Strategies to bridge the huge gap –

Medical insurance is important to cut back the monetary burden of buying well being care by pooling funds and sharing the dangers of sudden well being occasions. Danger-sharing mechanisms are significantly essential in Sub-Saharan Africa (SSA) the place most nations allocate inadequate assets to well being care and most well being care, together with medicines, is out-of-pocket funded.

In Africa, 27 out of 48 nations are most affected by out-of-pocket funds (OOPs) for healthcare providers. WHO Regional Committee for Africa Undertake a regional well being financing technique that recommends creating prepayment schemes to develop medical insurance protection and cut back out-of-pocket funds.

Closing this hole in entry to medical insurance is important to attaining the objective of common well being protection, which is to make sure that everybody has entry to the high-quality well being care providers they want, with out the chance of monetary destroy or poverty.

Why is medical insurance essential?

The advantages of satisfactory and sustainable medical insurance protection in Africa are quite a few. They embody enhancing the supply and affordability of important medicines; growing entry to care and defending households from the adversarial financial results of in poor health well being; Present protection for inpatient care to alleviate the sudden big monetary burden attributable to hospitalization; Making certain elevated entry to important medicines and offering an incentive for applicable use; Progress in direction of common well being protection (UHC).

Sadly, there’s nice disparity in entry to medical insurance in Africa, with formal staff and rich individuals having fun with higher alternatives than casual staff and the poor and weak teams. Closing this hole in entry to medical insurance is important to attaining the objective of common well being protection, which is to make sure that everybody has entry to the high-quality well being care providers they want, with out the chance of monetary destroy or poverty.

The Nationwide Well being Insurance coverage Scheme (NHIS): A mannequin for attaining broader and equitable medical insurance protection in Africa

A current research revealed that though medical insurance in sub-Saharan nations is extremely inequitable, a big proportion of the inequality lies in non-public types of medical insurance versus publicly owned medical insurance plans. Personal medical insurance plans that require people to make a contribution to be able to entry advantages, choose greater socioeconomic people, and thus reinforce inequality.

Evaluating 36 sub-Saharan nations, the research confirmed that the highest three nations with the best medical insurance protection and the least quantity of inequality are Rwanda, Ghana and Gabon. These three nations have publicly owned medical insurance programs which are funded largely by taxes, fairly than counting on voluntary contributions.

It’s clear that sub-Saharan African nations is not going to obtain the specified medical insurance protection, therefore UHC makes use of de facto voluntary medical insurance as a scheme for well being financing. African nations ought to undertake publicly owned nationwide medical insurance plans that take into consideration the poor and weak teams.

Case research: Rwanda and Ghana

Different African nations can be taught from the few nations on the continent which have quickly elevated their medical insurance protection and are characterised by inequality in medical insurance protection. In Rwanda, CBHI is managed centrally by a nationwide authorities company, is obligatory for all members of the casual sector and covers greater than three quarters of the nation’s inhabitants.

Below the scheme, all of the poor obtain full state subsidies, whereas some members of the casual sector obtain partial subsidies. The scheme is basically funded by non-contributory mechanisms (donor funding and common taxation).

Ghana has one of the superior healthcare programs in Africa because of the common insurance coverage system often known as the Nationwide Well being Insurance coverage Scheme (NHIS). Earlier than the general public insurance coverage system, Ghana used a “money and carry” scheme that required fee for any therapy up entrance, which prevented many individuals from accessing care.

Ghana’s medical insurance fee is among the many highest in Africa, making the nation top-of-the-line on the continent, by way of a complete healthcare system.

As of 2021, almost 70% of Ghana had medical insurance protection. NHIS in Ghana is primarily funded by a mix of presidency allocations from common tax income and a devoted tax (2.5% of VAT and a couple of.5% of social safety contributions).

Nigeria is making efforts to enhance medical insurance protection

Nigeria is making nice efforts in its journey to common well being protection. In Could 2022, a brand new Nationwide Well being Insurance coverage Authority (NHIA) legislation was signed into legislation. This act makes medical insurance obligatory for all Nigerians.

It establishes and permits the NHIA to make sure the availability of medical insurance to all Nigerians by way of a compulsory mechanism in cooperation with state medical insurance businesses. This might imply that greater than 70% of Nigerians who pay out-of-pocket healthcare prices, a lot of whom fall into poverty consequently, can profit from obligatory medical insurance on the nationwide stage.

Learn additionally: 5 charts displaying the allocation of the FG Fund to Main Well being Care in 2022

An essential level to notice is that the NHIA Act offers for the creation of a brand new fund for weak teams. The Weak Teams Fund will present medical insurance protection subsidy for weak individuals and pay medical insurance premiums for the indigent. Therefore, members of the group within the casual sector and weak teams will take pleasure in medical insurance protection.


In gentle of this, it’s clear that medical insurance in Africa remains to be creating. Studying classes from nations like Rwanda and Ghana, different African nations must undertake NHIS and guarantee broader and equitable medical insurance protection of their nations, as it is a non-negotiable path in direction of attaining common well being protection on the continent.

Anyakura is the CEO of Bloom Public Well being and an knowledgeable in public well being and

Odibeli is a Pharmacist and Analysis and Communications Coordinator at Bloom Public Well being