Black World Studies Faculty Work

Title

Health Care Financing in Uganda: The Role of Social Health Insurance

Document Type

Article

Publication Date

2007

Publication Title

International Journal of Health Care Quality Assurance

Volume Number

20

Issue Number

3

DOI

10.1108/09526860710743363

Abstract

The purpose of this article is to explore the feasibility of introducing a social health insurance (SHI) scheme in Uganda from the perspectives of a targeted population of respondents in Kampala, Uganda. Design/methodology/approach – Out of 100 questionnaires distributed to a random sample of Ugandans, 74 were returned, yielding a 74 percent response rate. Findings – Results show that all Ugandans surveyed support the introduction of SHI. Some are willing to contribute financially and most believe that the Ugandan government should make this benefit available to all Ugandans. While there is a great deal of support for introducing SHI, several respondents noted that cost sharing, in whatever form taken, is burdensome on people with lower incomes and has disastrous consequences for the delivery and utilization of health services among the poor. Originality/value – A larger study exploring Ugandans' perspectives may provide valuable information on how Africans can begin to design a workable health financing structure to promote better access to health care for the most vulnerable groups in society.

ISSN

0952-6862

First Page

232

Last Page

239

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