Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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The Paradox of the Ugandan Health Insurance System: Challenges and Opportunities for Health Reform

  • Emmanuel Otieno (School of Public Health, Gudie University Project) ;
  • Josephine Namyalo (Department of Public Health, Faculty of Public Health, Nursing and Midwifery, Uganda Christian University)
  • Received : 2023.03.02
  • Accepted : 2023.12.12
  • Published : 2024.01.31
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Abstract

For nearly four decades, Ugandans have experienced a period marked by hope, conflict, and resilience across various aspects of healthcare reform. The health insurance system in Uganda lacks a legal framework and does not extend benefits to the entire population. In Uganda, community-based health insurance is common among those in the informal sector, while private medical insurance is typically provided to employees by their workplaces and agencies. The National Health Insurance Scheme Bill, introduced in 2019, was passed in 2021. If the President of Uganda gives his assent to the National Health Insurance Bill, it will become a significant policy driving health and universal health coverage. However, this bill is not without its shortcomings. In this perspective, we aim to explore the complex interplay of challenges and opportunities facing Uganda's health sector.

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References

  1. Ministry of Health Republic of Uganda. Annual health sector performance report 2022/23. Kampala: Ministry of Health Republic of Uganda; 2023, p. 61-64. 
  2. Ministry of Health Republic of Uganda. Proposed National Health Insurance Bill, 2019 [cited 2023 Nov 15]. Available from: https://www.health.go.ug/document/proposed-national-health-insurance-scheme-bill-2019/ 
  3. Strategic Purchasing for Primary Health Care. Uganda health purchasing factsheet; 2021 [cited 2023 Nov 15]. Available from: https://thinkwell.global/wp-content/uploads/2021/05/Health-Purchasing-Factsheet_Uganda.pdf 
  4. Basaza RK, Namyalo PK, Mutatina B. Health financing reforms in Uganda: dispelling the fears and misconceptions related to introduction of a National Health Insurance scheme comment on "health coverage and financial protection in Uganda: a political economy perspective". Int J Health Policy Manag 2023; 12:7348. https://doi.org/10.34172/ijhpm.2022.7348 
  5. Hamdan JS, Lehmann-Uschner K, Menkhoff L. Mobile money, financial inclusion, and unmet opportunities: evidence from Uganda. J Dev Stud 2022;58(4):671-691. https://doi.org/10.1080/00220388.2021.1988078 
  6. Uganda Communications Commission. Market performance report: 3Q FY 2022/23 (Jan-March 2023) [cited 2024 Jan 20]. Available from: https://www.ucc.co.ug/wp-content/uploads/2023/03/UCC-Market-Report-3Q-FY-2022-2023-Jan-Mar-2023-compressed-1.pdf 
  7. Kalyango E, Kananura RM, Kiracho EE. Household preferences and willingness to pay for health insurance in Kampala City: a discrete choice experiment. Cost Eff Resour Alloc 2021;19(1):21. https://doi.org/10.1186/s12962-021-00274-8 
  8. Park D, Chang MC. Dilemmas within the Korean health insurance system. J Prev Med Public Health 2020;53(4):285-288. https://doi.org/10.3961/jpmph.20.074 
  9. Kwon S. Thirty years of national health insurance in South Korea: lessons for achieving universal health care coverage. Health Policy Plan 2009;24(1):63-71. https://doi.org/10.1093/heapol/czn037 
  10. Doetinchem O, Schramm B, Schmidt JO. The benefits and challenges of social health insurance for developing and transitional countries. In: Laaser U, Radermacher R, editors. Financing health care-a dialogue between south Eastern Europe and Germany. Lage: Hans Jacobs; 2006, p. 27-43.