The Role of Health Policy and Systems in the Uptake of Community-Based Health Insurance Schemes in Low- and Middle-Income Countries: A Narrative Review
This study explores how health policies and systems can affect voluntary uptake of community-based health insurance (CBHI) schemes in low- and middle-income countries (LMICs). A narrative review was conducted involving searches of 10 databases (Medline, Global Index Medicus, Cumulative Index to Nurs...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2023-04-01
|
| Series: | Health Services Insights |
| Online Access: | https://doi.org/10.1177/11786329231172675 |
| _version_ | 1797837240626315264 |
|---|---|
| author | Amika Shah Samrawit Lemma Chelsea Tao Joseph Wong |
| author_facet | Amika Shah Samrawit Lemma Chelsea Tao Joseph Wong |
| author_sort | Amika Shah |
| collection | DOAJ |
| description | This study explores how health policies and systems can affect voluntary uptake of community-based health insurance (CBHI) schemes in low- and middle-income countries (LMICs). A narrative review was conducted involving searches of 10 databases (Medline, Global Index Medicus, Cumulative Index to Nursing, and Allied Health Literature, Health Systems Evidence, Worldwide Political Science Abstracts, PsycINFO, International Bibliography of the Social Sciences, EconLit, Bibliography of Asian Studies, and Africa Wide Information) across the social sciences, economics, and medical sciences. A total of 8107 articles were identified through the database searches, 12 of which were retained for analysis and narrative synthesis after 2 stages of screening. Our findings suggest that in the absence of directly subsidizing CBHI schemes by governments in LMICs, government policies can nonetheless promote voluntary uptake of CBHIs through intentional actions in 3 key areas: (a) improving quality of care, (b) providing a regulatory framework that integrates CBHIs into the national health system and its goals, and (c) leveraging administrative and managerial capacity to facilitate enrollment. The findings of this study highlight several considerations for CBHI planners and governments in LMICs to promote voluntary enrollment in CBHIs. Governments can effectively extend their outreach toward marginalized and vulnerable populations that are excluded from social protection by formulating supportive regulatory, policy, and administrative provisions that enhance voluntary uptake of CBHI schemes. |
| first_indexed | 2024-04-09T15:22:41Z |
| format | Article |
| id | doaj.art-89c899311792445291674587d8b5288f |
| institution | Directory Open Access Journal |
| issn | 1178-6329 |
| language | English |
| last_indexed | 2024-04-09T15:22:41Z |
| publishDate | 2023-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Health Services Insights |
| spelling | doaj.art-89c899311792445291674587d8b5288f2023-04-29T07:33:24ZengSAGE PublishingHealth Services Insights1178-63292023-04-011610.1177/11786329231172675The Role of Health Policy and Systems in the Uptake of Community-Based Health Insurance Schemes in Low- and Middle-Income Countries: A Narrative ReviewAmika Shah0Samrawit Lemma1Chelsea Tao2Joseph Wong3Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, ON, CanadaThe Reach Alliance, Munk School of Global Affairs & Public Policy, University of Toronto, Toronto, ON, CanadaMunk School of Global Affairs & Public Policy, University of Toronto, Toronto, ON, CanadaDepartment of Political Science, University of Toronto, Toronto, ON, CanadaThis study explores how health policies and systems can affect voluntary uptake of community-based health insurance (CBHI) schemes in low- and middle-income countries (LMICs). A narrative review was conducted involving searches of 10 databases (Medline, Global Index Medicus, Cumulative Index to Nursing, and Allied Health Literature, Health Systems Evidence, Worldwide Political Science Abstracts, PsycINFO, International Bibliography of the Social Sciences, EconLit, Bibliography of Asian Studies, and Africa Wide Information) across the social sciences, economics, and medical sciences. A total of 8107 articles were identified through the database searches, 12 of which were retained for analysis and narrative synthesis after 2 stages of screening. Our findings suggest that in the absence of directly subsidizing CBHI schemes by governments in LMICs, government policies can nonetheless promote voluntary uptake of CBHIs through intentional actions in 3 key areas: (a) improving quality of care, (b) providing a regulatory framework that integrates CBHIs into the national health system and its goals, and (c) leveraging administrative and managerial capacity to facilitate enrollment. The findings of this study highlight several considerations for CBHI planners and governments in LMICs to promote voluntary enrollment in CBHIs. Governments can effectively extend their outreach toward marginalized and vulnerable populations that are excluded from social protection by formulating supportive regulatory, policy, and administrative provisions that enhance voluntary uptake of CBHI schemes.https://doi.org/10.1177/11786329231172675 |
| spellingShingle | Amika Shah Samrawit Lemma Chelsea Tao Joseph Wong The Role of Health Policy and Systems in the Uptake of Community-Based Health Insurance Schemes in Low- and Middle-Income Countries: A Narrative Review Health Services Insights |
| title | The Role of Health Policy and Systems in the Uptake of Community-Based Health Insurance Schemes in Low- and Middle-Income Countries: A Narrative Review |
| title_full | The Role of Health Policy and Systems in the Uptake of Community-Based Health Insurance Schemes in Low- and Middle-Income Countries: A Narrative Review |
| title_fullStr | The Role of Health Policy and Systems in the Uptake of Community-Based Health Insurance Schemes in Low- and Middle-Income Countries: A Narrative Review |
| title_full_unstemmed | The Role of Health Policy and Systems in the Uptake of Community-Based Health Insurance Schemes in Low- and Middle-Income Countries: A Narrative Review |
| title_short | The Role of Health Policy and Systems in the Uptake of Community-Based Health Insurance Schemes in Low- and Middle-Income Countries: A Narrative Review |
| title_sort | role of health policy and systems in the uptake of community based health insurance schemes in low and middle income countries a narrative review |
| url | https://doi.org/10.1177/11786329231172675 |
| work_keys_str_mv | AT amikashah theroleofhealthpolicyandsystemsintheuptakeofcommunitybasedhealthinsuranceschemesinlowandmiddleincomecountriesanarrativereview AT samrawitlemma theroleofhealthpolicyandsystemsintheuptakeofcommunitybasedhealthinsuranceschemesinlowandmiddleincomecountriesanarrativereview AT chelseatao theroleofhealthpolicyandsystemsintheuptakeofcommunitybasedhealthinsuranceschemesinlowandmiddleincomecountriesanarrativereview AT josephwong theroleofhealthpolicyandsystemsintheuptakeofcommunitybasedhealthinsuranceschemesinlowandmiddleincomecountriesanarrativereview AT amikashah roleofhealthpolicyandsystemsintheuptakeofcommunitybasedhealthinsuranceschemesinlowandmiddleincomecountriesanarrativereview AT samrawitlemma roleofhealthpolicyandsystemsintheuptakeofcommunitybasedhealthinsuranceschemesinlowandmiddleincomecountriesanarrativereview AT chelseatao roleofhealthpolicyandsystemsintheuptakeofcommunitybasedhealthinsuranceschemesinlowandmiddleincomecountriesanarrativereview AT josephwong roleofhealthpolicyandsystemsintheuptakeofcommunitybasedhealthinsuranceschemesinlowandmiddleincomecountriesanarrativereview |