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Empanelment: A Foundational Component of Primary Health Care

This overview introduces what empanelment is, how to do it effectively, and why it delivers benefits to countries on the road to universal health coverage.


World Hospitals and Health Services Journal – UHC Special

As universal health coverage (UHC) gains momentum in more countries, the need for practical information on how to strengthen health systems and expand coverage has emerged as a vital global priority. The UHC special issue of the World Hospitals and Health Services Journal includes reviews of UHC progress in low-


Financing and Payment Models for Primary Health Care: Six Lessons from JLN Country Implementation Experience

In most countries, primary health care (PHC) providers are the first point of contact that most people have with the larger health care system. Primary health care is accessed the most by patients and can have the greatest impact on health outcomes compared with other parts of the system. However,


JLN 2016 Global Meeting: Executive Summary

The JLN 2016 Global Meeting was held in Putrajaya, Malaysia from July 20th – 22nd, 2016, hosted by the Ministry of Health of Malaysia. The focus of the 2016 JLN Global Meeting was on building strong health systems to achieve universal health coverage (UHC) with an emphasis on strengthening integrated, peoplecentered health systems


Social Franchises: The Bridge Between Private Healthcare Providers and National Insurance Programs

The Bridge Between Private Healthcare Providers and National Health Insurance Programs is a case study report on how social franchises are linking private providers to the national health insurance program in the Philippines. This case study focuses on programs in the Philippines, a country that has been home to social


Community Health Workers to Ensure Appropriate use of Health Prevention and Promotion Services

Thailand is still a lower middle-income country with the rural dominance in area and population. In each of the 800+ districts nationwide, a district hospital (DH) located in the district center and its network of 10-20 primary care units (PCUs), which are located at the sub-district level and act as the


Health Camps for Awareness, Diagnosis and Treatment

Each private and public hospital in the Aarogyasri network conducts four health camps every month at which residents of Andhra Pradesh can receive free consultations and medications. These health camps are open to everyone, though only those eligible for the Aarogyasri scheme are eligible for referrals to network hospitals.


Aarogyamithra Patient Advocates for Awareness

India's Aarogyasri scheme finances Aarogyamithras, or health coordinators, throughout the state. These Aarogyamithra both help promote the scheme, act as personalized support for patients throughout the scheme, and maintain the system’s records.


Incorporating Community Based Health Insurance into the National Framework

Ghana's National Health Insurance Scheme combines aspects of community-based health insurance and social health insurance in a hub-and-spoke model to more effectively target and enroll groups of informal sector workers.


Using Cooperation with Civil Society Organizations and Local Government to Promote Good Security

Civil society organizations and local government units do community outreach to raise awareness and promote involvement in and usage of services provided by the UC scheme.


KaSAPI Program for Engaging MFIs for Information Campaigns and Collection

KaSAPI partners PhilHealth with existing microfinance institutions, rural banks, cooperatives, and other organized groups to better target and efficiently enroll groups of informal sector workers into the PhilHealth national insurance program (NHIP).


National Strategy to Expand Health Coverage through Mutuelles de Santé

Mali is beginning the pilot phase of its national strategy to extend health coverage to 80% (informal sector and rural agricultural workers) of its population through mutuelles de santé, or community-based health insurance schemes (CBHI).


Mobile Phones for Communication and Resource Mobilization

Kenya's National Hospital Insurance Fund is in the final stages of recruiting dealers for a new program that uses mobile phone technology and commercial intermediaries to expand enrollment and increase revenue. All other elements of the program are ready for a July 5th launch that will commemorate NHIF&rsquo


Using Private Insurers to Facilitate Enrollment in Villages

India's RSBY enters into agreement with private and public insurance companies to oversee scheme enrollment and manage claims processes. Insurers are selected based on an open bidding process, with one insurer per district. Insurer contracts can last up to three years based on insurer performance.


Engaging CSOs to Promote Health Insurance

Intermediary organizations are engaged by RSBY insurance companies and the state government to ensure effective outreach to beneficiaries and facilitate their enrollment and utilization of benefits.