Skip to main content

Table 4 Summary of key findings under governance arrangement level of health system

From: Barriers and facilitators to implementation, uptake and sustainability of community-based health insurance schemes in low- and middle-income countries: a systematic review

Systems-level factors: Governance arrangement Number and type of studies a Reported as barriers Reported as facilitators Related to b
Implementation Uptake Sustainability
Stakeholder involvement N = 3
Qualitative (2); Case study (1)
N = 3
[46, 48, 62]
X   
Political economy context N = 6
Qualitative (1); Mixed (3); Case studies (2)
N = 5
[31, 55, 59, 63, 75]
N = 1
[58]
X X X
Government support N = 7
Qualitative (4); Mixed (2); Case study (1)
N = 2
[47, 75]
N = 5
[40, 48, 55, 61, 74]
  X X
Management and administrative structure N = 12
Qualitative (3); Cross-sectional (2); Mixed (4); Case studies (3)
N = 8
[32, 44, 46, 48, 49, 62, 73, 83]
N = 5
[33, 41, 48, 55, 58]
X   X
Capacity of insurer promoters N = 3
Mixed (2); Case study (1)
N = 2
[47, 48]
N = 1
[61]
X X X
Package content N = 9
Qualitative (2); Cross-sectional (4); Mixed (2); Case study (1)
N = 5
[4, 48, 53,54,55, 61]
N = 5
[4, 33, 54, 56, 66]
  X  
Membership size N = 3
Qualitative (2); Crosss-sectional (1)
N = 2
[57, 61]
N = 1
[36]
   X
Membership criteria N = 10
Qualitative (4); Cross-sectional (3); Mixed (3)
N = 7
[40, 47, 52, 54, 61, 62, 76]
N = 5
[33, 61, 73, 76, 84]
  X X
  1. a Some of the studies included both barriers and facilitators
  2. b X symbol denotes whether the factor relates to implementation, uptake or sustainability