Financing health care in Sub-Saharan Africa through user fees and insurance

Investments in health are a key ingredient in the formation of human capital and the sustainability of socioeconomic development. Yet expenditures on health in sub-Saharan Africa are often lamented as being inadequate, inefficient, inequitable, and unsustainable. The central problems facing governme...

• Main Author: Shaw, R Paul
• Corporate Author: Banco Mundial
• Other Authors: Griffin, Charles C
• Format: Book
• Published: Washington, D.C. World Bank 1995
• Series: Directions in development
• Subjects: ATENCION MEDICA; FINANCIAMIENTO DE LA SALUD; SEGURO DE ENFERMEDAD; AFRICA AL SUR DEL SAHARA; SEGURO DE INVALIDEZ

Table of Contents:

• Foreword
• Preface
• Introduction and overview
• 1. User fees: The goals of user fees
• Ability and willingness to pay
• The tradeoff between price and quality
• Exemption policies
• Administration and collection of fees
• Conclusions and recommendations
• 2. Self-financing health insurance: Risk sharing: how did it evolve?
• Insurance basics
• Formal health insurance in Africa
• Pre-payment plans for rural populations
• Evaluating the potential for formal risk sharing in Africa
• Potential for expanding coverage
• Conclusions and recommendations
• Appendix table
• Notes
• References
• Boxes.