Health Affairs

Health Affairs, 28, no. 6 (2009): 1799-1806 doi: 10.1377/hlthaff.28.6.1799 © 2009 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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MarketWatch

MARKETWATCH

Innovation In Namibia: Preserving Private Health Insurance And HIV/AIDS Treatment

Onno P. Schellekens, Ingrid de Beer, Marianne E. Lindner, Michele van Vugt, Peter Schellekens and Tobias F. Rinke de Wit

Namibia, a lower-middle-income country in sub-Saharan Africa, suffers from a huge HIV/AIDS burden. An influx of donor funding in 2004–2007 increased support for publicly provided HIV care and treatment. This raised concern that private funding would be "crowded out," thereby leading to a reduction in the overall resources used to treat patients. In 2006 the Namibian medical aid industry, with donor support, created a special fund to subsidize private health insurance, including HIV/AIDS services. The program allowed both low- and higher-income people to be covered. Crowding out valuable private resources was avoided and the quality of HIV/AIDS services improved.

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