| Titre : | Economic of health insurance in low and middle-income countries. Social movements and health insurance : a critical evaluation of voluntary, non-profit insurance schemes with case studies from Ghana and Cameroon. (1999) |
| Auteurs : | C. ATIM ; Diana DE GRAEVE, éd. ; Health Research for Action Hera. BEL ; University of Antwerp. Antwerp. BEL ; Vereniging voor Gezondheidseconomie Vge. INC ; International Conference on the Economics of health insurance in low and middle-income countries. (17/01/1997; Antwerp. BEL) |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 48, n° 7, 1999) |
| Pagination : | 881-896 |
| Langues: | Anglais |
| Mots-clés : | Assurance maladie ; Protection sociale ; Ghana ; Afrique ; Cameroun ; Economie santé ; Politique santé ; Pauvreté ; Communauté |
| Résumé : | [BDSP. Notice produite par INIST KyR0x0D8. Diffusion soumise à autorisation]. This paper assesses the performance of voluntary, non-profit health insurance schemes and their potential contribution to health in the two African countries of Ghana and Cameroon. Based on fieldwork conducted in the two countries during the main rainy season (June-July) of 1996, the paper examines whether and in which way the presence or absence of a social movement component might affect the performance of voluntary, non-profit insurance schemes in attaining some key objectives of improving access to health care among the target population, as well as achieving equity, efficiency and financial viability. The paper makes this assessment by examining the performances of each of two case studies according to the criteria of social movement, efficiency, equity, access and financial results. Based on case studies of a community financing insurance scheme in Ghana and a mutual aid insurance association in Cameroon, the study concludes that the evidence is not sufficient to confirm that the presence or absence of such a social movement dynamic per se accounts for the perceived performance of either of the schemes. However, it is also argued that the dynamic of social movement could enhance the design and performance of a scheme, especially the efficiency and quality of health care. (...) |
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