{"id":987566292,"date":"2023-03-22T18:46:14","date_gmt":"2023-03-22T17:46:14","guid":{"rendered":"https:\/\/p4h.world\/?post_type=news&#038;p=987566292"},"modified":"2023-03-22T18:46:23","modified_gmt":"2023-03-22T17:46:23","slug":"addiction-to-a-bad-idea-especially-in-low-and-middle-income-countries-contributory-health-insurance","status":"publish","type":"news","link":"https:\/\/p4h.world\/en\/news\/addiction-to-a-bad-idea-especially-in-low-and-middle-income-countries-contributory-health-insurance\/","title":{"rendered":"Addiction to a bad idea, especially in low- and middle-income countries: Contributory health insurance"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;!!! PLEASE DO NOT EDIT !!!&#8221; _builder_version=&#8221;4.19.5&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_row admin_label=&#8221;!!! PLEASE DO NOT EDIT !!!&#8221; _builder_version=&#8221;4.19.5&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.19.5&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_text admin_label=&#8221;TO BE EDITED &#8211; SUMMARY &#8211; Click on the WHEEL icon to open the textarea where you can paste or type your summary.  Summary should be in bold and 250-300 characters. The counter at the bottom can help.&#8221; _builder_version=&#8221;4.20.2&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||20px||false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p><strong>A peer reviewed research article published in the Social Science and Medicine journal of Science Direct, it explores the limitations of contributory health insurance in achieving universal health coverage for low and middle income countries. It has been coauthored by representatives from John Hopkins Bloomberg School of Public Health, AFD, World Bank, WHO, R4D and Abt Associates. <\/strong><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;TO BE EDITED &#8211; TEXT OF THE NEWS &#8211; Click on the WHEEL icon to open the textarea where you can paste or type your news. PLEASE USE THE USE ONLY THE FEATURED IMAGE FUNCTION on your right column to add the image.&#8221; _builder_version=&#8221;4.20.2&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h3>Abstract<\/h3>\n<p>Despite limited evidence of successful development and implementation of contributory health insurance and low and middle income countries, many countries are in the process implementing such schemes. This commentary summarizes all available evidence on the limitations of contributory health insurance including the lack of good theoretical underpinning and the considerable evidence of inequity and fragmentation created by such schemes. Moreover, the initiation of a contributory health insurance scheme has not been found to increase revenues to the health sector or help health countries achieve universal health coverage.<\/p>\n<p>Low and middle income countries can improve equity and efficiency of the health sector by replacing out-of-pocket spending with pre-paid pooling mechanisms, but that is best done through budget transfers and not by contributory insurance that links payment to sub-population entitlements.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A peer reviewed research article published in the Social Science and Medicine journal of Science Direct, it explores the limitations of contributory health insurance in achieving universal health coverage for low and middle income countries. It has been coauthored by representatives from John Hopkins Bloomberg School of Public Health, AFD, World Bank, WHO, R4D and&#8230;<\/p>\n","protected":false},"author":559,"featured_media":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":""},"categories":[172],"tags":[],"acf":[],"_links":{"self":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/news\/987566292"}],"collection":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/news"}],"about":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/types\/news"}],"author":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/users\/559"}],"replies":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/comments?post=987566292"}],"version-history":[{"count":0,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/news\/987566292\/revisions"}],"wp:attachment":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/media?parent=987566292"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/categories?post=987566292"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/tags?post=987566292"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}