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The contribution of Religious health networks in Systems Strengthening through Innovations in Community Health Financing

The contribution of Religious health networks in Systems Strengthening through Innovations in Community Health Financing

 

The case of Community Health Insurance in Uganda – successes and challenges

 

Dr. Sam Orochi Orach

 

Uganda Catholic Medical Bureau,

 

December 2014

 

Religious health facilities mainly accredited to Uganda Catholic and Uganda Protestant Medical Bureaus have championed the starting of Community Health Insurance Schemes in Uganda. The Medical Bureaus mainly play the role of systems strengthening of the facilities in order to allow the landing and running of various programs, including the CHIs.

Community Health Insurance increases involvement of the members in mobilising resources for their health care. While having to guard against abuse in terms of over use and adverse selection, it seems to improve on health seeking behaviours. It however appears easier to scale up in communities with more expendable money if it should remain sustainable in absence of donor support or any other external support. Its success so far indicates that if supported by the national governments it could be more replicable to other parts of the country as well.

Finally once more, supporting programs including Community Health Insurance Schemes without supporting systems that cover a sector or a big sub-sector, the PNFP, will not lead to sustainable benefit in the communities and the country.

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