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,...
Towards Universal Health Coverage in Ethiopia’s ‘developmental state’? The political drivers of health insurance
This paper employs a process tracing methodology to examine the political drivers of the adoption and evolution of state health insurance based on 28 key informant interviews conducted between 2015 and 2018 with politicians, policymakers and donor officials. The...
Purchasing reforms and tracking health resources, Kenya (December 2019)
As low- and middle-income countries undertake health financing reforms to achieve universal health coverage, there is renewed interest in making allocation of pooled funds to health-care providers more strategic. To make purchasing more strategic, countries are...
Preventing Fraud and Deficit Through The Optimization of Health Insurance In Indonesia
The Badan Penyelenggara Jaminan Sosial Kesehatan, commonly known as the BPJS Kesehatan, Indonesia’s public health Insurance agency was established as a public legal body to provide universal healthcare to its citizens. However, the financial deficit in the system...