Over the last two decades, many countries around the world have been enthusiastically embarking on the path of decentralization. Decentralization has been advocated as a powerful means to improve the provision of health care services and health outcomes in developing countries. However, due to a...

In 1996 the Tanzanian government initiated community health insurance schemes to improve the access to health care and to protect people against the financial cost of illness in an environment with shrinking budgets for the health sector. This study aims to evaluate the role of the community...

The majority of sub-Saharan African citizens - informal sector workers and the rural population - have never had access to wage-based social health insurance or privately run health insurance. As a response to the lack of social security, to the negative side-effects of user fees introduced in...