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The role of mutuals and community‐based insurance in social health protection systems

International experience on delegated functions

Bibliographic Data

ID9971730
AuthorsMariétou Niang (0000-0002-3487-9450, Université du Québec à Rimouski Québec Canada), Émilie Gélinas (0009-0007-9948-7187, Université du Québec en Abitibi Témiscamingue Québec Canada), Oumar Mallé Samb (0000-0001-9391-3105, Université du Québec en Abitibi Témiscamingue Québec Canada), Lou Tessier (ILO Geneva Switzerland, corresponding author), Mathilde Mailfert (ILO Geneva Switzerland), Aurore Iradukunda (ILO Geneva Switzerland), Olivier Guérin (0000-0001-7929-9081, Université Paris Cité), Olivier Louis dit Guérin (Université Paris Cité France), Valery Ridde (0000-0001-9299-8266, Université Paris Cité France)
Year2023
Volume76
Issue2
Pages3-29
Publication date2023-04-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Social Security Review (JOURNAL)
Journal identifiersISSN: 0020-871X • E-ISSN: 1468-246X
PublisherWiley (PUBLISHER • GB)
DOI10.1111/issr.12323
OpenAlexW4379882442
LanguageEN
References cited27

The institutional architecture for the provision of social health protection varies across countries, as do the actors and organizations involved. In some countries, mutual benefit societies and community‐based health insurance organizations (CBHI) play a role in this area. In the 1990s, these were promoted particularly as a means of extending social security coverage, especially in sub‐Saharan Africa. In the current context, the adoption of the 2030 Agenda for sustainable development, as well as renewed political will to realize universal coverage, has led to a questioning of the role of mutuals/CBHI. However, the literature on the roles they play in national social security systems remains limited. For this scoping review, 49 documents were analysed, covering 18 countries worldwide, focused on the delegation of functions to mutuals/CBHI in national social health protection systems. The results reveal the dynamics of the delegation of functions within social protection systems over time and their implementation processes. These provide areas for reflection that can inform policy processes

Authorization · Business · Computer security · Context (archaeology · Delegation · Economic growth · Economics · Geography · Political science · Politics · Social protection · Social security · Global Health Care Issues · Global Maternal and Child Health · Healthcare Systems and Reforms · Law · Public Administration

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Citation velocityhistorical
Highly citedNo
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