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Study of the Viability of Community-Based Mutual Health Insurances in the Department of Vélingara in 2019 in Senegal

Received: 23 March 2022    Accepted: 7 April 2022    Published: 20 April 2022
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Abstract

Introduction: Access to basic healthcare services for the whole population has been a priority the successive governments in Senegal since independence. Mutual health insurance has been the driving force behind health coverage since the 2000s. This policy aimed to reach 75% coverage of the population by 2019. This study aims to describe the characteristics and also analyze the viability of mutual health insurances in Vélingara. Methodology: The mixed method was used to evaluate both the viability of mutual health insurances and the perception of the communities. Viability was evaluated in its four technical, functional, financial and institutional aspects. For the population's perception, interviews were conducted with beneficiaries, non-beneficiaries, community leaders and UHC officials. Results: At the institutional level, all of the mutual health insurances were viable and had internal regulations, a statute, a license and a bank account. On the technical level, they were exposed to the risk of adverse selection. On the other hand, from a functional point of view, none of mutual health insurances was viable, with a very low rate of retention. Finally, from a financial point of view, none of the mutual health insurances had the capacity to honor their medium- and long-term debts without resorting to external resources. In addition, the results of the survey showed a lack of information and a high cost of membership. Conclusion: All the mutual health insurances were experiencing difficulties and required urgent corrective measures and support from the state and local authorities.

Published in Central African Journal of Public Health (Volume 8, Issue 2)
DOI 10.11648/j.cajph.20220802.18
Page(s) 74-79
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Mutual Health Insurance, Evaluation, Viability, Perceptions, Vélingara

References
[1] Fonteneau B, Protection sociale en Afrique: contribution de l'économie sociale et enjeux politiques, l'économie sociale et solidaire face à ses responsabilités, 7th RIUESS meeting, 25-27 May, Rennes, 2007.
[2] Republic of Senegal - Ministry of Health and Social Action, Strategic Plan for the Development of Universal Health Coverage in Senegal 2013-2017 (summary version), page 5.
[3] ILO: Management guide for mutual health organizations in Africa Geneva, International Labor Office, Strategies and Techniques against Social Exclusion and Poverty (STEP) Programme, 2003; page 7.
[4] ILO: Health micro-insurance. Introductory guide to mutual health organizations in Africa, International Labour Organization, Geneva (STEP), 2000.
[5] Republic of Senegal - Ministry of Health, CAS/PNDS/Partenariat, July 2004. Strategic Plan for the Development of Mutual Health Insurance; page 5.
[6] Republic of Senegal - Ministry of Health and Social Action, Abt Associates. Feasibility study of the departmental network of mutual health insurance in Kolda, August 2012; pages 6-9.
[7] Diop Abdoulaye B. "la famille Wolof: tradition et changement", Paris, Karthala, 1985, page 262.
[8] MSAS (Ministry of Health and Social Action). Strategic plan for the development of mutual health insurance in Senegal, July 2004. Page 11.
[9] International Labor Office (ILO), CIDR: Guide to monitoring and evaluation of health micro-insurance schemes, 2001.
[10] National Agency for Statistics and Demography (ANSD) [Senegal] 2019: Demographic data.
[11] Republic of Senegal, Ministry of Economy and Finance, National Agency for Statistics and Demography (ANSD), Regional Service for Statistics and Demography of Kolda: Final report of the second monitoring survey of the poverty in Senegal (ESPS II) 2011, May 2013. DHIS2: 2019 Data.
[12] Defourny J, Failon J, Les déterminants de l’adhésion aux mutuelles de santé en Afrique Subsaharienne: un inventaire des travaux empiriques. Mondes en développement 2011 January; 153: 7-26.
[13] MANGANE A, Chief Medical Officer, Kolda Health District: Couverture sanitaire universelle: évaluation de la viabilité des mutuelles de santé communautaires en 2017 dans le district sanitaire de Kolda (Sénégal).
[14] Badiane M, Chief Medical Officer of Pout Health District (Senegal): Etude de la viabilité des mutuelles de santé des communes de Pout, Diender, Keur Moussa et Kayar de 2014 à 201 (Sénégal).
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  • APA Style

    Diop Cheikh Tacko, Sane Omar, Leye Mamadou Mactar Mbacke, Sougou Ndeye Mareme, Ka Ousseynou, et al. (2022). Study of the Viability of Community-Based Mutual Health Insurances in the Department of Vélingara in 2019 in Senegal. Central African Journal of Public Health, 8(2), 74-79. https://doi.org/10.11648/j.cajph.20220802.18

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    ACS Style

    Diop Cheikh Tacko; Sane Omar; Leye Mamadou Mactar Mbacke; Sougou Ndeye Mareme; Ka Ousseynou, et al. Study of the Viability of Community-Based Mutual Health Insurances in the Department of Vélingara in 2019 in Senegal. Cent. Afr. J. Public Health 2022, 8(2), 74-79. doi: 10.11648/j.cajph.20220802.18

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    AMA Style

    Diop Cheikh Tacko, Sane Omar, Leye Mamadou Mactar Mbacke, Sougou Ndeye Mareme, Ka Ousseynou, et al. Study of the Viability of Community-Based Mutual Health Insurances in the Department of Vélingara in 2019 in Senegal. Cent Afr J Public Health. 2022;8(2):74-79. doi: 10.11648/j.cajph.20220802.18

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  • @article{10.11648/j.cajph.20220802.18,
      author = {Diop Cheikh Tacko and Sane Omar and Leye Mamadou Mactar Mbacke and Sougou Ndeye Mareme and Ka Ousseynou and Gueye Boubacar and Sow Papa Gallo},
      title = {Study of the Viability of Community-Based Mutual Health Insurances in the Department of Vélingara in 2019 in Senegal},
      journal = {Central African Journal of Public Health},
      volume = {8},
      number = {2},
      pages = {74-79},
      doi = {10.11648/j.cajph.20220802.18},
      url = {https://doi.org/10.11648/j.cajph.20220802.18},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20220802.18},
      abstract = {Introduction: Access to basic healthcare services for the whole population has been a priority the successive governments in Senegal since independence. Mutual health insurance has been the driving force behind health coverage since the 2000s. This policy aimed to reach 75% coverage of the population by 2019. This study aims to describe the characteristics and also analyze the viability of mutual health insurances in Vélingara. Methodology: The mixed method was used to evaluate both the viability of mutual health insurances and the perception of the communities. Viability was evaluated in its four technical, functional, financial and institutional aspects. For the population's perception, interviews were conducted with beneficiaries, non-beneficiaries, community leaders and UHC officials. Results: At the institutional level, all of the mutual health insurances were viable and had internal regulations, a statute, a license and a bank account. On the technical level, they were exposed to the risk of adverse selection. On the other hand, from a functional point of view, none of mutual health insurances was viable, with a very low rate of retention. Finally, from a financial point of view, none of the mutual health insurances had the capacity to honor their medium- and long-term debts without resorting to external resources. In addition, the results of the survey showed a lack of information and a high cost of membership. Conclusion: All the mutual health insurances were experiencing difficulties and required urgent corrective measures and support from the state and local authorities.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Study of the Viability of Community-Based Mutual Health Insurances in the Department of Vélingara in 2019 in Senegal
    AU  - Diop Cheikh Tacko
    AU  - Sane Omar
    AU  - Leye Mamadou Mactar Mbacke
    AU  - Sougou Ndeye Mareme
    AU  - Ka Ousseynou
    AU  - Gueye Boubacar
    AU  - Sow Papa Gallo
    Y1  - 2022/04/20
    PY  - 2022
    N1  - https://doi.org/10.11648/j.cajph.20220802.18
    DO  - 10.11648/j.cajph.20220802.18
    T2  - Central African Journal of Public Health
    JF  - Central African Journal of Public Health
    JO  - Central African Journal of Public Health
    SP  - 74
    EP  - 79
    PB  - Science Publishing Group
    SN  - 2575-5781
    UR  - https://doi.org/10.11648/j.cajph.20220802.18
    AB  - Introduction: Access to basic healthcare services for the whole population has been a priority the successive governments in Senegal since independence. Mutual health insurance has been the driving force behind health coverage since the 2000s. This policy aimed to reach 75% coverage of the population by 2019. This study aims to describe the characteristics and also analyze the viability of mutual health insurances in Vélingara. Methodology: The mixed method was used to evaluate both the viability of mutual health insurances and the perception of the communities. Viability was evaluated in its four technical, functional, financial and institutional aspects. For the population's perception, interviews were conducted with beneficiaries, non-beneficiaries, community leaders and UHC officials. Results: At the institutional level, all of the mutual health insurances were viable and had internal regulations, a statute, a license and a bank account. On the technical level, they were exposed to the risk of adverse selection. On the other hand, from a functional point of view, none of mutual health insurances was viable, with a very low rate of retention. Finally, from a financial point of view, none of the mutual health insurances had the capacity to honor their medium- and long-term debts without resorting to external resources. In addition, the results of the survey showed a lack of information and a high cost of membership. Conclusion: All the mutual health insurances were experiencing difficulties and required urgent corrective measures and support from the state and local authorities.
    VL  - 8
    IS  - 2
    ER  - 

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Author Information
  • Faculty of Community Health, Alioune Diop University, Bambey, Senegal

  • Faculty of Medicine, Pharmacy and Dentistry, Cheikh Anta Diop University, Dakar, Senegal

  • Faculty of Medicine, Pharmacy and Dentistry, Cheikh Anta Diop University, Dakar, Senegal

  • Faculty of Medicine, Pharmacy and Dentistry, Cheikh Anta Diop University, Dakar, Senegal

  • Faculty of Community Health, Alioune Diop University, Bambey, Senegal

  • Faculty of Community Health, Alioune Diop University, Bambey, Senegal

  • Faculty of Medicine, Pharmacy and Dentistry, Cheikh Anta Diop University, Dakar, Senegal

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