Health financing for universal coverage

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

Tropical Medicine and International Health, Vol 13 (2), Feb 2008, pp 140–143

Bart Jacobs, Maryam Bigdeli, Maurits van Pelt, Por Ir, Cedric Salze and Bart Criel

Publication details

Number of pages: 4
Publication date: 2008
Languages: English



The document investigates the difficulty of providing insurance coverage for people in the informal sector thorough the development of community-based health insurance.

Several [social protection programmes] aim at enabling access to health services by the poor by reducing barriers to the uptake of existing services or providing incentives for their uptake.

The authors hypothesize that an articulation between community-based health insurance and social protection programmes could contribute to improve administrative efficiency, strengthen the purchasing power of demand-side organizations, avoid unnecessary and stigmatizing fragmentation of funds, and to eventually scale up the coverage of social protection for health care. Through the careful piloting of local initiatives linking community-based health insurance and social protection programmes, improvement of this situation is definite possibility.