Mean level of coverage by type of health insurance in 36 SSA countries
| Country | Survey year | Total N | % coverage with any insurance (95% CI) | % coverage with national (public) health insurance (95 % CI) | % coverage with private or employer health insurance (95 % CI) | % coverage with community-based health insurance (CBHI) (95 % CI) |
| Rwanda | 2014 | 12 699 | 78.7 (77.5 to 79.9) | 5.0 (4.5 to 5.6) | 0.7 (0.5 to 1.0) | 76.4 (75.2 to 77.6)* |
| Ghana | 2014 | 13 780 | 58.2 (56.2 to 60.1) | 57.7 (56.9 to 58.5) | 0.8 (0.7 to 1.0) | 0.1 (0.0 to 0.1) |
| Gabon | 2012 | 14 043 | 40.8 (38.20 to 43.5) | – | – | – |
| Burundi | 2017 | 24 821 | 22.0 (20.7 to 23.2) | – | 16.4 (15.9 to 16.9) | 5.2 (5.0 to 5.5) |
| Kenya | 2014 | 27 548 | 19.9 (18.7 to 21.1) | 15.9 (15.5 to 16.3) | 4.1 (3.8 to 4.4) | 0.3 (0.2 to 0.4) |
| Namibia | 2013 | 14 492 | 18.8 (17.1 to 20.6) | 5.0 (4.7 to 5.4) | 14.0 (13.5 to 14.6) | – |
| South Africa | 2016 | 7811 | 14.9 (12.9 to 17.1) | – | – | – |
| Zimbabwe | 2015 | 18 351 | 11.6 (10.1 to 13.3) | 0.3 (0.2 to 0.3) | 10.2 (9.7 to 10.6) | 1.0 (0.82 to 1.1) |
| Tanzania | 2015 | 16 778 | 9.2 (8.2 to 10.2) | 1.6 (1.4 to 1.8) | 3.1 (2.9 to 3.4) | 4.5 (4.1 to 4.8) |
| Senegal | 2010 | 20 615 | 6.9 (5.9 to 8.0) | 0.6 (0.5 to 0.7) | 2.0 (1.8 to 2.2) | 1.6 (1.6 to 1.9) |
| Eswatini | 2006 | 9131 | 6.2 (5.4 to 7.2) | – | 2.4 (2.1 to 2.7) | – |
| Ethiopia | 2016 | 28 371 | 5.9 (4.7 to 7.2) | 0.8 (0.7 to 0.9) | 0.6 (0.5 to 0.7) | 4.5 (4.2 to 4.7) |
| Angola | 2016 | 20 063 | 5.8 (5.1 to 6.6) | – | – | – |
| Togo | 2013 | 13 951 | 5.8 (4.1 to 6.6) | 0.2 (0.1 to 0.3) | 1.5 (1.3 to 1.7) | 0.4 (0.3 to 0.5) |
| Mali | 2018 | 15 137 | 5.6 (4.5 to 6.8) | 1.6 (1.2 to 2.2) | 1.8 (1.3 to 2.3) | 2.6 (2.1 to 3.1) |
| Liberia | 2013 | 13 340 | 5.3 (4.1 to 7.0) | 1.7 (1.2 to 2.3) | 4.6 (4.3 to 5.0) | 1.3 (0.8 to 1.9) |
| Comoros | 2012 | 7485 | 5.3 (4.4 to 6.4) | 0.4 (0.1 to 0.8) | 2.6 (2.2 to 2.9) | 2.5 (2.0 to 3.0) |
| Congo Democratic Republic | 2013 | 27 465 | 5.0 (4.2 to 5.9) | 0.04 (0.02 to 0.1) | 3.7 (3.5 to 3.9) | 1.2 (1.1 to 1.3) |
| Cote d'Ivoire | 2011 | 15 165 | 4.6 (3.6 to 5.8) | 1.7 (1.1 to 2.3) | 2.2 (1.9 to 2.4) | 3.6 (3.0 to 4.3) |
| Madagascar | 2008 | 17 085 | 3.8 (3.2 to 4.6) | 1.2 (0.7 to 1.7) | 2.9 (2.6 to 3.1) | 1.9 (1.4 to 2.4) |
| Congo | 2011 | 15 955 | 3.3 (2.8 to 3.9) | 0.3 (0.2 to 0.5) | 2.1 (1.9 to 2.3) | 1.1 (0.9 to 1.3) |
| Cameroon | 2018 | 20 505 | 3.2 (2.8 to 3.7) | 0.6 (0.5 to 0.8) | 2.1 (1.9 to 2.3) | 0.5 (0.4 to 0.8) |
| Mozambique | 2011 | 17 780 | 2.7 (2.4 to 3.1) | – | – | – |
| Gambia | 2013 | 14 030 | 2.62 (2.2 to 3.2) | – | 2.5 (2.2 to 2.7) | – |
| Zambia | 2018 | 25 815 | 2.54 (2.06 to 3.13) | 0.03 (0.01 to 0.06) | 2.13 (1.95 to 2.31) | 0.2 (0.2 to 0.3) |
| Nigeria | 2018 | 56 155 | 2.3 (2.0 to 2.7) | 0.6 (0.5 to 0.8) | 1.9 (1.8 to 2.0) | 0.86 (0.7 to 1.1) |
| Sao Tome and Principe | 2008 | 4898 | 2.2 (1.7 to 2.7) | 0.7 (0.2 to 1.2) | 1.1 (0.8 to 1.4) | 0.9 (0.4 to 1.5) |
| Lesotho | 2014 | 9552 | 2.09 (1.70 to 2.56) | – | 1.4 (1.2 to 1.7) | 0.4 (0.2 to 0.5) |
| Niger | 2012 | 15 074 | 2.03 (1.68 to 2.5) | 2.1 (1.4 to 2.7) | 1.1 (0.9 to 1.2) | 2.2 (1.6 to 2.9) |
| Malawi | 2016 | 32 040 | 1.8 (1.3 to 2.6) | – | 1.8 (1.7 to 1.9) | – |
| Guinea | 2018 | 14 991 | 1.6 (1.21 to 2.2) | 0.2 (0.1 to 0.2) | 1.3 (1.2 to 1.5) | 0.1 (0.1 to 0.2) |
| Uganda | 2016 | 23 842 | 1.5 (1.3 to 1.8) | 0.0 (0.0 to 0.1) | 1.1 (0.9 to 1.2) | 0.4 (0.3 to 0.5) |
| Sierra Leone | 2013 | 23 887 | 1.5 (1.1 to 1.9) | 0.5 (0.3 to 0.7) | 0.9 (0.7 to 1.0) | 0.6 (0.4 to 0.8) |
| Chad | 2015 | 11 380 | 1.2 (0.9 to 1.6) | 0.1 (0.0 to 0.2) | 0.7 (0.6 to 0.9) | 0.4 (0.2 to 0.7) |
| Benin | 2018 | 23 523 | 1.2 (0.1 to 1.4) | 0.1 (0.1 to 0.2) | 0.8 (0.7 to 0.9) | 0.2 (0.2 to 0.3) |
| Burkina Faso | 2010 | 24 382 | 0.9 (0.7 to 1.1) | 0.6 (0.3 to 0.9) | 0.4 (0.3 to 0.4) | 0.9 (0.5 to 1.0) |
| Total† | 637 752 | 7.9 (7.8 to 7.9) | – | – | – | |
– means data are not available.
*Rwanda’s CBHI is now managed by the national government rather than local communities and is more suitably classified as a national public health insurance scheme rather than a CBHI.
†Pooled data.
SSA, sub-Saharan Africa.