SOCIAL HEALTH INSURANCE: KEY FACTORS AFFECTING ITS IMPLEMENTATION FROM SOME TO ALL. EVIDENCE FROM SUCCESSFUL NATIONS

Muse Beyene

Abstract


Ethiopia like any other several low and middle income countries is interested in extending the existing health insurance for specific groups to eventually cover the entire populations. For those countries and Ethiopia interested in such an extension, it is important to understand the factors that affect the transition from none to incomplete (some) and then to universal coverage (all). This paper analyses the experience of eight countries in the implementation of social health insurance. It highlights the importance of the socioeconomic and political context, particularly in relation to the level of income, structure of the economy, distribution of the population, ability to administer and level of solidarity within the country, and also stresses the important stewardship role government can and should play in facilitating the implementation and transition to universal coverage via social health insurance.

Keywords


Universal health coverage, health funding, social insurance, equity of health

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References


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