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François Diop Abdoulaye Ba Christine Ortiz Abt Associates Inc. A Framework for Success: Comparative Analysis of African Community-based Health Insurance.

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Presentation on theme: "François Diop Abdoulaye Ba Christine Ortiz Abt Associates Inc. A Framework for Success: Comparative Analysis of African Community-based Health Insurance."— Presentation transcript:

1 François Diop Abdoulaye Ba Christine Ortiz Abt Associates Inc. A Framework for Success: Comparative Analysis of African Community-based Health Insurance Initiatives APHA 2010, Denver

2 Why improve health insurance coverage through community-based initiatives? Social Inclusion Increased access to care Income protection Members of the MUSADA scheme in Burkina Faso

3 Health financing in sub-saharan Africa Where does the money come from? Public sector – national programs Individuals – out of pocket What types of mechanisms are used? Social health insurance Subsidized or free care public systems Community-based schemes (MHOs, CBHI, mutuelles ) Senegalese women

4 Senegal Ghana Benin Niger Cameroon Rwanda Africa

5 Comparative table CountryTotal pop% Rural GDP/ capita Per capita total expend. on health Govt % of total expend. OOP as % of total health expend. Total expend. on H as % GDP % population with health insurance Benin9,025, $328.08$ % Cameroon18,532, $696.75$ % Ghana23,461, $306.80$ % Kenya37,530, $459.58$ % Mali12,334, $289.10$ % Niger14,195, $168.70$ <5% Rwanda9,735, $271.31$ % Senegal12,411, $509.03$ % Tanzania40,432, $354.17$ % Zambia11,919, $386.05$ %

6 Why focus on mutual health organizations? Comparative advantage of community-based initiatives: a way to reach rural and informal sectors in Africa Can provide a link between local level and central government + public resources Mutuelle members in Rwanda

7 Rwanda Ghana Success stories Women at a primary health clinic in Rwanda proudly hold up their mutuelle membership cards

8 Functional methodology Dear Ma Claudia, please paste in the graphic from the article you did (English version). The word copy I have is ugly. p5 Thanks

9 How to increase health insurance coverage in Africa Bottom-up + Top down A patient proudly displays his insurance membership card after visiting the Mulindi health center in Byumba, Rwanda

10 Reports related to this presentation are available at Thank you


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