@article{fdi:010091396,
  title = {{S}caling up departmental health insurance units in {S}enegal : a mixed-method study},
  author = {{R}idde, {V}al{\'e}ry and {B}a, {M}. {F}. and {K}ane, {B}. and {C}houa{\¨ie}d, {A}. and {F}aye, {A}.},
  editor = {},
  language = {{ENG}},
  abstract = {{I}n response to the failure of community-based health insurance ({CBHI}) at the municipal level, some {A}frican countries are implementing district or departmental {CBHI}s to improve universal health coverage. {A}fter creating two {CBHI}s at the departmental level in 2014, {S}enegal launched a campaign to disseminate the model in 2022. {T}his article presents the stakeholders' perspectives on the factors and challenges of scaling up {CBHI} departmentalization in {S}enegal. {T}he study uses a mixed-methods approach, utilizing concept mapping and a focus group to examine scaling up departmentalization. {T}he sample size consists of 22 individuals involved in the process. {T}he quantitative analysis includes hierarchical cluster analysis, multidimensional scaling analysis, and the {P}earson coefficient test. {T}he qualitative analysis involves content analysis to triangulate the findings. {P}articipants identified 125 factors to consider for the departmentalization of {CBHI}. {T}hey were categorized into nine clusters according to their degree of importance ({I}) and ease to organize ({F}): service package ({I}: 4.07; {F}: 2,26), communication ({I}: 4.05; {F}: 2.96), governance ({I}: 3.96; {F}: 2,94), human and logistical resources ({I}: 3.94; {F}: 2,82), financing ({I}: 3.90; {F}: 2,31), involvement of the authorities ({I}: 3.82; {F}: 2.75), community involvement ({I}: 3.81; {F}: 2.76), membership ({I}: 3.70; {F}: 2.24, strategic planning and implementation ({I}: 3.57; {F}: 2,62). {T}he main challenges faced were a process perceived as precipitous and vertical and needing more negotiation and consultation. {T}he conditions for accompaniment and public funding availability need to be sufficiently considered. {T}he study proposes avenues for action to promote the scaling up of {CBHI} departmentalization in {S}enegal.},
  keywords = {{C}ommunity-based health insurance ; scalability ; {S}enegal ; universal health ; coverage ; {SENEGAL}},
  booktitle = {},
  journal = {{H}ealth {S}ystems and {R}eform},
  volume = {10},
  numero = {1},
  pages = {2402084 [13 p.]},
  ISSN = {2328-8604},
  year = {2024},
  DOI = {10.1080/23288604.2024.2402084},
  URL = {https://www.documentation.ird.fr/hor/fdi:010091396},
}