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A Conceptual Framework for Community-Based Health Insurance in Low-Income Countries: Social Capital and Economic Development

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  • Mladovsky, Philipa
  • Mossialos, Elias

Abstract

Summary The international policy model linking community-based health insurance (CBHI) and universal coverage for health care in low-income countries is implicitly determined by the development of mutual health insurance in 19th century Europe and Japan. The economic and health system frameworks employed in CBHI policy have not sufficiently taken into account contextual considerations. Social capital theories could contribute to understanding why generally CBHI does not achieve significant and sustainable levels of population coverage. A framework of social capital and economic development is used to organize and interpret existing evidence on CBHI. This suggests that solidarity, trust, extra-community networks, vertical civil society links, and state-society relations affect the success of CBHI. Aligning schemes to "social determinants" of CBHI could result in structures that differ from those proposed by current analytic frameworks.

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  • Mladovsky, Philipa & Mossialos, Elias, 2008. "A Conceptual Framework for Community-Based Health Insurance in Low-Income Countries: Social Capital and Economic Development," World Development, Elsevier, vol. 36(4), pages 590-607, April.
    • Handle: RePEc:eee:wdevel:v:36:y:2008:i:4:p:590-607
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    2. Lakomaa, Erik & Sanandaji, Tino, 2017. "Integrating community driven care service in European welfare states – nonprofit institutional entrepreneurship as driver for expanding access," SSE Working Paper Series in Economic History 2017:5, Stockholm School of Economics.
    3. Fiorillo, Damiano & Sabatini, Fabio, 2011. "Quality and quantity: The role of social interactions in self-reported individual health," Social Science & Medicine, Elsevier, vol. 73(11), pages 1644-1652.
    4. Hsiao, William C. & Yip, Winnie, 2024. "Financing and provision of healthcare for two billion people in low-income nations: Is the cooperative healthcare model a solution?," Social Science & Medicine, Elsevier, vol. 345(C).
    5. Mallik, Chinmoyee, 2016. "Sociology of land dispossession: Social capital and livelihoods in transition in Peri-urban Kolkata, India," World Development Perspectives, Elsevier, vol. 4(C), pages 38-47.
    6. Bocoum, Fadima & Grimm, Michael & Hartwig, Renate & Zongo, Nathalie, 2019. "Can information increase the understanding and uptake of insurance? Lessons from a randomized experiment in rural Burkina Faso," Social Science & Medicine, Elsevier, vol. 220(C), pages 102-111.
    7. Damiano, Fiorillo & Fabio, Sabatini, 2011. "Quality and quantity: the role of social interactions in individual health," MPRA Paper 29777, University Library of Munich, Germany.
    8. Dinda, Soumyananda, 2016. "Interrelationships between Social and human Capital, and Economic Growth," MPRA Paper 89646, University Library of Munich, Germany, revised 2017.
    9. Mladovsky, Philipa & Soors, Werner & Ndiaye, Pascal & Ndiaye, Alfred & Criel, Bart, 2014. "Can social capital help explain enrolment (or lack thereof) in community-based health insurance? Results of an exploratory mixed methods study from Senegal," Social Science & Medicine, Elsevier, vol. 101(C), pages 18-27.
    10. H.S. Shylendra, 2012. "Community-Based Enabling Models of Microfinance: Praxis and Lessons from India," Millennial Asia, , vol. 3(2), pages 139-168, July.
    11. Reshmi Bhageerathy & Sreekumaran Nair & Unnikrishnan Bhaskaran, 2017. "A systematic review of community-based health insurance programs in South Asia," International Journal of Health Planning and Management, Wiley Blackwell, vol. 32(2), pages 218-231, April.
    12. Mladovsky, Philipa, 2014. "Why do people drop out of community-based health insurance? Findings from an exploratory household survey in Senegal," Social Science & Medicine, Elsevier, vol. 107(C), pages 78-88.
    13. Juliette Alenda-Demoutiez & Bruno Boidin, 2019. "Community-based mutual health organisations in Senegal: a specific form of social and solidarity economy?," Post-Print hal-02400072, HAL.
    14. Koen Rossel-Cambier, 2011. "Is Combined Microfinance an Instrument to enhance Sustainable Pro-Poor Public Policy Outcomes?," Working Papers CEB 11-013, ULB -- Universite Libre de Bruxelles.
    15. Mohammod Lutful Kabir, 2015. "Gender Considerations for Rural Poverty Reduction in Bangladesh," South Asia Economic Journal, Institute of Policy Studies of Sri Lanka, vol. 16(2), pages 309-324, September.
    16. Afeez Folorunsho Lawal & Elsbet Lodenstein, 2022. "Negotiating Access to Health Care for All through Social and Political Accountability: A Qualitative Study in Rural Nigeria," Social Sciences, MDPI, vol. 11(3), pages 1-14, March.
    17. Mladovsky, Philipa, 2014. "Why do people drop out of community-based health insurance?: findings from an exploratory household survey in Senegal," LSE Research Online Documents on Economics 55820, London School of Economics and Political Science, LSE Library.

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