The Joint Learning Network systematically documents the reforms of its member countries and other countries that have expanded health coverage through demand-side financing. The case studies contained in these pages are brief, comparative and modular in nature, describing the key highlights and technical features of each program.
Use the reforms browser below to filter programs by design feature, and click on a program for the full case study. Use the compare reforms feature to view comparable information across multiple programs at once.
India: Rajiv Aarogyasri
The Aarogyasri scheme was developed to improve social protection for the poor and reduce the financial and emotional consequences of indebtedness due to illness. Aarogyasri is state-financed and targets individuals living below the poverty line in Andhra Pradesh. Beneficiaries have access to numerous modern medical facilities and are navigated through the health care system by Aarogya Mithras, or patient advocates, hired to oversee each in-network hospital.
India: Rashtriya Swasthya Bima Yojna (RSBY)
RSBY was launched to provide health coverage to all those living below the poverty line in India. Under the scheme, beneficiaries are entitled to hospitalization coverage of up to Rs. 30,000/- annually (approximately USD 700) for most diseases. Beneficiaries pay Rs. 30/- as a registration fee, while the central and state governments pay the premium to the insurer.
The objectives of RSBY are to:
Indonesia introduced the first phase of its plan to achieve universal health coverage through a mandatory public health insurance scheme, Askeskin, in 2004. In 2008, Askeskin evolved into Jaminan Kesehatan Masyarakat, or Jamkesmas, an MoH-run “insurance” program which now covers over 76.4 million poor Indonesians. Asuransi Kesehatan Masyarakat Miskin, or Askeskin, was targeted to the poor and increased access to care and financial protection for the poorest. It initially targeted the poorest...
Rwanda: Mutuelles de Sante
Mutuelles are highly decentralized, relying on existing community-based health structures at the district and local level to provide a majority of management and administration of services.In 2003 the Community-Based Health Insurance system (CBHI) was expanded from a pilot project to a national system. CBHI is comprised of three parts: Mutuelles de Sante; Military Medical Insurance; and Rwanda Health Insurance Scheme. The first, known as Mutuelles de Sante, is...
Mexico: Seguro Popular
The Seguro Popular (SP) insurance program began as a pilot in 2001 and became law in 2003 with the passage of the System of Social Protection in Health (SPSS) legislation. The reform aimed to shift the portion of the health system that functioned as a national health service toward an insurance based system. The structural reform was designed to provide financial protection by offering publicly provided health insurance to the nearly 50 million Mexicans (50% of the population) who did not...