Bulletin of the World Health Organization

The impact of health insurance in Africa and Asia: a systematic review

Ernst Spaan, Judith Mathijssen, Noor Tromp, Florence McBain, Arthur ten Have & Rob Baltussen

Volume 90, Number 9, September 2012, 685-692

Table 2. Strength of the evidence on the impact of different types of health insurance on certain domains in Africa and Asiaa

Health insurance type Resource mobilization
Utilization
Financial protection
Quality of care
Social inclusion
Community empowerment
Proportionb Judgement Proportion Judgement Proportion Judgement Proportion Judgement Proportion Judgement Proportion Judgement
Social health insurance –5/9 Inconclusive +29/47 Strongly positive +34/57 Strongly positive +6/13 Weakly positive +10/22 Weakly positive +1/1 Inconclusive
Community-based health insurance +13/19 Strongly positive +30/42 Strongly positive +23/29 Strongly positive +3/8 Weakly positive +21/42 Weakly positive +1/5 Inconclusive
Private health insurance 0/0 Inconclusive +1/2 Inconclusive +2/4 Inconclusive 0/0 Inconclusive +1/1 Inconclusive 0/0 Inconclusive

a Only includes studies of medium quality or higher. See text for more detail on quality assessment.

b This proportion represents net number of negative or positive studies over the total number of included studies on a certain domain.