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Strategies for health insurance mechanisms to address health system inequities in Ghana, South Africa and Tanzania

Strategies for health insurance mechanisms to address health system inequities in Ghana, South Africa and Tanzania

Objective

This project will undertake a critical analysis of the existing health system in three African countries (Ghana, Tanzania and South Africa) to identify their major equity challenges and will include financing incidence and benefit incidence studies. This information will form the basis for considering alternative approaches to health insurance within these countries, as a mechanism for addressing health system equity challenges and in turn contributing to achieving the Millennium Development Goals.

The key focus will be on mandatory insurance and on insurance mechanisms for covering those outside formal employment. The extensive experience of mandatory health insurance within Europe will contribute to understanding the potential for such insurance to be implemented successfully and sustained in a way that contributes to overall health system equity. The combination of economic and policy analysis approaches will enable analysis both of the technical options for policy design and the political acceptability of these options.

Importantly, this project will actively involve policy-makers in key aspects of the research and findings will be made available to them at an early stage to maximise the potential for the research to inform health insurance policy developments. Finally, the innovative methodological tools developed for certain aspects of the research will be documented in a toolkit to ensure accessibility for researchers in other contexts wishing to undertake similar analyses.

Leaflet | Map data © OpenStreetMap contributors, Credit: EC-GISCO, © EuroGeographics for the administrative boundaries

Coordinator

LONDON SCHOOL OF HYGIENE AND TROPICAL MEDICINE

Address

Keppel Street
London

United Kingdom

Administrative Contact

Anne MILLS (Prof.)

Participants (6)

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UNIVERSITY OF CAPE TOWN

South Africa

UNIVERSITY OF THE WITWATERSRAND

South Africa

GHANA HEALTH SERVICE

Ghana

IFAKARA HEALTH INSTITUTE

Tanzania

KAROLINSKA INSTITUTE

Sweden

KONINKLIJK INSTITUUT VOOR DE TROPEN

Netherlands

Project information

Grant agreement ID: 32289

  • Start date

    1 October 2006

  • End date

    30 September 2010

Funded under:

FP6-INCO

  • Overall budget:

    € 2 233 705

  • EU contribution

    € 1 999 443

Coordinated by:

LONDON SCHOOL OF HYGIENE AND TROPICAL MEDICINE

United Kingdom