Health Financing Reforms in Uganda: Dispelling the Fears and Misconceptions Related to Introduction of a National Health Insurance Scheme Comment on "Health Coverage and Financial Protection in Uganda: A Political Economy Perspective"
- PMID: 35942967
- PMCID: PMC10125197
- DOI: 10.34172/ijhpm.2022.7348
Health Financing Reforms in Uganda: Dispelling the Fears and Misconceptions Related to Introduction of a National Health Insurance Scheme Comment on "Health Coverage and Financial Protection in Uganda: A Political Economy Perspective"
Abstract
Uganda introduced health financing reforms that entailed abolition of user fees, and in due process planned to introduce a National Health Insurance Scheme (NHIS). This paper accentuates a contextual and political-economic analysis that dispels the fears and misconceptions related to introduction of the insurance scheme. The Grindle and Thomas model is used to depict how various factors affect decision making by policy elites concerning a particular policy at a particular time. Drawing lessons from the sub-Sahara region and in particular, Ghana and Rwanda's experience, it is clear that the political will of the executive led by the president in many countries is a key determinant in bringing about health reforms. In this paper, we provide insights based on contextual and political-economic analysis to countries in similar setting that are interested in setting up NHISs.
Keywords: Health Insurance; Political-Economic Analysis; Reforms; Uganda; User Fees.
© 2023 The Author(s); Published by Kerman University of Medical Sciences This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Conflict of interest statement
Authors declare that they have no competing interests.
Comment on
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Health Coverage and Financial Protection in Uganda: A Political Economy Perspective.Int J Health Policy Manag. 2022 Sep 1;11(9):1894-1904. doi: 10.34172/ijhpm.2021.116. Epub 2021 Aug 29. Int J Health Policy Manag. 2022. PMID: 34634869 Free PMC article.
References
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