The impact of health insurance in Africa and Asia: A systematic review;L'impact de l'assurance maladie en Afrique et en Asie: Une étude systématique

Bulletin of the World Health Organization

Volumn 90, Issue 9, 2012, Pages 685-692

  Spaan, Ernst ^a   Mathijssen, Judith ^b   Tromp, Noor ^a   McBain, Florence ^c   ten Have, Arthur ^b   Baltussen, Rob ^a  

^a RADBOUD UNIVERSITY MEDICAL CENTER   (Netherlands)

^b ECORYS Netherlands   (Netherlands)

^c UNIVERSITY OF BONN   (Germany)

Author keywords

[No Author keywords available]

Indexed keywords

COMMUNITY CARE; COMMUNITY RESPONSE; EMPOWERMENT; EXPENDITURE; HEALTH CARE; HEALTH INSURANCE; HEALTH POLICY; HEALTH SERVICES; INSURANCE SYSTEM; LOW INCOME POPULATION; SOCIAL INCLUSION;

AFRICA; ASIA; ASIAN; BIBLIOGRAPHIC DATABASE; COMMUNITY CARE; EMPOWERMENT; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH CARE FINANCING; HEALTH CARE QUALITY; HEALTH CARE UTILIZATION; HEALTH INSURANCE; HUMAN; INTERNET; LOWEST INCOME GROUP; OBSERVATIONAL STUDY; QUALITY CONTROL; QUASI EXPERIMENTAL STUDY; RANDOMIZED CONTROLLED TRIAL (TOPIC); REVIEW; SOCIAL INSURANCE; SYSTEMATIC REVIEW;

AFRICA; ASIA; HEALTH SERVICES ACCESSIBILITY; HEALTH SERVICES NEEDS AND DEMAND; HEALTH STATUS DISPARITIES; HUMANS; INSURANCE, HEALTH; POWER (PSYCHOLOGY); QUALITY OF HEALTH CARE; SOCIAL CLASS;

AFRICA; ASIA;

EID: 84865697170     PISSN: 00429686     EISSN: 15640604     Source Type: Journal    
DOI: 10.2471/BLT.12.102301     Document Type: Review

References (46)

1. Devadasan N, Criel B, Van Damme W, Ranson K, Van der Stuyft P. Indian community health insurance schemes provide partial protection against catastrophic health expenditure. BMC Health Serv Res 2007;7:43. doi:110.1186/1472-6963-7-43 PMID:17362506
2. Hsiao W, Shaw RP, editors. Social health insurance for developing nations. Washington: The World Bank; 2007.
3. McIntyre D, Thiede M, Dahlgren G, Whitehead M. What are the economic consequences for households of illness and of paying for health care in low- and middle-income country contexts? Soc Sci Med 2006;62:858-65. doi:110.1016/j.socscimed.2005.07.001 PMID:16099574
4. World health report 2010 - Health systems financing: the path to universal coverage. Geneva: World Health Organization; 2010.
5. Smith PC. Provision of a public benefit package alongside private voluntary health insurance. In: Preker AS, Scheffer RM, Bassett MC, editors. Private voluntary health insurance in development: friend or foe? Washington: The World Bank; 2007.
6. Bennett S, Creese A, Monasch R. Health insurance schemes for people outside formal sector employment (ARA Paper No. 16). Geneva: World Health Organization; 1998.
7. Lagarde M, Palmer N. Evidence from systematic reviews to inform decision making regarding financing mechanisms that improve access to health services for poor people. A policy brief prepared for the International Dialogue on Evidence-Informed Action to Achieve Health Goals in Developing Countries (IDEAHealth). Geneva: Alliance for Health Policy and Systems Research; 2006.
8. McIntyre D. Learning from experience: health care financing in low- and middle-income countries. Geneva: Global Forum for Health Research; 2007.
9. Preker A, Carrin G, editors. Health financing for poor people: resource mobilization and risk sharing. Washington: The World Bank; 2004.
10. 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;80:613-21. PMID:12219151
11. Criel B. The Bwamanda hospital insurance scheme: effective for whom? A study of its impact on hospital utilization patterns. Soc Sci Med 1999;48:897-911. doi:110.1016/S0277-9536(98)00391-8 PMID:10192557
12. 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. doi:110.1111/j.1365-3156.2005.01455.x PMID:16045467
13. Criel B. District-based health insurance in sub-Saharan Africa: part 2: case studies. Antwerp: Instituut voor Tropische Geneeskunde, Departement Volksgezondheid; 1998.
14. Moens F. Design, implementation, and evaluation of a community financing scheme for hospital care in developing countries: a pre-paid health plan in the Bwamanda health zone, Zaire. Soc Sci Med 1990;30:1319-27. doi:110.1016/0277-9536(90)90312-G PMID:2367877
15. Smith KV, Sulzbach S. Community-based health insurance and access to maternal health services: evidence from three West African countries. Soc Sci Med 2008;66:2460-73. doi:110.1016/j.socscimed.2008.01.044 PMID:18362047
16. Atim C. Contribution of mutual health organizations to financing, delivery and access to health care: synthesis of research in nine west and central African countries. Bethesda: Abt Associates Inc.; 1998.
17. Ekman B. Community based health insurance in low-income countries: a systematic review of the evidence. Health Policy Plan 2004;19:249-70. doi:110.1093/heapol/czh031 PMID:15310661
18. Extending social protection in health through community-based health organizations: evidence and challenges. Geneva: International Labour Office; 2002.
19. Jakab M, Krishnan C. Review of the strengths and weaknesses of community financing. In: Preker A, Carrin G, editors. Health financing for poor people: resource mobilization and risk sharing. Washington: The World Bank; 2004. pp. 53-117.
20. Soors W, Devadasan N, Durairaj V, Criel B. Community health insurance and universal coverage: multiple paths, many rivers to cross (World Health Report 2010 Background Paper 48). Geneva: World Health Organization; 2010.
21. The World Bank [Internet]. How we classify countries. Washington: World Bank; 2012. Available from: http://data.worldbank.org/about/country-classifications [accessed 25 May 2012].
22. Systematic reviews: CRD's guidance for undertaking reviews in health care. York: Centre for Reviews and Dissemination, University of York; 2008.
23. Van de Voorde C, Leonard C. Search for evidence and critical appraisal: health services research. Brussels: Belgian Health Care Knowledge Centre; 2007.
24. Moher D, Liberati A, Tetzlaff J, Altman DG; The PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 2009;6:e1000097. doi:110.1371/journal.pmed.1000097 PMID:19621072
25. Desmet M, Chowdhury AQ, Islam MK. The potential for social mobilisation in Bangladesh: the organisation and functioning of two health insurance schemes. Soc Sci Med 1999;48:925-38. doi:110.1016/S0277-9536(98)00393-1 PMID:10192559
26. McCord M. Health care microinsurance - case studies from Uganda, Tanzania, India and Cambodia. Small Enterprise Dev 2001;12:25-38. doi:110.3362/0957-1329.2001.006
27. Criel B, Kegels G. A health insurance scheme for hospital care in Bwamanda district, Zaire: lessons after 10 years of functioning. Trop Med Int Health 1997;2:654-72. doi:110.1046/j.1365-3156.1997.d01-349.x PMID:9270733
28. Ilunga TB, Contandriopoulos AP, Fournier P. How was a prepayment plan for health care in Bwamanda (Zaire) established? Soc Sci Med 1995;40:1041-52. doi:110.1016/0277-9536(94)00173-Q PMID:7597458
29. Shepard S, Vian T, Kleinau EF. Health insurance in Zaire (Policy, Research and External Affairs Working Papers). Washington: The World Bank, Africa Technical Department, Population, Health and Nutrition Division; 1990.
30. McCord M, Osinde S. Reducing vulnerability: the supply of health microinsurance in east Africa. Appleton: Micro Insurance Centre, LLC; 2003.
31. Arhin DC. The health card insurance scheme in Burundi: a social asset or a non-viable venture? Soc Sci Med 1994;39:861-70. doi:110.1016/0277-9536(94)90048-5 PMID:7973882
32. Obermann K, Jowett MR, Alcantara MO, Banzon EP, Bodart C. Social health insurance in a developing country: the case of the Philippines. Soc Sci Med 2006;62:3177-85. doi:110.1016/j.socscimed.2005.11.047 PMID:16406248
33. Jowett M, Hsiao WC. The Philippines: extending coverage beyond the formal sector. In: Hsiao WC, Shaw RP, editors. Social health insurance for developing nations. Washington: The World Bank; 2007. pp. 81-104.
34. Sidorenko A, Butler J. Financing health insurance in Asia Pacific countries. Asia Pac Econ Lit 2007;21:25-54.
35. Atim C. Social movements and health insurance: a critical evaluation of voluntary, non-profit insurance schemes with case studies from Ghana and Cameroon. Soc Sci Med 1999;48:881-96. doi:110.1016/S0277-9536(98)00390-6 PMID:10192556
36. Criel B, Waelkens M. Declining subscriptions to the Maliando Mutual Health Organisation in Guinea-Conakry (West Africa): what is going wrong? Soc Sci Med 2003;57:1205-19. doi:110.1016/S0277-9536(02)00495-1 PMID:12899905
37. Jütting JP. Do community-based health insurance schemes improve poor people's access to health care? Evidence from rural Senegal. World Dev 2003;32:273-88. doi:110.1016/j.worlddev.2003.10.001
38. Ndiaye P, Soors W. Editorial: A view from beneath: community health insurance in Africa. Trop Med Int Health 2007;12:157-61. doi:110.1111/j.1365-3156.2007.01814.x PMID:17300621
39. Wagstaff A. Social health insurance reexamined. Health Econ 2010;19:503-17. PMID:19399789
40. World health report 2000. Health systems: improving performance. Geneva: World Health Organization; 2000.
41. Schellekens O, Lindner ME, Lange MA, van der Gaag J. A new paradigm for increased access to health care in Africa. Washington: International Finance Corporation; 2007. Available from: http://www.ifc.org/ifcext/essaycompetition.nsf/AttachmentsByTitle/silver_Healthcare_in_Africa/$FILE/Silver_Healthcare.pdf [accessed 25 May 2012].
42. Drechsler D, Jütting J. Different countries, different needs: the role of private health insurance in developing countries. J Health Polit Policy Law 2007;32:497-534. doi:110.1215/03616878-2007-012 PMID:17519475
43. Jehu-Appiah C, Aryeetey G, Spaan E, Agyepong I, Baltussen R. Household perceptions and their implications for enrolment in the National Health Insurance Scheme in Ghana. Health Policy Plan 2012;27:222-33. doi:110.1093/heapol/czr032 PMID:21504981
44. Preker AS, Carrin G, Dror D, Jakab M, Hsiao W, Arhin D. Effectiveness of community health financing in meeting the cost of illness. Bull World Health Organ 2002;80:143-50. PMID:11953793
45. Reddy KS, Patel V, Jha P, Paul V, Kumar A, Dandona L; Lancet India Group for Universal Healthcare. Towards achievement of universal health care in India by 2020: a call to action. Lancet 2011;377:760-8. doi:110.1016/S0140-6736(10)61960-5 PMID:21227489
46. Agyepong IA, Adjei S. Public social policy development and implementation: a case study of the Ghana National Health Insurance scheme. Health Policy Plan 2008;23:150-60. doi:110.1093/heapol/czn002 PMID:18245803