Identifying the poor for premium exemption: a critical step towards universal health coverage in Sub-Saharan Africa

Glob Health Res Policy. 2017 Jan 9:2:2. doi: 10.1186/s41256-016-0023-6. eCollection 2017.

Abstract

Premium exemption for the poor is a critical step towards achieving universal health coverage in sub-Saharan Africa due to the large proportion of the population living in extreme poverty who cannot pay premium. However, identifying the poor for premium exemption has been a big challenge for SSA countries. This paper is a succinct review of four methods available for identifying the poor, outlining the ideal conditions under which each of the methods should be used and the drawbacks associated with using each of the methods.

Keywords: Catastrophic Expenditure; Extreme Poverty; Health Insurance Premium; Means Testing; Universal Health Coverage.