Reaching Universal Coverage by Means of Social Health Insurance in Lesotho? Results and Implications from a Financial Feasibility Assessment

19 Pages Posted: 4 Apr 2011  

Inke Mathauer

affiliation not provided to SSRN

Ole Doetinchem

affiliation not provided to SSRN

Joses Kirigia

affiliation not provided to SSRN

Guy Carrin

affiliation not provided to SSRN

Abstract

This article discusses the process, results and implications of a financial feasibility assessment of social health insurance (SHI), as one part of Lesotho's exploration of how to move towards achieving universal health care coverage. Quantitative data from government and other sources, and qualitative data from discussions with stakeholders, were entered into SimIns, a health insurance simulation software, through which SHI revenue and expenditure for 11 years was projected. In principle, the assessment reveals that through a mix of tax financing and SHI contributions, all citizens of Lesotho could be covered with a defined benefit package of health services under the defined policy assumptions. Such a financing scheme would provide financial risk protection and enhance equity in access and health financing.

Keywords: supply of health care, method of financing, scope of coverage, Lesotho, Africa

Suggested Citation

Mathauer, Inke and Doetinchem, Ole and Kirigia, Joses and Carrin, Guy, Reaching Universal Coverage by Means of Social Health Insurance in Lesotho? Results and Implications from a Financial Feasibility Assessment. International Social Security Review, Vol. 64, No. 2, pp. 45-63, 2011. Available at SSRN: https://ssrn.com/abstract=1801031 or http://dx.doi.org/10.1111/j.1468-246X.2011.01392.x

Inke Mathauer (Contact Author)

affiliation not provided to SSRN

No Address Available

Ole Doetinchem

affiliation not provided to SSRN

No Address Available

Joses Kirigia

affiliation not provided to SSRN

No Address Available

Guy Carrin

affiliation not provided to SSRN

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