Towards Universal Health Coverage: Designing a Community Based Intervention to Scale Up Coverage with Health Insurance, in A-Duiem Administrative Unit, Sudan 2018-2019.
Community engagement in the health context is the involvement of the community members in attaining UHC. It also requisites involving community members in developing and implementing policies that will affect them as health consumers. It has proved effective in addressing different health issues, including health insurance (HI) in developed and developing countries, such as Rwanda and Thailand.4,5 It worth adopting it in resource constraint countries.
The White Nile State is one of the States with low HI coverage. In mid-2017 it ranked as the 12th of 18 states in Sudan with a coverage rate of 46.9%.10 This estimate was far less than the
national target of 80% set in the strategic plans of the National Health Insurance Fund (NHIF) and the National Health Sector Strategic Plan which aim to achieve universal health coverage by 2019.
Regarding mobilization and organization of the community, most of the HI officials suggested the establishment of community committees at different levels in DAU with clearly identified tasks and relationships and with contribution from the HI as a rapporteur. Almost all the participants from the locality and administrative unit have proposed the establishment of an executive community committee at the administrative unit including stakeholders assisted by sub-committees.
Almost all the study participants indicated that monitoring and supervision of the community work could be through regular reports and meetings. Some study participants suggested social media such as WhatsApp and others to engage and communicate with expatriates. The monitoring tools included forms for the reports to summarize the performance of DAUCC, sectors, and Hai committees. Also, a WhatsApp group was created for continuous communication.
Public Health Open J. 2021; 6(1): 12-18. doi: 10.17140/PHOJ-6-154