@incollection{fdi:010097278,
  title = {{C}ommunity-based health insurance},
  author = {{K}anya, {L}. and {D}e {A}llegri, {M}. and {R}idde, {V}al{\'e}ry},
  editor = {},
  language = {{ENG}},
  abstract = {{C}hapter 1.2 assesses community-based health insurance. {C}ommunity-based health insurance ({CBHI}) is a voluntary, self-organized approach to financing health care for groups of individuals in the absence of other forms of health care coverage. {CBHI} scheme members organize themselves; collect and pool their insurance premiums; and use them to purchase health services for members. {K}ey learning includes that {CBHI} is not a miracle solution to affordable access to health care. - {T}he very poor often do not enroll, and when they do they tend to use fewer health services. - {O}ut-of-pocket ({OOP}) payments are not necessarily reduced. {L}ow uptake, poor delivery of promised benefits and challenges around governance undermine the impact of {CBHI}. {CBHI} does not overcome broader issues such as a lack of financial resources. {CBHI} might serve as a transitionary mechanism towards {UHC} and offer some financial protection for the most vulnerable provided that - {P}olicy-makers create a supportive political and economic environment - {S}ocial capital can be mobilized. - {S}chemes are institutionalized within the health sector.},
  keywords = {{AFRIQUE} ; {ASIE}},
  booktitle = {{P}aying for health : learning from international experience},
  numero = {},
  pages = {63--90},
  address = {},
  series = {},
  year = {2026},
  DOI = {10.1017/9781009746274.004},
  URL = {https://www.documentation.ird.fr/hor/fdi:010097278},
}