Scaling Up Departmental Health Insurance Units in Senegal: A Mixed-Method Study
In response to the failure of community-based health insurance (CBHI) at the municipal level, some African countries are implementing district or departmental CBHIs to improve universal health coverage. After creating two CBHIs at the departmental level in 2014, Senegal launched a campaign to dissem...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2024-12-01
|
| Series: | Health Systems & Reform |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/23288604.2024.2402084 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850063331855958016 |
|---|---|
| author | Valéry Ridde Mouhamadou Faly Ba Babacar Kane Anouk Chouaïd Adama Faye |
| author_facet | Valéry Ridde Mouhamadou Faly Ba Babacar Kane Anouk Chouaïd Adama Faye |
| author_sort | Valéry Ridde |
| collection | DOAJ |
| description | In response to the failure of community-based health insurance (CBHI) at the municipal level, some African countries are implementing district or departmental CBHIs to improve universal health coverage. After creating two CBHIs at the departmental level in 2014, Senegal launched a campaign to disseminate the model in 2022. This article presents the stakeholders’ perspectives on the factors and challenges of scaling up CBHI departmentalization in Senegal. The study uses a mixed-methods approach, utilizing concept mapping and a focus group to examine scaling up departmentalization. The sample size consists of 22 individuals involved in the process. The quantitative analysis includes hierarchical cluster analysis, multidimensional scaling analysis, and the Pearson coefficient test. The qualitative analysis involves content analysis to triangulate the findings. Participants identified 125 factors to consider for the departmentalization of CBHI. They were categorized into nine clusters according to their degree of importance (I) and ease to organize (F): service package (I: 4.07; F: 2,26), communication (I: 4.05; F: 2.96), governance (I: 3.96; F: 2,94), human and logistical resources (I: 3.94; F: 2,82), financing (I: 3.90; F: 2,31), involvement of the authorities (I: 3.82; F: 2.75), community involvement (I: 3.81; F: 2.76), membership (I: 3.70; F: 2.24, strategic planning and implementation (I: 3.57; F: 2,62). The main challenges faced were a process perceived as precipitous and vertical and needing more negotiation and consultation. The conditions for accompaniment and public funding availability need to be sufficiently considered. The study proposes avenues for action to promote the scaling up of CBHI departmentalization in Senegal. |
| format | Article |
| id | doaj-art-c026989bb5644b4bb89e0bc8578499a6 |
| institution | DOAJ |
| issn | 2328-8604 2328-8620 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Health Systems & Reform |
| spelling | doaj-art-c026989bb5644b4bb89e0bc8578499a62025-08-20T02:49:39ZengTaylor & Francis GroupHealth Systems & Reform2328-86042328-86202024-12-0110110.1080/23288604.2024.2402084Scaling Up Departmental Health Insurance Units in Senegal: A Mixed-Method StudyValéry Ridde0Mouhamadou Faly Ba1Babacar Kane2Anouk Chouaïd3Adama Faye4IRD, INSERM, Ceped, Université Paris Cité, Paris, FranceInstitute of Health and Development (ISED), Cheikh Anta Diop University, Fann-Dakar, SenegalInstitute of Health and Development (ISED), Cheikh Anta Diop University, Fann-Dakar, SenegalIRD, INSERM, Ceped, Université Paris Cité, Paris, FranceInstitute of Health and Development (ISED), Cheikh Anta Diop University, Fann-Dakar, SenegalIn response to the failure of community-based health insurance (CBHI) at the municipal level, some African countries are implementing district or departmental CBHIs to improve universal health coverage. After creating two CBHIs at the departmental level in 2014, Senegal launched a campaign to disseminate the model in 2022. This article presents the stakeholders’ perspectives on the factors and challenges of scaling up CBHI departmentalization in Senegal. The study uses a mixed-methods approach, utilizing concept mapping and a focus group to examine scaling up departmentalization. The sample size consists of 22 individuals involved in the process. The quantitative analysis includes hierarchical cluster analysis, multidimensional scaling analysis, and the Pearson coefficient test. The qualitative analysis involves content analysis to triangulate the findings. Participants identified 125 factors to consider for the departmentalization of CBHI. They were categorized into nine clusters according to their degree of importance (I) and ease to organize (F): service package (I: 4.07; F: 2,26), communication (I: 4.05; F: 2.96), governance (I: 3.96; F: 2,94), human and logistical resources (I: 3.94; F: 2,82), financing (I: 3.90; F: 2,31), involvement of the authorities (I: 3.82; F: 2.75), community involvement (I: 3.81; F: 2.76), membership (I: 3.70; F: 2.24, strategic planning and implementation (I: 3.57; F: 2,62). The main challenges faced were a process perceived as precipitous and vertical and needing more negotiation and consultation. The conditions for accompaniment and public funding availability need to be sufficiently considered. The study proposes avenues for action to promote the scaling up of CBHI departmentalization in Senegal.https://www.tandfonline.com/doi/10.1080/23288604.2024.2402084Community-based health insurancescalabilitySenegaluniversal health coverage |
| spellingShingle | Valéry Ridde Mouhamadou Faly Ba Babacar Kane Anouk Chouaïd Adama Faye Scaling Up Departmental Health Insurance Units in Senegal: A Mixed-Method Study Health Systems & Reform Community-based health insurance scalability Senegal universal health coverage |
| title | Scaling Up Departmental Health Insurance Units in Senegal: A Mixed-Method Study |
| title_full | Scaling Up Departmental Health Insurance Units in Senegal: A Mixed-Method Study |
| title_fullStr | Scaling Up Departmental Health Insurance Units in Senegal: A Mixed-Method Study |
| title_full_unstemmed | Scaling Up Departmental Health Insurance Units in Senegal: A Mixed-Method Study |
| title_short | Scaling Up Departmental Health Insurance Units in Senegal: A Mixed-Method Study |
| title_sort | scaling up departmental health insurance units in senegal a mixed method study |
| topic | Community-based health insurance scalability Senegal universal health coverage |
| url | https://www.tandfonline.com/doi/10.1080/23288604.2024.2402084 |
| work_keys_str_mv | AT valeryridde scalingupdepartmentalhealthinsuranceunitsinsenegalamixedmethodstudy AT mouhamadoufalyba scalingupdepartmentalhealthinsuranceunitsinsenegalamixedmethodstudy AT babacarkane scalingupdepartmentalhealthinsuranceunitsinsenegalamixedmethodstudy AT anoukchouaid scalingupdepartmentalhealthinsuranceunitsinsenegalamixedmethodstudy AT adamafaye scalingupdepartmentalhealthinsuranceunitsinsenegalamixedmethodstudy |