Document

This study examined the impact of health insurance policies on household wealth distribution in four sub-Saharan African countries—Burundi, Gabon, Ghana, and Rwanda—that have achieved healthcare coverage above 20% in pursuit of Universal Health Coverage (UHC) goals. Findings revealed that in Burundi and Rwanda, health insurance negatively affects poorer households more than the wealthiest, while community-based insurance in Gabon and national health insurance in Ghana benefit lower-income groups. The study concludes that expanding social amenities in rural areas and increasing public awareness of health insurance benefits are essential to boosting enrollment and reducing out-of-pocket expenditures.