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Les déterminants de l'adhésion aux mutuelles de santé en Afrique subsaharienne : un inventaire des travaux empiriques


  • Jacques Defourny
  • Julie Failon


The enrolment rates in Community-Based Health Insurance Schemes remain particularly weak in Sub-Saharan African countries. This article aims at synthesizing the empirical studies carried out to date about factors influencing enrolment. Beyond methodological differences among studies, we finally come out with two factors which, as expected, seem to play a major role (the population’s financial capacity and the quality of health care services) and both are put into a larger perspective. A few other factors also seem to have a significant influence upon enrolment although empirical results show weaker convergences.

Suggested Citation

  • Jacques Defourny & Julie Failon, 2011. "Les déterminants de l'adhésion aux mutuelles de santé en Afrique subsaharienne : un inventaire des travaux empiriques," Mondes en développement, De Boeck Université, vol. 0(1), pages 7-26.
  • Handle: RePEc:cai:meddbu:med_153_0007

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    Cited by:

    1. Agier, Isabelle & Ly, Antarou & Kadio, Kadidiatou & Kouanda, Seni & Ridde, Valéry, 2016. "Endorsement of universal health coverage financial principles in Burkina Faso," Social Science & Medicine, Elsevier, vol. 151(C), pages 157-166.
    2. Mladovsky, Philipa & Soors, Werner & Ndiaye, Pascal & Ndiaye, Alfred & Criel, Bart, 2014. "Can social capital help explain enrolment (or lack thereof) in community-based health insurance? Results of an exploratory mixed methods study from Senegal," Social Science & Medicine, Elsevier, vol. 101(C), pages 18-27.


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