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Community-Based Health Insurance Assessment in Kenya, Tanzania and Togo

In an increasingly interconnected world, health is a global matter. Recognizing the significance of comprehensive health care for all, Scenarium joined forces with Difaem, the German Institute for Medical Mission, to carry out a meticulous evaluation of community-based health insurance (CBHI) projects in Kenya, Tanzania, and Togo. Sponsored by Brot für die Welt (Bread for the World), our joint venture sought to understand, enhance, and bolster the reach and impact of these projects.


  1. UHC Advancement: Foster strategies that position CBHI as an effective vehicle towards achieving Universal Health Coverage (UHC) in the target countries.
  2. Project Efficiency & Responsiveness: Fine-tune the operations of these CBHI projects to make them more adaptive and effective in their unique sociopolitical landscapes.

Key Takeaways:

  • Significance of CBHI: CBHI, rooted deeply in the ethos of community, plays a pivotal role in bridging the gap between healthcare needs and accessibility in resource-limited settings.
  • Customized Solutions: Different cultural, economic, and geographical contexts call for tailored solutions. Recognizing these nuances was central to our evaluation.
  • Stakeholder Collaboration: One of the clear findings was the immeasurable value of multi-stakeholder collaboration, ensuring that all aspects of the community’s health and wellbeing are considered.

Recommendations: Our team meticulously developed an exhaustive set of recommendations, which can be summarized as follows:

  • Capacity Building: Invest in skill development and training programs for CBHI staff to ensure they are equipped with the latest tools and knowledge.
  • Community Engagement: Foster deeper community involvement in decision-making processes to ensure the projects are aligned with local needs and priorities.
  • Financial Sustainability: Seek innovative financing models to ensure the long-term sustainability of these initiatives.
  • Technological Integration: Leverage modern technology to streamline operations, improve data collection, and enhance service delivery.

We remain committed to realizing the dream of universal health coverage and believe that initiatives such as CBHI are crucial stepping stones towards this global goal.

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