Niang M. auteur aut IRD Gelinas E. auteur aut IRD Samb O. M. auteur aut IRD Tessier L. auteur aut IRD Mailfert M. auteur aut IRD Iradukunda A. auteur aut IRD Guerin O. L. D. auteur aut IRD Ridde Valéry auteur aut IRD text journalArticle eng text/pdf born digital access 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. specialized mutual benefit society social protection health social security schemes health insurance international 056 76 2 3-29 2023 0020-871X https://www.documentation.ird.fr/hor/fdi:010088229 10.1111/issr.12323 0020-871X [F B010088229] https://www.documentation.ird.fr/hor/fdi:010088229 https://www.documentation.ird.fr/intranet/publi/2023-08/010088229.pdf Accès réservé (Intranet de l'IRD) IRD - Base Horizon / Pleins textes 2023-08-25 2023-08-25 fdi:010088229 fre