Procedural fairness in decision-making for financing a National Health Insurance Scheme: a case study from The Gambia.

ABSTRACT: Achieving universal health coverage (UHC) involves difficult policy choices, and fair processes are critical for building legitimacy and trust. In 2021, The Gambia passed its National Health Insurance (NHI) Act. We explored decision-making processes shaping the financing of the NHI scheme (NHIS) with respect to procedural fairness criteria. We reviewed policy and strategic documents on The Gambia's UHC reforms to identify key policy choices and interviewed policymakers, technocrats, lawmakers, hospital chief executive officers, private sector representatives and civil society organizations (CSOs) including key CSOs left out of the NHIS discussions. Ministerial budget discussions and virtual proceedings of the National Assembly's debate on the NHI Bill were observed. To enhance public scrut

SUBMITTER: Njie H 

PROVIDER: S-EPMC10645046 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature