Social Health Protection (SHP) is considered to be a crucial factor in enhancing access to needed... more Social Health Protection (SHP) is considered to be a crucial factor in enhancing access to needed health services while providing financial protection, but it is clear that there is no general layout for a successful SHP policy. Consequently, we are faced with distinct SHP programmes and schemes in different countries, tailor-made to the felt needs of a specific context, but also building on earlier experience and now and again co-defined by donors’ preferences. Apart from distinct characteristics due to context and path dependence, SHP programmes and schemes also differ in outcomes, in terms of both access and protection.
Community health insurance (CHI) is a specific health insurance arrangement serving a social purp... more Community health insurance (CHI) is a specific health insurance arrangement serving a social purpose, generally operating at the local level of the health system, and largely thriving on community solidarity. This article describes the origins, formats, and evolution of CHI in Africa and Asia. It discusses strengths and weaknesses of CHI from different perspectives: its contribution to health-care access, to health sector financing, to provider responsiveness and quality of care, and to wider developmental objectives. The potential of CHI in the worldwide endeavor for universal health coverage and the conditions for CHI to possibly play a role of significance are critically analyzed.
In 2005, World Health Organisation (WHO) member states committed to achieving universal health co... more In 2005, World Health Organisation (WHO) member states committed to achieving universal health coverage (UHC) to ensure that all people have access to quality health services in times of need and are protected from the financial hardships of health care costs (WHO, 2005). This commitment was reaffirmed in the World Health Report 2010, which stated that health-financing systems should be designed with the aim of reaching universal health coverage (WHO, 2010) and was further supported in a 2012 United Nations General Assembly Resolution that highlighted the critical role it could play in helping to meet the Millennium Development Goals and alleviate poverty (UN, 2012). By supporting the progression to UHC, nations are acknowledging the need to honour everyone’s fundamental right to health care (Chan, 2012).
INTRODUCTION The objective of this study was to identify the factors that influenced the poor per... more INTRODUCTION The objective of this study was to identify the factors that influenced the poor performance of the Community Observatory on Access to Health Services (OCASS) project during its implementation from 2014 to 2017 in Guinea and to formulate recommendations for the rest of the project. METHODS This was a qualitative study using the multipolar performance framework of B. Marchal et al. adapted from the ‘Global and Integral Assessment Model of Health Systems Performance, in acronym EGIPSS, from the Sicotte framework. The data was collected using a spreadsheet created in Microsoft Excel developed according to the four functions of the analytical framework: service delivery, goal achievement, interaction with the environment, and safeguarding values and organizational culture. RESULTS The absence of an initial assessment of the technical, operational and organizational capacities of the implementing body and the failure to take into account the specific needs of the project in terms of resources (financial, material and human) were decisive in the poor performance of OCASS. Also, the weak involvement of national actors, the Ebola epidemic and the multiplicity of actors around the observatory played a significant role in the failure to achieve the objective of the project. CONCLUSION Our study revealed that the national context must be taken into account when setting up a social responsibility project and carrying out a basic assessment remains a fundamental step to guarantee its success.
Social Health Protection (SHP) is considered to be a crucial factor in enhancing access to needed... more Social Health Protection (SHP) is considered to be a crucial factor in enhancing access to needed health services while providing financial protection, but it is clear that there is no general layout for a successful SHP policy. Consequently, we are faced with distinct SHP programmes and schemes in different countries, tailor-made to the felt needs of a specific context, but also building on earlier experience and now and again co-defined by donors’ preferences. Apart from distinct characteristics due to context and path dependence, SHP programmes and schemes also differ in outcomes, in terms of both access and protection.
Community health insurance (CHI) is a specific health insurance arrangement serving a social purp... more Community health insurance (CHI) is a specific health insurance arrangement serving a social purpose, generally operating at the local level of the health system, and largely thriving on community solidarity. This article describes the origins, formats, and evolution of CHI in Africa and Asia. It discusses strengths and weaknesses of CHI from different perspectives: its contribution to health-care access, to health sector financing, to provider responsiveness and quality of care, and to wider developmental objectives. The potential of CHI in the worldwide endeavor for universal health coverage and the conditions for CHI to possibly play a role of significance are critically analyzed.
In 2005, World Health Organisation (WHO) member states committed to achieving universal health co... more In 2005, World Health Organisation (WHO) member states committed to achieving universal health coverage (UHC) to ensure that all people have access to quality health services in times of need and are protected from the financial hardships of health care costs (WHO, 2005). This commitment was reaffirmed in the World Health Report 2010, which stated that health-financing systems should be designed with the aim of reaching universal health coverage (WHO, 2010) and was further supported in a 2012 United Nations General Assembly Resolution that highlighted the critical role it could play in helping to meet the Millennium Development Goals and alleviate poverty (UN, 2012). By supporting the progression to UHC, nations are acknowledging the need to honour everyone’s fundamental right to health care (Chan, 2012).
INTRODUCTION The objective of this study was to identify the factors that influenced the poor per... more INTRODUCTION The objective of this study was to identify the factors that influenced the poor performance of the Community Observatory on Access to Health Services (OCASS) project during its implementation from 2014 to 2017 in Guinea and to formulate recommendations for the rest of the project. METHODS This was a qualitative study using the multipolar performance framework of B. Marchal et al. adapted from the ‘Global and Integral Assessment Model of Health Systems Performance, in acronym EGIPSS, from the Sicotte framework. The data was collected using a spreadsheet created in Microsoft Excel developed according to the four functions of the analytical framework: service delivery, goal achievement, interaction with the environment, and safeguarding values and organizational culture. RESULTS The absence of an initial assessment of the technical, operational and organizational capacities of the implementing body and the failure to take into account the specific needs of the project in terms of resources (financial, material and human) were decisive in the poor performance of OCASS. Also, the weak involvement of national actors, the Ebola epidemic and the multiplicity of actors around the observatory played a significant role in the failure to achieve the objective of the project. CONCLUSION Our study revealed that the national context must be taken into account when setting up a social responsibility project and carrying out a basic assessment remains a fundamental step to guarantee its success.
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