NGOs in community health insurance schemes : examples from Guatemala and the Philippines.
International Conference on the Economics of health insurance in low and middle-income countries. Antwerp, BEL, 1997/01/17.
In poor rural communities, access to basic health care is often severely limited by inadequate supply as well as financial barriers to seeking care.
National policies may introduce social health insurance, but these are likely to begin with the salaried public and private sector workers while the informal sector population may be the last to bc covered.
Community initiatives to generate health care financing rcquire a complex development process.
This paper covers attempts to develop such schemes in rural populations in Guatemala and the Philippines through non-government organizations and notes the major factors which have contributed to unequal progress in the two schemes.
The scheme of the Association por Salud de Barillas (ASSABA) in Guatemala was not sufficiently established as an administrative body at the conceptual stage and there was no clear national policy on health care financing.
By the time the necessary action was taken, local conflicts hindered progress.
In the Philippines, the ORT Health Plus Scheme (OHPS) was implemented during the period of legislation of a a national health insurance act.
The appraisal after three years of operation shows that OPHS has made health care affordable and accessible to the target population, composed mainly of low and often unstable income families in rural areas. (...)
Mots-clés Pascal : Guatemala, Amérique Centrale, Amérique, Philippines, Asie, Protection sociale, Assurance maladie, Politique sanitaire, Communauté, Financement, Economie santé, Participation, Développement économique, ONG
Mots-clés Pascal anglais : Guatemala, Central America, America, Philippine Islands, Asia, Welfare aids, Health insurance, Health policy, Community, Financing, Health economy, Participation, Economic development
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0167065
Code Inist : 002B30A01B. Création : 16/11/1999.