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A Framework for Success: Comparative Analysis of African Community-based Health Insurance Initiatives. François Diop Abdoulaye Ba Christine Ortiz Abt Associates Inc. APHA 2010, Denver. Why improve health insurance coverage through community-based initiatives?. Social Inclusion
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A Framework for Success: Comparative Analysis of African Community-based Health Insurance Initiatives François Diop Abdoulaye Ba Christine Ortiz Abt Associates Inc. APHA 2010, Denver
Why improve health insurance coverage through community-based initiatives? • Social Inclusion • Increased access to care • Income protection Members of the MUSADA scheme in Burkina Faso
Health financing in sub-saharan Africa • Where does the money come from? • Public sector – national programs • Individuals – out of pocket • What types of mechanisms are used? • Social health insurance • Subsidized or free care public systems • Community-based schemes (MHOs, CBHI, mutuelles) Senegalese women
Africa Niger Senegal Benin Ghana Cameroon Rwanda
Why focus on mutual health organizations? • Comparative advantage of community-based initiatives: a way to reach rural and informal sectors in Africa • Can provide a link between local level and central government + public resources Mutuelle members in Rwanda
Success stories • Rwanda • Ghana Women at a primary health clinic in Rwanda proudly hold up their mutuelle membership cards
Functional methodology • Dear Ma Claudia, please paste in the graphic from the article you did (English version). The word copy I have is ugly. http://www.hs2020.org/content/resource/detail/2523/ • p5 • Thanks
How to increase health insurance coverage in Africa • Bottom-up + Top down A patient proudly displays his insurance membership card after visiting the Mulindi health center in Byumba, Rwanda
Thank you Reports related to this presentation are available at www.healthsystems2020.org