Émergence et formulation d’un programme de solidarité pour affilier les plus pauvres à une assurance maladie au Burkina Faso

Kadio, Kadidiatou; Ouedraogo, Aboubacar; Kafando, Yamba; Ridde, Valéry

doi:10.3917/sss.352.0043

Cited by 12 publications

(6 citation statements)

References 15 publications

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“…Second, we excluded countries whose programmes were not insurance-based (Seychelles and Mauritius 14 15 ), those whose programmes were still in the design phase (South Africa, 16 Burkina Faso, 17 Cameroon 18 and Zambia 19 ) and those whose programmes were recently established (Cote d'Ivoire, 20 Egypt 21 and Madagascar, 22 that is, within 3 years. The remaining 16 countries included in the study are: Algeria, Benin, Burundi, Djibouti, Ethiopia, Gabon, Ghana, Kenya, Mali, Morocco, Nigeria, Rwanda, Senegal, Sudan, Tanzania and Tunisia.…”

Section: Methodsmentioning

confidence: 99%

Universal health insurance in Africa: a narrative review of the literature on institutional models

Bassoum

Faye

2022

BMJ Glob Health

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IntroductionSeveral African countries have introduced universal health insurance (UHI) programmes. These programmes aim to extend health insurance to groups that are usually excluded, namely informal workers and the indigent. Countries use different approaches. The purpose of this article is to study their institutional characteristics and their contribution to the achievement of universal health coverage (UHC) goals.MethodThis study is a narrative review. It focused on African countries with a UHI programme for at least 4 years. We identified 16 countries. We then compared how these UHI schemes mobilise, pool and use funds to purchase healthcare. Finally, we synthesised how all these aspects contribute to achieving the main objectives of UHC (access to care and financial protection).ResultsNinety-two studies were selected. They found that government-run health insurance was the dominant model in Africa and that it produced better results than community-based health insurance (CBHI). They also showed that private health insurance was marginal. In a context with a large informal sector and a substantial number of people with low contributory capacity, the review also confirmed the limitations of contribution-based financing and the need to strengthen tax-based financing. It also showed that high fragmentation and voluntary enrolment, which are considered irreconcilable with universal insurance, characterise most UHI systems in Africa.ConclusionPublic health insurance is more likely to contribute to the achievement of UHC goals than CBHI, as it ensures better management and promotes the pooling of resources on a larger scale.

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Section: Methodsmentioning

confidence: 99%

Universal health insurance in Africa: a narrative review of the literature on institutional models

Bassoum

Faye

2022

BMJ Glob Health

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“…In so doing, these countries have become true pioneers of M&E in the African context, where shortcomings in health policy formulation are legion. 18 , 41 , 43 In Cote d’Ivoire, the inadequate formulation of M&E in national health programs has been a weakness in the achievement of certain convincing results. In addition, this situation has been detrimental to the emergence of a true M&E culture at the national level and of national champions in this area.…”

Section: Discussionmentioning

confidence: 99%

“…39 According to our results, M&E emerged in national health programs in Cote d'Ivoire as a result of the coupling of the problem trend (structuring health programs to achieve their objectives in a corrupt social environment without control or rigor) and the political trend (the vision of the new Minister of Health) by local actors (acting as entrepreneurs) at the opening of a window of opportunity (accountability due to donor funding). 30,31,40,41 Approximate Formulation of M&E Systems in Health Programs Through a Nonparticipatory and Exclusive Process…”

Section: Emergence Supported By Development Partnersmentioning

confidence: 99%

Development of Monitoring and Evaluation Systems in Four National Programs Addressing Mother and Child Health in Cote d’Ivoire: Qualitative Analysis of the Emergence and Formulation Process

Essis¹,

Yaméogo²,

Sossa³

et al. 2023

RMHP

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Background Monitoring and evaluation were introduced into the management of national health programs to ensure that results were attained, and that donors’ funds were used transparently. This study aims to describe the process of the emergence and formulation of monitoring and evaluation (M&E) systems in national programs addressing maternal and child health in Cote d’Ivoire. Methods We conducted a multilevel case study combining a qualitative investigation and a literature review. This study took place in the city of Abidjan, where in-depth interviews were conducted with twenty-four (24) former officials who served at the central level of the health system and with six (06) employees from the technical and financial partners’ agencies. A total of 31 interviews were conducted from January 10 to April 20, 2020. Data analysis was conducted according to the Kingdon conceptual framework modified by Lemieux and adapted by Ridde. Results The introduction of M&E in national health programs was due to the will of the technical and financial partners and the political and technical decision-makers at the central level of the national health system, who were concerned with accountability and convincing results in these programs. However, its formulation through a top-down approach was sketchy and lacked content to guide its implementation and future evaluation in the absence of national expertise in M&E. Conclusion The emergence of M&E systems in national health programs was originally endogenous and exogenous but strongly recommended by donors. Its formulation in the context of limited national expertise was marked by the absence of standards and guidelines that could codify the development of robust M&E systems.

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“…Dans les mutuelles ou les coopératives, l'adhérent est membre de l'Assemblée générale et dispose, à ce titre, de responsabilités en matière de gestion. L'adhérent, suivant les systèmes et les zones, peut être désigné par d'autres termes comme « affilié », « titulaire », ou « membre » (Kadio, 2017).…”

Section: Mode De Fonctionnement Des Mutuelles Communautairesunclassified

Financement Solidaire des Mutuelles Communautaires de Nutrition (MCN) et l’Amélioration de la Résilience Alimentaire et Nutritionnelle des Enfants: Une Revue Systématique de Littérature

Dagbeto

Adekambi²,

Yabi³

2023

ESJ

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La présente étude s’est penchée sur les acquis scientifiques concernant la contribution des mutuelles communautaires de nutritions (MCN) à la sécurité alimentaire et nutritionnelle des enfants en Afrique et surtout au Bénin. L’objectif de l’étude était de faire un point systématique des revues scientifiques en lien direct ou indirecte avec la thématique d’étude. Pour ce faire, les principales bases de données numériques AGORA, Google Scholar, Pubmed et Scopus ont été consultées. AGORA a permis de constituer la base de données des revues scientifique pour un traitement statistique. Les combinaisons booléennes utilisées sont (Mutuelle communautaire) AND (Nutrition) ((Sécurité alimentaire) OR (sécurité nutritionnelle)) AND ((Afrique) OR (Mutuelle santé) AND/OR (Enfant). Au total, 1213 articles ont été répertoriés sur le serveur de recherche. L’insertion des critères d’exclusion a permis de recenser 321 articles, qui étaient en lien indirect ou ayant des thématiques similaires avec notre sujet de recherche. Somme toute, après lecture des résumés et ou texte, 34 articles sont en relation de similitude avec la thématique de recherche. Il s’agit de 33 articles de revue et 1 chapitre de livre. L'analyse des données a révélé que la majorité des articles ont été publiés entre 2000 et 2021. Par ailleurs, du point de vue des domaines d'études abordés, le traitement des informations recueillies a montré que les domaines ayant enregistré plus de publication sont : la santé publique, la médicine, l’économie, la sociologie, l’éducation, la science politique et la littérature. Cependant, on note de façons générale un grand vide en ce qui concerne les informations faisant état ou faisant le lien entre les mutuelles et la sécurité alimentaire et nutritionnelle (SAN) chez les enfants. A l’issu de cette revue il ressort que les mutuelles, de par la solidarité entre les membres et la participation démocratique qu’elles favorisent, contribueraient à améliorer significativement le bien-être des populations. Il est également à noter que ces mutuelles ressentent beaucoup d’insuffisances sur le plan socio-économique en occurrence un faible taux d’adhésion et de pénétration qu’il urge à corriger pour les rendre encore plus performant. This study looked at the scientific findings concerning the contribution of community mutuals to the food and nutritional security of children in Africa and especially in Benin. It has set itself the objective of systematically reviewing scientific journals directly or indirectly related to the study theme. To do this, the main digital databases consulted are AGORA, GoogleScholar, Pubmed and Scopus. Agora made it possible to constitute the database of scientific journals for statistical processing. The Boolean combinations used are (Community mutual) AND ((Food security) OR (nutritional security)) AND ((Africa) OR (Health mutual) AND / OR (Child). A total of 1213 articles were listed on the server. After inclusion of the exclusion criteria, 321 articles were directly or indirectly related to our research topic. All in all, after reading the abstracts and / or text, 34 articles are directly related to the research topic of 33 journal articles and 01 book chapter. Analysis of the data revealed that the majority of articles were published between 2000 and 2021. In addition, from the point of view of the fields of study covered, the treatment of the information collected showed that the fields which registered more publication are: public health, medicine, economics, sociology, education, political science and literature. However, it is important to notify that of the 1213 articles identified, only 37 articles dealt with the contribution of mutual health organizations to food and nutritional security for children in Africa once the interest of this study. At the end of this review, it appears that the mutuals, basing themselves more on criteria such as solidarity and democratic participation, play a significant role in the well-being of the populations. It should also be noted that these mutuals have a lot of shortcomings that need to be corrected to make them even more efficient.

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Émergence et formulation d’un programme de solidarité pour affilier les plus pauvres à une assurance maladie au Burkina Faso

Cited by 12 publications

References 15 publications

Universal health insurance in Africa: a narrative review of the literature on institutional models

Universal health insurance in Africa: a narrative review of the literature on institutional models

Development of Monitoring and Evaluation Systems in Four National Programs Addressing Mother and Child Health in Cote d’Ivoire: Qualitative Analysis of the Emergence and Formulation Process

Financement Solidaire des Mutuelles Communautaires de Nutrition (MCN) et l’Amélioration de la Résilience Alimentaire et Nutritionnelle des Enfants: Une Revue Systématique de Littérature

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