@article{fdi:010085262,
  title = {{F}actors that foster and challenge the sustainability of departmental health insurance units in {S}enegal},
  author = {{R}idde, {V}al{\'e}ry and {B}a, {M}. {F}. and {G}uyot, {M}. and {K}ane, {B}. and {M}bow, {N}. {B}. and {S}enghor, {I}. and {F}aye, {A}.},
  editor = {},
  language = {{ENG}},
  abstract = {{I}n an effort to establish universal health coverage ({UHC}), {S}enegal set up two departmental health insurance units ({UDAM}) to scale-up health insurance to rural communities. {P}art of this innovation meant that health insurance was no longer managed by volunteers, but by professionals. {S}everal years after the conclusion of the project in 2017 that supported their initial development, both {UDAM}s still operate successfully. {T}his mixed methods research aims to understand the factors that have contributed to the sustainability of both {UDAM}s, as well as discuss the remaining challenges. {T}he factors deemed favourable to sustainability are actions undertaken to ensure financial stability and organizational risk taking. {H}owever, the mobilization of the population, relationships with health professionals and the role of the {S}tate have been more difficult to organize. {C}hallenges concern the payment of subsidies and the supply of medicines by the {S}tate and partnership with the health care system, the maintenance of contributions, the digitalization of administration, as well as fraud and abuse.},
  keywords = {social protection ; health ; social security financing ; universal benefit ; scheme ; coverage ; {S}enegal ; {SENEGAL}},
  booktitle = {},
  journal = {{I}nternational {S}ocial {S}ecurity {R}eview},
  volume = {75},
  numero = {2},
  pages = {97--117},
  ISSN = {0020-871{X}},
  year = {2022},
  DOI = {10.1111/issr.12300},
  URL = {https://www.documentation.ird.fr/hor/fdi:010085262},
}