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Community‐based health insurance in developing countries: a study of its contribution to the performance of health financing systems
Author(s) -
Carrin Guy,
Waelkens MariaPia,
Criel Bart
Publication year - 2005
Publication title -
tropical medicine and international health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 114
eISSN - 1365-3156
pISSN - 1360-2276
DOI - 10.1111/j.1365-3156.2005.01455.x
Subject(s) - pooling , subsidy , purchasing , revenue , health insurance , developing country , health care , actuarial science , health policy , business , risk pool , set (abstract data type) , public economics , finance , economics , economic growth , computer science , marketing , insurance policy , general insurance , market economy , programming language , artificial intelligence
Summary We studied the potential of community‐based health insurance (CHI) to contribute to the performance of health financing systems. The international empirical evidence is analysed on the basis of the three health financing subfunctions as outlined in the World Health Report 2000: revenue collection, pooling of resources and purchasing of services. The evidence indicates that achievements of CHI in each of these subfunctions so far have been modest, although many CHI schemes still are relatively young and would need more time to develop. We present an overview of the main factors influencing the performance of CHI on these financing subfunctions and discuss a set of proposals to increase CHI performance. The proposals pertain to the demand for and the supply of health care in the community; to the technical, managerial and institutional set‐up of CHI; and to the rational use of subsidies.