Mutual Health Insurance, Scaling-Up and the Expansion of Health Insurance in Africa
The objective of this paper is to contribute to
a common understanding of the concept of
expansion of health insurance based on the specific
features of community mutual health organizations
(MHOs) in Africa. The proposed policy analysis
framework presents the expansion of health
insurance based on the MHO concept as a process
that uses MHO principles to develop health
insurance schemes that serve as the foundation
for health insurance. The health insurance
expansion process is presented as the product
Mutual Health Insurance, Scaling-Up and
the Expansion of Health Insurance in Africa
of the synergy between bottom-up community
processes and top-down modes and mechanisms of
government intervention to create an environment
that encourages scaling up and expanding social
health protection coverage in the rural and informal
sectors.


