National Health Insurance in Uganda: Examining the Proposed Design and its Implications for Successful Implementation
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In 2015, the Health sector in Uganda committed to Universal Health Coverage (UHC) in as demonstrated in its Health Sector Development Plan (HSDP) 2015 - 2020. The HSDP’s goal is accelerating progress towards universal health coverage of good quality health and related services to promote health and productive lives (MoH 2015). The HSDP and health financing strategy 2015-2025 (Ministry of Health 2016) emphasise the need to improve access to healthcare services according to need, while at the same time limiting exposure to financial risk for those who seek care. These aspirations require a well-functioning health systems which can be strengthened through implementation of the appropriate health financing reforms. The National Health Insurance System (NHIS) has been proposed as one of the vehicles towards UHC in Uganda (Government Of Uganda 2015). The NHIS has for sometime been on the policy and political1 agenda (Basaza et al. 2013) but little success has been made to actualize it.