int J Health Care Finance Econ 2005, 5:241-253. 16082517 10.1007/s10754-005-2333-y
8. Carrin G Waelkens MP Criel B Community-based health insurance in developing countries: A study of its contribution to the performance of health financing systems Trop Med Int Health 2005, 10:799-811. 16045467 10.1111/j.1365-3156.2005.01455.x
9. Dror DM Koren R Steinberg DM The impact of filipino micro health-insurance units on income-related equality of access to healthcare Health Policy 2006, 77:304-317. 16181702 10.1016/ j.healthpol.2005.08.001
10. Jutting J Do community-based health insurance schemes improve poor people's access to health care? Evidence from rural Senegal World Development 2003, 32(2):273-288. 10.1016/j.worlddev.2003.10.001
11. Tabor S Community-Based Health Insurance and Social Protection Policy Social Protection Discussion Paper Series No. 0503 Social Protection Unit, Human Development Network, The World Bank 2005.
12. Drechsler D Jutting J Private Health Insurance in Low and Middle-Income Countries Scope, Limitations, and Policy Responses OECD Development Centre 2005.
13. Zhang L Wang H Wang L Hsiao W Social capital and farmer's willingness-to-join a newly established community-based health insurance in rural China Health Policy 2006, 76:233-242. 16046027 10.1016/ j.healthpol.2005.06.001
14. Politique de développement des mutuelles de santé au Rwanda Ministère de la santé, République du Rwanda 2005.
15. Plan stratégique de développement des mutuelles de santé au Sénégal Ministère de la santé, République du Sénégal 2004.
16. Ron A ILO/ISSA/AIM Studies on linkages between statutory social security schemes and community based social protection mechanisms to extend coverage. Case study on Lao P.D.R ILO/ISSA/AIM 2006.
17. Travis P Bennett S Haines A Pang T Bhutta Z Hyder AA Pielemeier NR Mills A Evans T Overcoming health-systems constraints to achieve the Millennium Development Goals Lancet 2004, 364:900-906. 15351199 10.1016/ S0140-6736(04)16987-0
18. Ruxin J Paluzzi JE Wilson PA Tozan Y Kruk M Teklehaimanot A Emerging consensus in HIV/AIDS, malaria, tuberculosis, and access to essential medicines Lancet 2005, 365(9459):618-621. 15708108
19. Hoadley J Cost-containment strategies for prescription drugs: Assessing the evidence in the literature Kaiser Family Foundation 2005.
20. Whitehead M Dahlgren G Evans T Equity and health sector reforms: Can low-income countries escape the medical poverty trap? Lancet 2001, 358:833-836. 11564510 10.1016/S0140-6736(01)05975-X
21. Xu K Evans DB Kawabata K Zeramdini R Klavus J Murray CJ Household catastrophic health expenditure: A multicountry analysis Lancet 2003, 362:111-117. 12867110 10.1016/S0140-6736(03)13861-5
22. Policies and Programmes to Improve the Use of Medicines: Recommendations from ICIUM 2004 Second International Conference on Improving Use of Medicines Chiang Mai, Thailand 2004.
23. GNI per capita Atlas method and PPP World Bank 2005.
24. National Health Accounts World Health Organization 2007.
25. World Health Survey World Health Organization 2007.
26. World Health Survey Results World Health Organization 2007.
27. Kalk A Mayindo JK Musango L Foulon G Paying for health in two Rwandan provinces: Financial flows and flaws Trop Med Int Health 2005, 10:872-878. 16135194 10.1111/j.1365-3156.2005.01464.x
28. Huber G Hohmann J Reinhard K Mutual Health Insurance (MHO) - Five Years Experience in West Africa Division 4320 - Health and Population, GTZ 2002.
29. Sulzbach S Evaluating the Effects of the National Health Insurance Act in Ghana: Baseline Report The Partners for Heatlh Reformplus Project Bethesda, MD, Abt Associates Inc Garshong B, Banahene G 2005.
30. Gautier B L'Union des Mutuelles de Santé de Guinée Forestière, Guinea Case Study No. 17 CGAP Working Group on Microinsurance 2005.
31. Devadasan N Ranson K Van Damme W Acharya A Criel B The landscape of community health insurance in India: An overview based on 10 case studies Health Policy 2006, 78:224-234. 16293339 10.1016/ j.healthpol.2005.10.005
32. Jajoo U The Jawar Health Assurance Scheme Rao N 2007.
33. Radermacher R Yeshasvini Trust, Karnataka, India Case Study No 20 CGAP Working Group of Microinsurance 2005.
34. Radermacher R Karuna Trust, Karnataka, India Case Study No 19 CGAP Working Group on Microinsurance 2005.
35. Ranson MK Sinha T Chatterjee M Acharya A Bhavsar A Morris SS Mills AJ Making health insurance work for the poor: Learning from the Self-Employed Women's Association's (SEWA) community-based health insurance scheme in India Soc Sci Med 2006, 62:707-720. 16054740 10.1016/ j.socscimed.2005.06.037
36. Ranson MK Sinha T Chatterjee M Gandhi F Jayswal R Patel F Morris SS Mills AJ Equitable utilisation of Indian community based health insurance scheme BMJ 2007, 334:1309. 17526594 10.1136/ bmj.39192.719583.AE 1895633
37. Sinha T Ranson MK Chatterjee M Acharya A Mills AJ Barriers to accessing benefits in a community-based insurance scheme: Lessons learnt from SEWA Insurance, Gujarat Health Policy Plan 2006, 21:132-142. 16373360 10.1093/ heapol/czj010
38. Annear P Wilkinson D Study of financial access to health services for the poor in Cambodia Research Paper WHO Chean M, van Pelt M 2006.
39. De Allegri M Sanon M Sauerborn R "To enrol or not to enrol?": A qualitative investigation of demand for health insurance in rural West Africa Soc Sci Med 2006, 62:1520-1527. 16169645 10.1016/ j.socscimed.2005.07.036
40. Dong H Kouyate B Cairns J Sauerborn R Inequality in willingness-to-pay for community-based health insurance Health Policy 2005, 72:149-156. 15802150 10.1016/j.healthpol.2004.02.014
41. Dong H Gbangou A De Allegri M Pokhrel S Sauerborn R The differences in characteristics between health-care users and non-users: Implication for introducing community-based health insurance in Burkina Faso Eur J Health Econ 2008, 9(1):41-50. 10.1007/s10198-006-0031-4 17186201
42. Flessa S Kouyate B Implementing a comprehensive cost information system in rural health facilities: The case of Nouna health district, Burkina Faso Trop Med Int Health. 2006 Sep;11(9):1452-65 2006, 11(9):1452-1465. 10.1111/j.1365-3156.2006.01691.x
43. Dierrennic Y An Assessment of Community-Based Health Financing Activities in Uganda Partners for Health Reformplus Bethesda, MD, Abt Associates Inc Wolf K, Kiwanuka-Mukiibi P 2005.
44. Kiwanuka-Mukiibi P The Good Practice Model: Community Participation in Luweero District, Uganda Partners for Health Reformplus Bethesda, MD, Abt Associates, Inc Derriennic Y, Karungi G 2005.
45. Mandelli A Survey of Private Health Facilities in Uganda Partners for Health Reformplus Bethesda, MD, Abt Associates, Inc Kyomuhangi L, Scribner S 2005.
46. Catalogue of Community Based Health Financing Schemes Uganda Partners for Health Reformplus Bethesda, MD, Abt Associates Inc 2006.
47. Kamuzora P Gilson L Factors influencing implementation of the Community Health Fund in Tanzania Health Policy Plan 2007, 22(2):95-102. 10.1093/ heapol/czm001 17299023
48. Catalogue of Community Based Health Financing Schemes Tanzania Partners for Health Reformplus Bethesda, MD, Abt Associates Inc 2006.
49. Catalogue of Community Based Health Financing Schemes Kenya Partners for Health Reformplus Bethesda, MD, Abt Associates Inc 2006.
50. Dong H Mugisha F Gbangou A Kouyate B Sauerborn R The feasibility of community-based health insurance in Burkina Faso Health Policy 2004, 69:45-53. 15484606 10.1016/j.healthpol.2003.12.001
51. De Allegri M Sanon M Bridges J Sauerborn R Understanding consumers' preferences and decision to enrol in community-based health insurance in rural West Africa Health Policy 2006, 76:58-71. 15946762 10.1016/ j.healthpol.2005.04.010
52. De Allegri M Kouyate B Becher H Gbangou A Pokhrel S Sanon M Sauerborn R Understanding enrolment in community health insurance in sub-Saharan Africa: A population-based case-control study in rural Burkina Faso Bull World Health Organ 2006, 84(11):852-858. 17143458
53. Ranson MK Reduction of catastrophic health care expenditures by a community-based health insurance scheme in Gujarat, India: Current experiences and challenges Bull World Health Organ 2002, 80(8):613-621. 12219151
54. Devadasan N Medical Aid Plan of Voluntary Health Services - Chennai 2005.
55. Devadasan N The ACCORD - AMS - ASHWINI Health Insurance AMS Team Manoharan S, Menon N, Menon S 2004. 15361116
56. Fischer K L'Union Technique de la Mutualité Malienne, Mali (Case Study No. 23) CGAP Working Group on MicroInsurance 2006.
57. Mariko M Quality of care and the demand for health services in Bamako, Mali: The specific roles of structural, process, and outcome components Soc Sci Med 2003, 56(6):1183-1196. 10.1016/S0277-9536(02)00117-X 12600357
58. Atim C Determinants of the Financial Stability of Mutual Health Organizations: A Study in the Thiès Region of Senegal Partners for Health Reformplus Bethesda, MD, Abt Associates Inc 2005.
59. Bennett S 21 Questions on CBHF - An Overview of Community-Based Health Financing Partners for Health Reformplus. Bethesda, MD Kelley A, Silvers B 2004.
60. Diop F Determinants of Financial Stability of Mutual Health Organizations in the Thiès Region of Senegal: Household Survey Component Partners for Health Reformplus Bethesda MD, Abt Associates Inc 2005.
61. Guerin O Association d'Entraide des Femmes, Benin Case Study No. 22 CGAP Working Group on Microinsurance 2006.
62. Meuwissen LE Problems of cost recovery implementation in district health care: A case study from Niger Health Policy Plan 2002, 17(3):304-313. 10.1093/heapol/17.3.304 12135997
63. McCord MJ Ramm G McGuinness E Microinsurance. Demand and Market Prospects. Lao People's Democratic Republic Allianz AG, GTZ, and UNDP 2006.
64. Carrin G The development of health financing systems in low-income developing countries HSF/HFP, WHO 2006.
65. Letourmy A Pavy-Letourmy A La micro assurance de santé dans les pays à faible revenu Agence Française de Développement 2006.
66. Baltussen R Bruce E Rhodes G Narh-Bana SA Agyepong I Management of mutual health organizations in Ghana Trop Med Int Health 2006, 11(5):654-659. 10.1111/j.1365-3156.2006.01621.x 16640618
67. Kelley A Approaches to scaling up community-based health financing Partners for Health Reformplus Abt Associates, Inc Diop F, Makinen M 2006.
68. Catalogue of Community Based Health Financing Schemes Rwanda Partners for Health Reformplus Bethesda, MD, Abt Associates Inc 2006.
69. Jakab M Preker A Krisnan C Schneider P Diop F Jutting J Gumber A Analysis of community financing using household surveys Health Financing for Poor People: Resource Mobilization and Risk Sharing The World Bank, Washington, DC Preker A, Carrin G 2004:201-230.
70. Schmidt JO Mayindo JK Kalk A Thresholds for health insurance in Rwanda: who should pay how much? Trop Med Int Health 2006, 11:1327-1333. 16903895 10.1111/j.1365-3156.2006.01661.x
71. Schneider P Hanson K Horizontal equity in utilisation of care and fairness of health financing: A comparison of micro-health insurance and user fees in Rwanda Health Econ 2006, 15:19-31 16145721 10.1002/hec.1014
72. Diop F Sulzbach S Chankova S The impact of Mutual Health Organizations on social inclusion, access to health care, and household income protection: Evidence from Ghana, Senegal and Mali Partners for Health Reformplus Bethesda, MD, Abt Associates, Inc 2006.
73. Drechsler D Jutting J Inventaire des mutuelles de santé en Afrique. Synthèse des travaux de recherche dans 11 pays La Concertation 2004.
74. Dussault G L'Assurance maladie en Afrique francophone. Améliorer l'accès aux soins et lutter contre la pauvreté Série: Santé, Nutrition et Population. World Bank Fournier P, Letourmy A 2006.
75. Basaza R Criel B Van der SP Low enrollment in Ugandan Community Health Insurance schemes: Underlying causes and policy implications BMC Health Serv Res 2007, 7:105. 17620138 10.1186/1472-6963-7-105 1940250
76. Inyarybuga H Les Mutuelles de Santé au Rwanda. Une force pragmatique de mutualisation de risque lié à la maladie 2007.
77. Schneider P Trust in micro-health insurance: An exploratory study in Rwanda Soc Sci Med 2005, 61(7):1430-1438. 10.1016/ j.socscimed.2004.11.074 16005778
78. Xu K Carrin G Phuong T Discussion Paper No 6 WHO 2006.
79. Jowett M Deolalikar A Martinsson P Health insurance and treatment seeking behaviour: Evidence from a low-income country Health Econ 2004, 13(9):845-857. 10.1002/hec.862 15362177
80. Jowett M Contoyannis P Vinh ND The impact of public voluntary health insurance on private health expenditures in Vietnam Soc Sci Med 2003, 56(2):333-342. 10.1016/S0277-9536(02)00031-X 12473318
81. Nguyen T Recent Advances in Social Health Insurance in Vietnam Technical Paper Series WHO 2003.
82. Waelkens M-P Criel B Les mutuelles de santé en Afrique sub-saharienne. Etat des lieux et reflexions sur un agenda de recherche Health PaNdp Washington, DC, World Bank
83. BIT/STEP Guide de Gestion des Mutuelles de Santé en Afrique International Labor Organization 2005
84. Cripps G Guide to designing and managing community-based health financing schemes in East and Southern Africa Partners for Health Reformplus 2000.