Int J Health Policy Manag July 2021 PMID 34060270

A Narrative Synthesis Review of Out-of-Pocket Payments for Health Services Under Insurance Regimes: A Policy Implementation Gap Hindering Universal Health Coverage in Sub-Saharan Africa.

Abigail Nyarko Codjoe Derkyi-Kwarteng, Irene Akua Agyepong, Nana Enyimayew, Lucy Gilson

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Mentions

Peak: 7 in Jun 2021

across 3 sources since Apr 2021

Extended reach

19,115

potential audience

Total likes

Video views

1,148

Mentions per month

Apr 2021 – Aug 2023

Where it's discussed

X / Twitter13 posts
YouTube2 videos
News2 articles

AI synopsis

What people are saying

The discussions highlight widespread agreement with the publication's critique of existing health insurance implementation, using words like 'gap,' 'hindering,' and 'challenges' to emphasize systemic barriers. The tone reflects concern and urgency, especially with references to corruption and resource limitations, which underscore the article’s potential impact on health policy reforms.

AgreementStrong agreement

Most discussions recognize the serious policy gaps and resource challenges highlighted by the review, strongly supporting its conclusions.

InterestModerate interest

Posts demonstrate moderate interest by engaging with the topic, acknowledging its relevance to universal health coverage efforts.

EngagementModerate engagement

Respondents engage by referencing specific issues like bureaucratic practices, corruption, and policy enforcement, showing a degree of thoughtful participation.

ImpactHigh impact

The discussions emphasize the importance of addressing systemic issues, suggesting that the publication has significant implications for health policy in Sub-Saharan Africa.

Abstract in brief

The review highlights a significant gap in the implementation of health insurance policies in Sub-Saharan Africa, where insured individuals still make out-of-pocket payments for services supposed to be free, driven by complex factors like bureaucratic practices, resource constraints, and corruption.
The study uses theories such as Lipsky’s street level bureaucracy and Vians' framework of corruption to explain how practical norms and informal practices contribute to these policy failures and payment discrepancies.
Despite efforts for universal health coverage, structural issues such as policy enforcement gaps, resource limitations, and corruption continue to hinder equitable access to free, quality healthcare in the region.]

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All mentions

Analyzing Health Policy Politics in Low and Middle-Income Countries

This video introduces the IJHPM Special Issue on health policy change in LMICs, focusing on the politics and practical challenges influencing policy implementation, including issues like corruption, resource…

IJHPM Journal · Apr 21, 2021 1,118 views

Addressing Policy Gaps in Health Insurance for Universal Coverage in Sub-Saharan Africa

This review explores the gap between health insurance policies and practice in Sub-Saharan Africa, where insured individuals often still pay out-of-pocket due to bureaucratic practices, resource constraints, and…

Medicine RTCL TV · Jun 16, 2023 30 views

Kaypee

@Kuuzie17 · X

RT @IJHPM: A Narrative Synthesis Review of #OutofPocketPayments for Health Services Under #Insurance Regimes: A #PolicyImplementationGap Hi…

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Eric Ssegujja

@ssega2001 · X

RT @IJHPM: A Narrative Synthesis Review of #OutofPocketPayments for Health Services Under #Insurance Regimes: A #PolicyImplementationGap Hi…

Aug 15, 2023 · 2 shares · 1,149 followers View post →

IJHPM

@IJHPM · X

Aug 15, 2023 · 3 likes · 2 shares · 2,012 followers View post →