The role of mutuals and community-based insurance in social health protection systems: International experience on delegated functions |
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Authors: | Marietou Niang Émilie Gélinas Oumar Mallé Samb Lou Tessier Mathilde Mailfert Aurore Iradukunda Olivier Louis dit Guérin Valéry Ridde |
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Institution: | 1. Université du Québec à Rimouski, Québec, Canada;2. Université du Québec en Abitibi Témiscamingue, Québec, Canada;3. ILO, Geneva, Switzerland;4. Université Paris Cité, France |
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Abstract: | The institutional architecture for the provision of social health protection varies across countries, as do the actors and organizations involved. In some countries, mutual benefit societies and community-based health insurance organizations (CBHI) play a role in this area. In the 1990s, these were promoted particularly as a means of extending social security coverage, especially in sub-Saharan Africa. In the current context, the adoption of the 2030 Agenda for sustainable development, as well as renewed political will to realize universal coverage, has led to a questioning of the role of mutuals/CBHI. However, the literature on the roles they play in national social security systems remains limited. For this scoping review, 49 documents were analysed, covering 18 countries worldwide, focused on the delegation of functions to mutuals/CBHI in national social health protection systems. The results reveal the dynamics of the delegation of functions within social protection systems over time and their implementation processes. These provide areas for reflection that can inform policy processes. |
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Keywords: | mutual benefit society social protection health social security schemes health insurance international Mutualité protection sociale santé régimes de sécurité sociale assurance maladie international mutualidad protección social salud social security systems seguro de enfermedad internacional Hilfsverein auf Gegenseitigkeit Sozialschutz Gesundheit Systeme der sozialen Sicherheit social security systems Krankenversicherung international |
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