Moving towards universal coverage in South Africa? Lessons from a voluntary government insurance scheme

References

• WHO. (2005). World Health Assembly, Resolution No. 58.33. Geneva: World Health Organization.
   Google Scholar
• WHO. (2005). Health systems financing: the path to universal coverage. The World Health Report 2010. Geneva: World Health Organization.
   Google Scholar
• Lagomarsino G, Garabrant A, Adyas A, Muga R, Otoo N. Moving towards universal health coverage: health insurance reforms in nine developing countries in Africa and Asia. Lancet. 2012; 380: 933–43.10.3402/gha.v6i0.19253.
   PubMed Web of Science ®Google Scholar
• Ibrahimipour H, Maleki M-R, Brown R, Gohari M, Karimi I, Dehnavieh R. A qualitative study of the difficulties in reaching sustainable universal health insurance coverage in Iran. Health Policy Plan. 2011; 26: 485–95.10.3402/gha.v6i0.19253.
   Google Scholar
• McIntyre D, Garshong B, Mtei G, Meheus F, Thiede M, Akazili J, et al.. Beyond fragmentation and towards universal coverage: insights from Ghana, South Africa and the United Republic of Tanzania. Bull World Health Organ. 2008; 86: 871–6.10.3402/gha.v6i0.19253.
   PubMed Web of Science ®Google Scholar
• Danese-dlSantos L, Sosa-Rubi S, Valencia-Mendoza A. Analysis of changes in the association of income and the utilization of curative health services in Mexico between 2000 and 2006. BMC Publ Health. 2011; 11: 771.10.3402/gha.v6i0.19253.
   Google Scholar
• Health Insurance System Research Office. (2012).Thailand's universal coverage scheme: achievements and challenges. An independent assessment of the first 10 years (2001–2010). NonthaburiThailand: Health Insurance System Research Office. p. 120.
   Google Scholar
• Coovadia H, Jewkes R, Barron P, Sanders D, McIntyre D. The health and health system of South Africa: historical roots of current public health challenges. Lancet. 2009; 374: 817–34.10.3402/gha.v6i0.19253.
   PubMed Web of Science ®Google Scholar
• HRH SA. (2011). HRH Strategy for the health sector: 2012/13–2016/17. PretoriaSouth Africa: National Department of Health.
   Google Scholar
• McIntyre D, Goudge J, Harris B, Nxumalo N, Nkosi M. Prerequisites for national health insurance in South Africa: results of a national household survey. S Afr Med J. 2009; 99: 725–9.
   PubMed Web of Science ®Google Scholar
• Karim SSA, Churchyard GJ, Karim QA, Lawn SD. HIV infection and tuberculosis in South Africa: an urgent need to escalate the public health response. Lancet. 2009; 374: 921–33.10.3402/gha.v6i0.19253.
   PubMed Web of Science ®Google Scholar
• McIntyre D, Van den Heever A. Social or national health insurance. South African health review. Harrison S, Bhana R, Ntuli AHealth Systems Trust. Durban SA, 2007; 71–85.
   Google Scholar
• Ranson MK. Reduction of catastrophic health care expenditures by a community-based health insurance scheme in Gujarat, India: current experiences and challenges. Bull World Health Organ. 2002; 80: 613–21.
   PubMed Web of Science ®Google Scholar
• Goudge J, Gilson L, Russell S, Gumede T, Mills A. The household costs of illness in rural South Africa with free public primary care and hospital exemptions for the poor. J Trop Med Int Health. 2009; 14: 458–67.10.3402/gha.v6i0.19253.
   PubMed Web of Science ®Google Scholar
• Harris B, Goudge J, Ataguba JE, McIntyre D, Nxumalo N, Jikwana S, et al.. Inequities in access to health care in South Africa. J Public Health Pol. 2011; 32: S102–S23.10.3402/gha.v6i0.19253.
   PubMed Web of Science ®Google Scholar
• McIntyre D. National health insurance: providing a vocabulary for public engagement. South African health review. 2010. Fonn S, Padarath AHealth Systems Trust. Durban SA, 2010; 145–56.
   Google Scholar
• African National Congress. A national health plan for South Africa. Johannesburg SA: African National Congress. 1994.
   Google Scholar
• National Department of Health. (1994). Report of the health care finance committee to the minister of health. Pretoria SA: Department of Health.
   Google Scholar
• Monitor Company, Health Partners International, Centre for Health Policy, National Labour, Economic Development Institute. (1996). Final report of the hospital strategy project. The Monitor Company.
   Google Scholar
• Restructuring the National Health System for Universal Primary Health Care: Report of the Committee of Inquiry into a National Health Insurance System (Broomberg, Shisana Committee). Pretoria: National Department of Health. 1995.
   Google Scholar
• National Department of Health. A social health insurance scheme for South Africa: a policy document. Pretoria SA: National Department of Health. 1997.
   Google Scholar
• National Department of Health. White paper for the transformation of the health system in South Africa. Pretoria SA: Department of Health. 1997.
   Google Scholar
• DSD. (2002). Transforming the present-protecting the future: report of the committee of inquiry into a comprehensive system of social security for South Africa. Pretoria SA: Department of Social Development.
   Google Scholar
• Broomberg J (2006). Final report: consultative investigation in low income medical schemes. Johannesburg: South African Department of Health.
   Google Scholar
• African National Congress. ANC 52nd National Conference Resolutions. , Polokwane SA, 16–20December2007.
   Google Scholar
• Government of South Africa. (2011). National health insurance in South Africa: policy paper. Pretoria SA: Department of Health/Government Printing Works.p. 29.
   Google Scholar
• Government Employees Medical Scheme. GEMS and its performance. 16May2012Portfolio Committee on Public Service and Administration2012.
   Google Scholar
• Van de Ven WPMM, Van Vliet RCJA. Consumer information surplus and adverse selection in competitive health insurance markets: an empirical study. Journal of Health Economics. 1995; 14: 149–69.10.3402/gha.v6i0.19253.
   Google Scholar
• Carrin G. Social health insurance in developing countries: a continuing challenge. Int Soc Secur Rev. 2002; 55: 57–69.10.3402/gha.v6i0.19253.
   Google Scholar
• Kirigia J, Sambo L, Nganda B, Mwabu G, Chatora R, Mwase T. Determinants of health insurance ownership among South African women. BMC Health Services Research. 2005; 5: 17.10.3402/gha.v6i0.19253.
   PubMed Web of Science ®Google Scholar
• Liu T-C, Chen C-S. An analysis of private health insurance purchasing decisions with national health insurance in Taiwan. Social Science & Medicine. 2002; 55: 755–74.10.3402/gha.v6i0.19253.
   PubMed Web of Science ®Google Scholar
• Ying X-H, Hu T-W, Ren J, Chen W, Xu K, Huang J-H. Demand for private health insurance in Chinese urban areas. Health Economics. 2007; 16: 1041–50.10.3402/gha.v6i0.19253.
   PubMed Web of Science ®Google Scholar
• Makoka D, Kaluwa B, Kambewa P. Demand for private health insurance where public health services are free: the case of Malawi. J Appl Sci. 2007; 7: 3268–73.10.3402/gha.v6i0.19253.
   Google Scholar
• Propper C. Constrained choice sets in the UK demand for private medical insurance. J Publ Econ. 1993; 51: 287–307.10.3402/gha.v6i0.19253.
   Web of Science ®Google Scholar
• DPSA, Toth Resources. (2003). Research report on the development of a closed medical scheme for public service employees. Pretoria SA: Department of Public Service Administration.
   Google Scholar
• Jehu-Appiah C, Aryeetey G, Spaan E, de Hoop T, Agyepong I, Baltussen R. Equity aspects of the national health insurance scheme in Ghana: who is enrolling, who is not and why?. Soc Sci Med. 2011; 72: 157–65.10.3402/gha.v6i0.19253.
   PubMed Web of Science ®Google Scholar
• Chankova S, Sulzbach S, Diop F. Impact of mutual health organizations: evidence from West Africa. Health Policy Plan. 2008; 23: 264–76.10.3402/gha.v6i0.19253.
   PubMed Web of Science ®Google Scholar
• Basaza R, Criel B, Van der Stuyft P. Community health insurance in Uganda: why does enrolment remain low? A view from beneath. Health Policy. 2008; 87: 172–84.10.3402/gha.v6i0.19253.
   PubMed Web of Science ®Google Scholar
• Preker A, Carrin G. Health financing for poor people: resource mobilization and risk sharing. 2004, Washington DC: World Bank. 2004.
   Google Scholar
• Eckhardt M, Forsberg BC, Wolf D, Crespo-Burgos A. Feasibility of community-based health insurance in rural tropical Ecuador. Rev Panam Salud Publica. 2011; 29: 177–84.
   PubMed Web of Science ®Google Scholar
• McIntyre D, Okorafor O, Ataguba J, Govender V, Goudge J, Harris B. Health care access and utilisation, the burden of out-of-pocket payments and perceptions of the health system: findings of a national household survey. Cape Town SA: Health Economics Unit, University of Cape Town. 2008.
   Google Scholar
• Goudge J, Gilson L, Russell S, Gumede T, Mills A. Affordability, availability and acceptability barriers to health care for the chronically ill: longitudinal case studies from South Africa. BMC Health Services Research. 2009; 9: 75.10.3402/gha.v6i0.19253.
   PubMed Web of Science ®Google Scholar
• GEMS. (2010). Annual Report. Pretoria SA: Government Employees Medical Scheme.
   Google Scholar
• Carrin G, Waelkens M-P, Criel B. Community-based health insurance in developing countries: a study of its contribution to the performance of health financing systems. Trop Med Int Health. 2005; 10: 799–811.10.3402/gha.v6i0.19253.
   PubMed Web of Science ®Google Scholar
• De Allegri M, Sanon M, Bridges J, Sauerborn R. Understanding consumers’ preferences and decision to enrol in community-based health insurance in rural West Africa. Health Policy. 2006; 76: 58–71.10.3402/gha.v6i0.19253.
   Google Scholar
• Mathauer I, Schmidt J-O, Wenyaa M. Extending social health insurance to the informal sector in Kenya. An assessment of factors affecting demand. Int J Health Plann Manage. 2008; 23: 51–68.10.3402/gha.v6i0.19253.
   Google Scholar
• Ranson MK. Reduction of catastrophic health care expenditures by a community-based health insurance scheme in Gujarat, India: current experiences and challenges. Bull World Health Organ. 2002; 80: 613–21.
   PubMed Web of Science ®Google Scholar
• BPMOAS. (2010). Annual Report. GaboroneBotswana: Botswana Public Officers’ Medical Aid Scheme.
   Google Scholar
• Jehu-Appiah C, Aryeetey G, Agyepong I, Spaan E, Baltussen R. Household perceptions and their implications for enrolment in the national health insurance scheme in Ghana. Health Policy Plan. 2012; 27(3): 222–233.10.3402/gha.v6i0.19253.
   PubMed Web of Science ®Google Scholar
• Kamuzora P, Gilson L. Factors influencing implementation of the community health fund in Tanzania. Health Policy Plan. 2007; 22: 95–102.10.3402/gha.v6i0.19253.
   PubMed Web of Science ®Google Scholar