Editorial: Bridging community-based health insurance and social protection for health care – a step in the direction of universal coverage?

By Bart Jacobs, Maryam Bigdeli, Maurits van Pelt, Por Ir, Cedric Salze and Bart Criel (2008)


Access to affordable and effective health care is a major problem in low and middle income countries (LMIC) and out-of-pocket expenditure for health care a major cause of impoverishment. One way to facilitate access and overcome catastrophic expenditure is through a health insurance mechanism, whereby risks are shared and financial inputs pooled by way of contributions from salaries or taxation. In LMIC today, the majority of people are either self-employed or work in the informal sector, which makes expansion of formal health insurance, if any, much more difficult. Taxation systems are generally insufficiently developed and do not allow for adequate revenue collection to ensure universal coverage. One response to the difficulty of providing insurance coverage for people in the informal sector is the development of community-based health insurance.

Post new comment

The content of this field is kept private and will not be shown publicly.
This question is for testing whether you are a human visitor and to prevent automated spam submissions.
  • MLI Voices

    Jun 22 2009 - 4:25pm

    Sierra Leone

    Even though I have worked in Sierra Leone in the past, the role of MLI Country Lead has given me the opportunity to build upon these previous experiences and to work closely with members of the Ministry of Health and Sanitation (MOHS), to support the implementation of health policies and reforms that they have prioritized.


Upcoming MLI Events

There are no upcoming events

Email Newsletter

Sign up for our e-newsletter

Contact Us

Please direct all inquiries to

Connect with Us