@article{fdi:010086769,
  title = {{T}he resilience of two departmental health insurance units during the {COVID}-19 pandemic in {S}enegal},
  author = {{R}idde, {V}al{\'e}ry and {K}ane, {B}. and {M}bow, {N}. {B}. and {S}enghor, {I}. and {F}aye, {A}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground {I}n its pursuit of solutions for universal health coverage ({UHC}), {S}enegal has set up two departmental health insurance units ({UDAM}s) since 2014. {F}ew studies on the resilience of health systems in {A}frica have examined health insurance organisations. {T}his article aims to understand how these two {UDAM}s have been resilient during the {COVID}-19 pandemic and the restrictive measures imposed by the {S}tate to maintain services to their members and reimbursements to healthcare providers. {M}ethods {T}his study was a multicase study with multiple levels of analysis using a conceptual framework of resilience and analysis of organisational configurations. {E}mpirical data are derived from document analysis, observations for 6 months and 17 qualitative in-depth interviews.{R}esults{T}he results identified three main configurations concerning (1) safety and hygiene, (2) organisation and planning and (3) communication for sustainable payment. {T}he {UDAM} faced the pandemic with resilience processes to absorb the shock and maintain service to their members. {T}he {UDAM} learnt positive lessons from crisis management, such as remote work or the ability to support members in their care in hospitals away from their headquarters. {T}hey have innovated (transformative resilience) with the organisation of electronic payment and the use of social networks to raise funds and communicate with members. {S}trengthening their effectiveness after the shock of the departure of the donors in 2017 contributed to the adaptation and even transformation from the pandemic shock of 2020 and 2021. {T}he study shows that leadership, team dynamics and adaptation to contexts are drivers of resilience processes. {C}onclusion {B}oth {UDAM}s adapted to the shocks of the pandemic and government measures to maintain the services of their members and their organisational routine. {T}his resilience confirms that {UDAM}s are one of the possible solutions for {UHC} in the {S}ahel.},
  keywords = {{COVID}-19 ; health services research ; health policy ; health systems ; evaluation ; {SENEGAL} ; {SAHEL}},
  booktitle = {},
  journal = {{BMJ} {G}lobal {H}ealth},
  volume = {7},
  numero = {{S}uppl. 9},
  pages = {e010062 [12 ]},
  ISSN = {2059-7908},
  year = {2022},
  DOI = {10.1136/bmjgh-2022-010062},
  URL = {https://www.documentation.ird.fr/hor/fdi:010086769},
}