This study assessed the utilization of health care and associated factors amongst the federal civil servants using the NHIS in Rivers state, Nigeria. It is a descriptive cross-sectional study using self-administered questionnaires. Findings show that out of a total of...
Assessment of the design and implementation challenges of the national health insurance scheme (NHIS) in Nigeria: a qualitative study among sub-national level actors, healthcare and insurance providers
Health insurance is an important mechanism to improve access to healthcare and prevent financial hardship and attain universal health coverage. Although it has been over almost two decades since the launch of the NHIS, only 5% of Nigerians have health insurance and...
Examining health facility financing in Kenya in the context of devolution
The performance of public health facilities depends on purchasing arrangements, and mechanisms used to finance their operations. How public healthcare facilities are financed can affect health system goals in several ways. For example, the reliability of sources of...
Drivers of outpatient care costs incurred by Kenyan households
An estimated 1.48 million people in Kenya are pushed into poverty every year because of out-of-pocket (OOP) and outpatient health expenses. Kenyans from poor households are the most vulnerable and experience economic hardship each time an OOP payment is necessary....
The progress in addressing financial risk in Uganda; Analysis of catastrophe and impoverishment due to health payments
In this study, the researchers monitor the progress that Uganda has made in ensuring financial risk protection to attain universal health coverage (UHC) as a signatory to the sustainable development goals. Monitoring progress towards UHC requires tracking of progress...
Equity of local government health financing in Uganda
In Uganda, just like most low and middle-income countries, most of the health spending is at the local government (subnational) level. To achieve universal health coverage, efforts to increase health spending need to consider the efficiency and effectiveness of...
Out-of-pocket healthcare expenditures: Determinants and impacts on the livelihoods of urban households in selected Sudanese states
Understanding the characteristics of individuals or households that are most at risk of incurring catastrophic health expenditures could help in targeted policies to ensure financial risk protection among the most vulnerable. Researchers in Sudan investigated the...
Factors contributing to low adherence to community-based health insurance (CBHI) in rural Nyanza district, southern Rwanda
Community-based health insurance (CBHI) is a kind of health insurance targeted at low-income groups and it has the potential to provide financial risk protection against exorbitant medical expenses among them. In Rwanda, CBHI is being implemented across the country...
Equity of healthcare financing: a progressivity analysis for Egypt
This paper aims to evaluate the progressivity of healthcare financing in Egypt by assessing five financing sources, out-of-pocket payments, an earmarked cigarette tax, direct taxes, indirect taxes, social health insurance and private health insurance. It provides a...
Ghana national health insurance scheme (NHIS): improving financial sustainability based on expenditure review
Since the establishment of Ghana’s NHIS in 2003, the country has made substantial progress towards its goal of universal health care. As of 2014, the NHIS covered 10.5 million people which is 40% of Ghana’s population. The total number of inpatient and outpatient...
Health providers and insurance managers perspective on submission and reimbursement of claims under the national health insurance scheme (NHIS) in Ghana
The government of Ghana launched the NHIS in 2003 to improve Ghanaian residents’ access to health services at the point of care by lessening financial barriers. The system continues to face challenges including some related to delays in submission and reimbursement...
Changes in Catastrophic Health Expenditures Depending on Health Policies in Turkey
This peer-reviewed article aims to evaluate the health care services that caused a rise in the ratio of households with catastrophic health expenditures in Turkey since 2012. These had previously been positively affected by the Health Transformation Program and...
Universal health insurance in Rwanda: major challenges and solutions for financial sustainability of the community-based health insurance (CBHI)
Rwanda introduced CBHI as a vehicle for universal health insurance and universal health coverage. First introduced in 1999/2000, CBHI has since faced chronic financial deficit. In this peer reviewed study, the authors assessed the challenges facing CBHI financial...
Rethinking the private-public mix in healthcare: Analysis of health reforms in Israel during the last three decades
While most discussions surrounding the private-public partnerships in health care focuses on financing infrastructure, in Israel, the public-private mix has become a central way of financing and delivering services in wake of diminishing public funding. This paper...
Adapting the Israeli national health insurance law to the 21st Century- a report from the 19th Dead Sea conference
This report charts the history of the National Health Insurance Law (NHIL) passed in 1995 that enabled sustainable, high-quality medical care to all eligible Israeli residents. It is based on key takeaways from the 19th annual Dead Sea conference (held by the Israel...