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Reaching universal coverage by means of social health insurance in Lesotho? Results and implications from a financial feasibility assessment

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  • Inke Mathauer
  • Ole Doetinchem
  • Joses Kirigia
  • Guy Carrin

Abstract

This article discusses the process, results and implications of a financial feasibility assessment of social health insurance (SHI), as one part of Lesotho's exploration of how to move towards achieving universal health care coverage. Quantitative data from government and other sources, and qualitative data from discussions with stakeholders, were entered into SimIns, a health insurance simulation software, through which SHI revenue and expenditure for 11 years was projected. In principle, the assessment reveals that through a mix of tax financing and SHI contributions, all citizens of Lesotho could be covered with a defined benefit package of health services under the defined policy assumptions. Such a financing scheme would provide financial risk protection and enhance equity in access and health financing.

Suggested Citation

  • Inke Mathauer & Ole Doetinchem & Joses Kirigia & Guy Carrin, 2011. "Reaching universal coverage by means of social health insurance in Lesotho? Results and implications from a financial feasibility assessment," International Social Security Review, John Wiley & Sons, vol. 64(2), pages 45-63, April.
    • Handle: RePEc:wly:intssr:v:64:y:2011:i:2:p:45-63
    DOI: 10.1111/j.1468-246X.2011.01392.x
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    Cited by:

    1. Mathauer, Inke & Nicolle, Emmanuelle, 2011. "A global overview of health insurance administrative costs: what are the reasons for variations found?," Health Policy, Elsevier, vol. 102(2), pages 235-246.

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