Health Financing in the Republic of Gabon

Saleh, Karima; Couttolenc, Bernard F.; Barroy, Helene

doi:10.1596/978-1-4648-0289-8

Cited by 3 publications

(5 citation statements)

References 11 publications

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“…States contribute to UHI mostly through their general revenues and we found earmarked taxes only in Gabon, Ghana and Rwanda 10 11 30 31 47 51 56 57. These are turnover taxes,10 31 47 58 royalties and the proceeds of some fines.…”

Section: Resultsmentioning

confidence: 73%

“…Depending on the country, public revenues are used to pay for indigent beneficiaries,35 36 42 50 51 to partially subsidise the contributions of non-indigent beneficiaries,49 50 52–54 to finance operating expenses43 52 55 or indiscriminately for all expenses.…”

Section: Resultsmentioning

confidence: 99%

“…These are Rwanda,35 36 Djibouti63 and Algeria 26 38. In Gabon, benefits are provided by a national health insurance fund which also manages the social protection services of persons receiving minimum social benefits 30 51…”

Section: Resultsmentioning

confidence: 99%

“…In Gabon, the National Health Insurance Fund manages three pools, one for the formal sector, one for the informal sector and one for the indigent. The three schemes operate independently of each other; there is neither pooling of resources nor cross-subsidisation 51. In Kenya, the national health insurance fund also operates three schemes, one for civil servants, one for the indigent and a general scheme for the rest of the population, each offering different benefits 71…”

Section: Resultsmentioning

confidence: 99%

“…Fee-for-service payment is the main method of payment in the systems studied. It is dominant in Senegal,72 Gabon,51 Nigeria,41 Rwanda,36 Tanzania42 and Tunisia 63. The second most common method of remuneration is a lump-sum subsidy that is not correlated with the services provided.…”

Section: Resultsmentioning

confidence: 99%

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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: Resultsmentioning

confidence: 73%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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

Bassoum

Faye

2022

BMJ Glob Health

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Radiation Therapy in Gabon: Multi-Institutional Collaboration as a Paradigm for Growth in the African Radiation Oncology Sector

Balogun

James

Chepkemoi

et al. 2020

International Journal of Radiation Oncology*Biology*Physics

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Health financing issues and reforms in Africa

Bayarsaikhan

Musango

2016

IJH

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Achieving universal health coverage is one of the overarching goals of the 2030 agenda for sustainable development. Health financing is an essential health system component contributory to this goal. In recent years, many African countries initiated health financing reforms to follow the path to universal health coverage. This paper reviews and synthesizes common health financing issues, reforms and challenges in Africa. The paper presents an analytical overview and the ways forward to make health systems financing more equitable, efficient and resilient through universal health coverage oriented reforms in Africa.

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Health Financing in the Republic of Gabon

Cited by 3 publications

References 11 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

Radiation Therapy in Gabon: Multi-Institutional Collaboration as a Paradigm for Growth in the African Radiation Oncology Sector

Health financing issues and reforms in Africa

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