Community-Based Health Insurance Can Contribute to Improvement of Environmental Health among Low-Income Communities in Uganda: A Review of Literature

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DOI: 10.21522/TIJPH.2013.08.02.Art038

Authors : Denis Joel Sama, Denis Joel Sama


Poor environmental health accounts for the vast majority of major disease etiologies in developing countries, like Uganda, with the poor bearing the highest burden. Although Uganda has a well-structured health care system, linking the community to the higher-level health services, the government has not given environmental health, an important aspect of preventive healthcare, the priority it deserves. Consequently, low-income settlements have become breeding grounds for disease, making the search for solutions to improve environmental health in such communities an utmost urgency. Community-based health insurance is much debated as a way of tackling the challenge of providing access to health care for the poor in developing countries, like Uganda, without worsening their economic situation. This is especially important at this time when the country is faced with high preventable disease burden, shrinking budgetary support to the public health services, and an unacceptably low quality of these services. This article provides an analytical framework for the health care systems in Uganda to integrate environmental health into community-based health insurance. The study was a qualitative systematic review of various books, peer reviewed journal articles, websites and relevant literature related to concepts. The author concludes that community-based health insurance could be a high impact, cost-effective and sustainable solution for improving environmental health, an important aspect of preventive healthcare, in low-income communities in Uganda.


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