'The aim of this paper was to explore the opportunities, challenges, and necessary conditions for Vietnam in transforming toward a patient-centered care model to produce better health for people and reduce health care costs.'
Determinants of health care utilisation: the case of Timor-Leste
Timor-Leste is a country in Southeast Asia, which adopts a tax-based health system with free health care at the point of service. However, Timor-Leste has not yet achieved elimination of inequalities in the utilisation of health services. This study aims to assess the...
Reforming premium amount in the Indonesian National Health Insurance System program using system dynamics
Indonesia has developed the National Health Insurance System (NHIS), aiming to achieve the Universal Health Coverage. However, there was deficit problem during 2014 to 2019. The trend is likely to increase. This study aims to evaluate and plan further policies with...
Bhutan’s experience with COVID-19 vaccination in 2021
Bhutan is country which has a good control of COVID pandemic with reported 957 cases of COVID-19 and one death, while 94 percent of adults population has been vaccinated in April 2021. This article aims to describes the challenges and enabling factors leading...
An evaluation of health systems equity in Indonesia
Universal health coverage (UHC) improves the equity of the health system. With UHC, the poor and vulnerable populations could access quality and essential health care without financial barriers or the risk of catastrophic health expenditure. To close equity gaps,...
Does tax-based health financing offer protection from financial catastrophe? Findings from a household economic impact survey of ischemic heart disease in Malaysia
Universal health coverage (UHC) protects the households from falling into poverty due to catastrophic health spending. Malaysia, an upper middle-income country, has achieved UHC through tax-based financing model similar to the Sweden model. This study measures the...
Social health insurance in Nepal: Working towards the universal health coverage
This article aims to analyze the design, expected benefits and challenges of realizing the goals of UHC through the recently launched social health insurance (SHI) in Nepal. On top of the earlier free health‐care policy and several other vertical schemes, the SHI...
The impact of National Health Insurance upon accessibility of health services and financial protection from catastrophic health expenditure: a case study of Savannakhet province, the Lao People’s Democratic Republic
This study aims to assess the effectiveness of the National Health Insurance (NHI) Scheme in terms of its accessibility and in providing financial protection from catastrophic health expenditure. The data collection process was implemented in hospitals of two...
What is a Mutuelle de santé?
Given Madagascar's socio-economic situation, studies by national and international experts show that only 8% of the population would be able to contribute to a "mutual health insurance scheme", in the highest hypothesis. If the Malagasy government were to choose to...
Why shouldn’t the response to the COVID-19 pandemic be pitted against the CSU?
The response to the COVID-19 pandemic must be coherent and long-term. The risk is of taking a truncated approach, focusing only on short-term needs and interests, and pitting health safety and CSU against each other. Responding adequately to pandemics is a key...
Madagascar : Accelerating the implementation of the CSU: Why? How?
Three priority actions: ► Adopt the Health Financial Protection for All Bill (Pillar 2 of the CSU) currently under preparation. ► Adopt a genuine healthcare financing strategy ► Enable free access for the entire population to a priority basic care package at the CSB...
74th World Health Assembly: Challenges and roadmap for Madagascar
Although this issue relates more to pillar 1 of the CSU (provision of effective, quality health care and services), it is of particular importance in Madagascar, given the ongoing process of drafting a law on financial protection in health care for all users (pillar 2...
The Effect of Ethiopia’s Community-Based Health Insurance Scheme on Revenues and Quality of Care
This paper relies on a difference-in-differences approach applied to both panel and cross-section data. We find that CBHI-affiliated facilities experience a 111% increase in annual outpatient visits and annual revenues increase by 47%. Increased revenues are used to...
Is UHC Affordable? Estimated Costs and Fiscal Space Analysis for the Ethiopian Essential Health Services Package
Estimating the required resources for implementing an essential health services package (EHSP) is vital to examine its feasibility and affordability. This study aimed to estimate the financial resources required to implement the Ethiopian EHSP from 2020 to 2030....
Revision of the Ethiopian Essential Health Service Package: An Explication of the Process and Methods Used
To make progress toward universal health coverage, countries should define the type and mix of health services that respond to their populations’ needs. Ethiopia revised its essential health services package (EHSP) in 2019. This paper describes the process,...