Document

Most African countries have committed to attaining (UHC, with millions of households struggling with high out-of-pocket (OOP) expenditures for health services. Generally speaking, tax-based health financing and social health insurance (SHI) are among the domestic resource mobilisation mechanisms that can be used to scale up financial risk protection and ensure sustainable financing. However, significant improvement in tax-based funding has been difficult, while SHI has so far not been widely implemented in sub-Saharan Africa, and experience with SHI is limited. The Government of Swaziland decided to explore the feasibility of SHI in order to enhance universal access to health services. This peer reviewed paper presents the results of the feasibility study.
 
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