Health insurance under the ARCH program in Benin: Design, governance, and sustainability challenges (notice n° 1370729)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 02223cam a2200181 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250622032621.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Gnammou, Jacob |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Health insurance under the ARCH program in Benin: Design, governance, and sustainability challenges |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2025.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 4 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | To meet the challenges relating to unequal access to healthcare and the consolidation of integrated social protection, Benin is currently implementing the “health insurance” component of the government’s ARCH program. This study analyzes challenges regarding its design, governance, and sustainability, drawing on legislative data, interviews with key players, and evaluation reports. The scheme stands out for two innovations: (1) a targeting of vulnerabilities via the Single Social Register (RSU), and (2) a differentiated contributory model (co-payment from 0 to 50 percent depending on the level of poverty) combined with public-private partnerships to extend coverage, including to informal workers. Results from the field identify areas for improvement, including a lack of awareness among most of the rural beneficiaries surveyed about the benefits covered, which points to the need for appropriate communication campaigns. Funding, still largely dependent on external aid, needs to be diversified (health taxes, targeted subsidies, etc.) to ensure the viability of the scheme in the face of its planned expansion. The study therefore recommends strengthening the capacities of local players (municipalities, CSOs) and the optimized integration of digital tools (real-time monitoring via the RSU) to improve operational efficiency. These adjustments, aligned with the 2030 Agenda objectives, could position ARCH as a replicable model of inclusive health coverage in sub-Saharan Africa, combining risk pooling, equity, and adaptation to the realities of informal economies. |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Sambieni, N'Koué Emmanuel |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Bourgeois, Marc |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Afrique contemporaine | 279 | 1 | 2025-04-09 | p. 39-57 | 0002-0478 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/journal-afrique-contemporaine-2025-1-page-39?lang=en&redirect-ssocas=7080">https://shs.cairn.info/journal-afrique-contemporaine-2025-1-page-39?lang=en&redirect-ssocas=7080</a> |
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