Community-Based Health Insurance in Rwanda
Rwanda has lived one of the most tragic moments of its history with the genocide of 1994, which resulted in nearly one million deaths, and the destruction of the social fabric of the country. Mutual aid and community solidarity value systems have r...
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| Format: | Brief |
| Language: | English |
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World Bank, Washington, DC
2012
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| Online Access: | http://documents.worldbank.org/curated/en/2005/11/6421680/community-based-health-insurance-rwanda http://hdl.handle.net/10986/9650 |
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okr-10986-96502021-04-23T14:02:46Z Community-Based Health Insurance in Rwanda Pathé Diop, Francois Butera, Jean Damascene ACCESS TO HEALTH CARE ADVERSE SELECTION COMMUNITIES COMMUNITY DEVELOPMENT CONTRACTUAL RELATIONS DEATHS DISTRICTS DRUG LIST DRUGS FAMILY PLANNING FINANCIAL BARRIERS FINANCIAL RISKS HEALTH AUTHORITIES HEALTH CARE HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CENTERS HEALTH FACILITIES HEALTH INSURANCE HEALTH INSURANCE SCHEMES HEALTH PROVIDERS HEALTH REFORM HEALTH SECTOR HEALTH SERVICES HEALTH SYSTEM HOSPITAL SERVICES HOSPITALS INHABITANTS INSURANCE FUNCTION INTERMEDIARIES LIVING STANDARDS MEDICAL CARE MORAL HAZARD MUTUAL AID NEIGHBORHOODS POCKET PAYMENTS PREPAYMENT SCHEMES RURAL AREAS Rwanda has lived one of the most tragic moments of its history with the genocide of 1994, which resulted in nearly one million deaths, and the destruction of the social fabric of the country. Mutual aid and community solidarity value systems have remained resilient traits of Rwanda's society, and continue to be translated in coping strategies in the health care area. After the 1994 war, however, mutual aid initiatives have emerged in the health sector as community responses to the reintroduction of user-fees in public, and mission health facilities. Building on these community initiatives, health authorities, and non-government organizations have moved these emerging strategies to a deliberate strategy of building community-based health insurance schemes in the health sector. Community-based health insurance schemes (CBHI) provided also a platform for the compilation of information to support the assessment of CBHI schemes, and to familiarize health sector actors, and partners with the strategies needed to support their implementation on a large scale. CBHI schemes in Rwanda are health insurance organizations based on a partnership between the community and health care providers. As consensus built-up on the benefits of the CBHI schemes, a multi-level leadership developed in the country to provide support to the adaptation, and extension of the schemes. Political leaders at the central level, starting from the Presidency, called for the mobilization of all actors to support the implementation of CBHI schemes throughout the country. 2012-08-13T09:11:40Z 2012-08-13T09:11:40Z 2005-11 http://documents.worldbank.org/curated/en/2005/11/6421680/community-based-health-insurance-rwanda http://hdl.handle.net/10986/9650 English Africa Region Findings & Good Practice Infobriefs; No. 256 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Brief Publications & Research Africa Rwanda |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English |
| topic |
ACCESS TO HEALTH CARE ADVERSE SELECTION COMMUNITIES COMMUNITY DEVELOPMENT CONTRACTUAL RELATIONS DEATHS DISTRICTS DRUG LIST DRUGS FAMILY PLANNING FINANCIAL BARRIERS FINANCIAL RISKS HEALTH AUTHORITIES HEALTH CARE HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CENTERS HEALTH FACILITIES HEALTH INSURANCE HEALTH INSURANCE SCHEMES HEALTH PROVIDERS HEALTH REFORM HEALTH SECTOR HEALTH SERVICES HEALTH SYSTEM HOSPITAL SERVICES HOSPITALS INHABITANTS INSURANCE FUNCTION INTERMEDIARIES LIVING STANDARDS MEDICAL CARE MORAL HAZARD MUTUAL AID NEIGHBORHOODS POCKET PAYMENTS PREPAYMENT SCHEMES RURAL AREAS |
| spellingShingle |
ACCESS TO HEALTH CARE ADVERSE SELECTION COMMUNITIES COMMUNITY DEVELOPMENT CONTRACTUAL RELATIONS DEATHS DISTRICTS DRUG LIST DRUGS FAMILY PLANNING FINANCIAL BARRIERS FINANCIAL RISKS HEALTH AUTHORITIES HEALTH CARE HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CENTERS HEALTH FACILITIES HEALTH INSURANCE HEALTH INSURANCE SCHEMES HEALTH PROVIDERS HEALTH REFORM HEALTH SECTOR HEALTH SERVICES HEALTH SYSTEM HOSPITAL SERVICES HOSPITALS INHABITANTS INSURANCE FUNCTION INTERMEDIARIES LIVING STANDARDS MEDICAL CARE MORAL HAZARD MUTUAL AID NEIGHBORHOODS POCKET PAYMENTS PREPAYMENT SCHEMES RURAL AREAS Pathé Diop, Francois Butera, Jean Damascene Community-Based Health Insurance in Rwanda |
| geographic_facet |
Africa Rwanda |
| relation |
Africa Region Findings & Good Practice Infobriefs; No. 256 |
| description |
Rwanda has lived one of the most tragic
moments of its history with the genocide of 1994, which
resulted in nearly one million deaths, and the destruction
of the social fabric of the country. Mutual aid and
community solidarity value systems have remained resilient
traits of Rwanda's society, and continue to be
translated in coping strategies in the health care area.
After the 1994 war, however, mutual aid initiatives have
emerged in the health sector as community responses to the
reintroduction of user-fees in public, and mission health
facilities. Building on these community initiatives, health
authorities, and non-government organizations have moved
these emerging strategies to a deliberate strategy of
building community-based health insurance schemes in the
health sector. Community-based health insurance schemes
(CBHI) provided also a platform for the compilation of
information to support the assessment of CBHI schemes, and
to familiarize health sector actors, and partners with the
strategies needed to support their implementation on a large
scale. CBHI schemes in Rwanda are health insurance
organizations based on a partnership between the community
and health care providers. As consensus built-up on the
benefits of the CBHI schemes, a multi-level leadership
developed in the country to provide support to the
adaptation, and extension of the schemes. Political leaders
at the central level, starting from the Presidency, called
for the mobilization of all actors to support the
implementation of CBHI schemes throughout the country. |
| format |
Publications & Research :: Brief |
| author |
Pathé Diop, Francois Butera, Jean Damascene |
| author_facet |
Pathé Diop, Francois Butera, Jean Damascene |
| author_sort |
Pathé Diop, Francois |
| title |
Community-Based Health Insurance in Rwanda |
| title_short |
Community-Based Health Insurance in Rwanda |
| title_full |
Community-Based Health Insurance in Rwanda |
| title_fullStr |
Community-Based Health Insurance in Rwanda |
| title_full_unstemmed |
Community-Based Health Insurance in Rwanda |
| title_sort |
community-based health insurance in rwanda |
| publisher |
World Bank, Washington, DC |
| publishDate |
2012 |
| url |
http://documents.worldbank.org/curated/en/2005/11/6421680/community-based-health-insurance-rwanda http://hdl.handle.net/10986/9650 |
| _version_ |
1764410156056051712 |