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Ethiopia has been piloting and scaling up a community-based health insurance scheme for the informal sector since 2011, alongside preparations for the launch of a social health insurance scheme for the formal sector. This paper examines the political drivers of the adoption and implementation of the scheme, based on key informant interviews with key figures involved in its elaboration. The paper argues that efforts to extend access to healthcare are linked to the ruling coalition’s longstanding focus on delivering tangible socioeconomic progress as a means of building its legitimacy and securing political support. Health insurance, meanwhile, has secured elite commitment, primarily due to the ‘ideational fit’ between this policy idea and core paradigmatic ideas underpinning the ruling coalition.
|Number of pages||32|
|Publication status||Published - 2016|
|Name||ESID Working Paper|
Research Beacons, Institutes and Platforms
- Global Development Institute
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- 1 Invited talk
The political and economic drivers of elite commitment to social protection: Insights from five African cases
Thomas Lavers (Invited speaker)17 Feb 2017
Activity: Talk or presentation › Invited talk
The politics of productivist social policies in Africa’s new ‘developmental states’
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Press/Media: Blogs and social media