@article{fdi:010091902,
  title = {{A}cceptability of innovative department community-based health insurance in central {M}ali : a mixed methods study},
  author = {{B}oivin, {P}. and {R}avalihasy, {A}ndrainolo and {D}iarra, {D}. and {S}issoko, {F}. and {D}iabat{\'e}, {S}. and {D}iarra, {Y}. and {T}our{\'e}, {L}. and {R}idde, {V}al{\'e}ry},
  editor = {},
  language = {{ENG}},
  abstract = {{A}s the {U}niversal {H}ealth {I}nsurance {P}lan ({RAMU}) is gradually being implemented in {M}ali, community-based health insurance ({CBHI}) -considered one of the pillars of this programme- must innovate to meet the challenge of universal health coverage. {A}n experimental {CBHI} was tested in central {M}ali between 2017 and 2021. {T}his innovative {CBHI} professionalizes and organizes risk sharing on a larger scale than before, moving from municipalities to circles (departments). {A} mixed-method study was carried out in the {M}opti region to assess the acceptability of this innovation among {CBHI} elected representatives. {I}n {A}pril 2021, 118 questionnaires were administered to {CBHI} elected representatives, followed by 43 qualitative interviews from the same sample in {O}ctober 2021. {S}ekhon et al. (2017) developed an approach outlining seven dimensions of acceptability (attitude, burden, values, coherence, opportunity costs, perceived efficiency, and personal effectiveness), which was used as a conceptual model for data analysis. {T}he results obtained by factor analysis indicate that more than half of individuals (58%) reported above-average acceptability. {E}lected representatives feel well supported in their activities by the {T}echnical {U}nion of {M}alian {M}utuality ({TUM}), the umbrella organisation of {CBHI}. {T}hey show some confidence in their ability to perform their duties effectively despite varying levels of commitment that often fall short of expectations and needs, which they justify by their volunteer status. {E}lected representatives note that the system is very effective despite the nonoptimal conditions linked to the prevailing insecurity. {T}he new {CBHI} is highly advantageous for the population in terms of content, financial, and geographical access. {P}rofessionalisation is an unavoidable condition for the performance of the innovation, as well as the new community assembly. {H}owever, elected representatives are concerned about the sustainability of this {CBHI} and rely on the {S}tate and its partners to assume responsibility. {T}he {TUM} will play an essential role in continuing its support and fulfiling its functions as a delegated management organisation within the framework of the {RAMU}. {M}ali has innovated by testing two community-based health insurance ({CBHI}) managed by professionals and organised at the level of departments. {E}lected representatives of {CBHI} have well accepted this innovation. {E}lected representatives feel well-supported in their activities by the {T}echnical {U}nion of {M}alian {M}utuality, the national umbrella organisation of {CBHI}. {P}rofessionalisation appears to be an unavoidable condition for the performance of this innovation. {E}lected representatives are concerned about the long-term sustainability.},
  keywords = {acceptability ; {CBHI} ; innovation ; {M}ali ; {UHC} ; {MALI}},
  booktitle = {},
  journal = {{I}nternational {J}ournal of {H}ealth {P}lanning and {M}anagement},
  volume = {[{E}arly access]},
  numero = {},
  pages = {[18 p.]},
  ISSN = {0749-6753},
  year = {2024},
  DOI = {10.1002/hpm.3857},
  URL = {https://www.documentation.ird.fr/hor/fdi:010091902},
}