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Le développement de l'assurance maladie dans les pays à faible revenu : l'exemple des pays africains

Abstract : Health financing reforms in most low-income countries promote social and micro health insurance, in order to reduce direct spending by patients. Three phases of development can be distinguished in African countries: at first, schemes were developed only for the formal sector, then micro health insurance targeted the informal sector, and finally, health insurance was included in larger plans to reach universal coverage. The impact of health insurance is, as yet, difficult to assess. If beneficiaries have a better access to health services, the financing of health sector is not significantly improved, and there is no change in professional behaviour, in particular, in public facilities. In spite of their limits, social health insurance schemes continue to be implemented, but as a part of hybrid financing system, fitting with the abilities of low-income countries.
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https://hal-cnrs.archives-ouvertes.fr/hal-03477091
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Submitted on : Monday, December 13, 2021 - 12:03:14 PM
Last modification on : Tuesday, October 18, 2022 - 3:42:14 AM

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Alain Letourmy. Le développement de l'assurance maladie dans les pays à faible revenu : l'exemple des pays africains. Comptes Rendus. Biologies, 2008, 331 (12), pp.952-963. ⟨10.1016/j.crvi.2008.08.013⟩. ⟨hal-03477091⟩

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