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Social health insurance in developing countries: A continuing challenge

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  • Guy Carrin

Abstract

This paper addresses the issue of the feasibility of “social” health insurance (SHI) in developing countries. SHI aims at protecting all population groups against financial risks due to illness. There are substantial difficulties in implementation, however, due to lack of debate and consensus about the extent of financial solidarity, problems with health service delivery, and insufficient managerial capacity. The transition to universal coverage is likely to take many years, but it can be speeded up. Adopting a “family” approach to financial protection, sustained financial support from governments and donors, and deconcentrating the development of SHI may slash several years from the time needed to achieve full universal protection against healthcare costs.

Suggested Citation

  • Guy Carrin, 2002. "Social health insurance in developing countries: A continuing challenge," International Social Security Review, John Wiley & Sons, vol. 55(2), pages 57-69.
    • Handle: RePEc:wly:intssr:v:55:y:2002:i:2:p:57-69
    DOI: 10.1111/1468-246X.00124
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    Cited by:

    1. Robin Tiow Heng Tan & Siti Zaleha Abdul Rasid & Wan Khairuzzaman Wan Ismail & Janiza Tobechan & Edwin Tiow Yong Tan & Alia Natasha Yusof & Jia Hui Low, 2022. "Willingness to Pay for National Health Insurance: A Contingent Valuation Study Among Patients Visiting Public Hospitals in Melaka, Malaysia," Applied Health Economics and Health Policy, Springer, vol. 20(2), pages 255-267, March.
    2. Samuel Antwi & Xicang Zhao & Eugene OwareKoranteng & Boadi Kofi eric, 2014. "Gender disparities in the Ghana national health insurance claims: An econometric analysis," International Journal of Business and Social Research, LAR Center Press, vol. 4(1), pages 70-81, January.
    3. Dengfeng Wu & Fang Yu & Wei Nie, 2018. "Improvement of the reduction in catastrophic health expenditure in China’s public health insurance," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-21, April.
    4. Maia Sieverding & Cynthia Onyango & Lauren Suchman, 2018. "Private healthcare provider experiences with social health insurance schemes: Findings from a qualitative study in Ghana and Kenya," PLOS ONE, Public Library of Science, vol. 13(2), pages 1-22, February.
    5. Eric Nsiah-Boateng & Justice Nonvignon & Genevieve Cecelia Aryeetey & Paola Salari & Fabrizio Tediosi & Patricia Akweongo & Moses Aikins, 2019. "Sociodemographic determinants of health insurance enrolment and dropout in urban district of Ghana: a cross-sectional study," Health Economics Review, Springer, vol. 9(1), pages 1-9, December.

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