Health Care Financing under Structural Adjustment: Some reflections from the health insurance experience of Khartoum State Sudan

"The study aims at investigating the different aspects associated with the adoption of health insurance as financing mechanism for curative health services in the Sudan. Specifically,it aims at examining the general features of the insurance plan and its likely impact on utilization,access, efficiency, and quality of the services provided under the insurance scheme. The study also attempts to examine the potentials and limitations of the scheme.The study recommends expansion of the insurance coverage to include all segments of the population, injection of extra financial resources into the health sector, reduction of the negative effects of the insurance scheme such as adverse selection and moral hazards, and rationalization of resource use. The quality of the services should be enhanced and incentives should be provided to the staff."