Table 1

Analysis of countries and relevant characteristics

CountryPoverty rate* (%)Unemployment rate† (%)Informal employment rate‡ (%)Characteristics of the country’s publicly owned insurance scheme
Revenue source/contribution mechanismPopulation eligible for enrolment
Angola30.17.342.1
  • No publicly owned insurer

Benin49.51.053.4
  • Member contributions

  • Taxes on tobacco and alcohol

  • Government contributions as an employer

  • Government employees

  • Private sector formal workers

  • Informal sector workers

Burkina Faso40.13.018.0
  • Member contributions

  • Formal sector

  • Elderly and people with disability

Burundi64.61.610.0
  • Member contributions

  • General revenue allocation

  • Government employees

  • Informal sector workers

Cameroon37.54.591.0
  • No publicly owned insurer

Chad38.11.166.3
Comoros18.020.130.0
Congo46.511.4
Congo Democratic Republic63.93.698.6
Cote d'Ivoire46.39.292.8
  • Member contributions

  • Government contributions as an employer

  • All population:

    • Government employees

    • Private sector formal workers

    • Informal sector workers

    • The poor

Eswatini63.025.717.7
  • No publicly owned insurer

Ethiopia29.65.446.7
  • Member contribution

  • Government contributions as an employer

  • Government employees

  • Private sector formal employees

Gabon32.718.538.0
  • General revenue allocation

  • 10% tax on mobile phones

  • Compulsory levy called the Special Solidarity Contribution

  • Member contributions

  • Government employees

  • Private sector formal workers

  • Informal sector workers

  • The poor

Gambia24.229.876.5
  • No publicly owned insurer

Ghana48.45.892.1
  • 2.5% VAT

  • Member contribution

  • Government revenue allocation

  • An earmarked portion of social security taxes from formal sector workers

  • Government employees

  • Private sector formal workers

  • Informal sector workers

  • The poor

Guinea36.14.577.6
  • No publicly owned insurer

Kenya36.111.077.9
  • Member contributions

  • Government contributions as an employer

  • Government revenue allocation

  • Government employees

  • Private sector formal workers

  • Informal sector workers

  • The poor

Lesotho57.129.234.9
  • No publicly owned insurer

Liberia63.84.086.7
  • Member contributions

  • Employer contributions

  • Government contributions as an employer

  • Government employees

  • Private sector formal employees

Madagascar70.72.412.0
  • No publicly owned insurer

Malawi50.76.789.0
  • No publicly owned insurer

Mali43.69.742.6
  • Member contribution

  • Government revenue allocation

  • Government contributions as an employer

  • Government employees

  • Private sector formal employees

  • The poor

Mozambique46.124.595.7
  • General revenue allocation

  • Donor funding

  • All population:

    • Government employees

    • Private sector formal workers

    • Informal sector workers

    • The poor

Namibia28.722.367.0
  • Government contributions as an employer

  • Member contributions

  • Government employees

Niger46.02.695.4
  • Government contributions as an employer

  • Member contributions

  • Government employees

Nigeria44.55.5
  • Member contributions

  • Employer contributions

  • Government contributions as an employer

  • All population:

    • Government employees

    • Private sector formal workers

    • Informal sector workers

    • The poor

Rwanda39.12.673.4
  • Member contribution

  • Employer contribution

  • General government revenue allocation

  • Donor funding

  • All population:

    • Government employees

    • Private sector formal workers

    • Informal sector workers

    • The poor

Sao Tome and Principe66.213.773.0
  • No publicly owned insurer

Senegal46.79.593.4
  • Member contribution

  • General government revenue allocation

  • Government employees and retirees

Sierra Leone52.92.89.0
  • Member contribution

  • Employer contribution

  • Government employees

  • Private sector formal workers

South Africa18.827.627.1
  • Government taxes

Tanzania28.22.790.8
  • Member contribution

  • Employer contribution

  • Government employees

  • Private sector formal employees

  • Informal sector workers

Togo55.16.284.0
  • Member contribution

  • Government contributions as an employer

  • Employer contribution

  • Government employees

  • Private sector formal employees

Uganda19.52.391.7
  • No publicly owned insurer

Zambia54.47.474.4
  • No publicly owned insurer

Zimbabwe72.35.385.6
  • Member contribution

  • Government contributions as an employer

  • Government employees

  • *Poverty rate refers to the proportion of the population who lives below the international poverty line, that is, US$1.90 per day. This was obtained from the World Bank (https://data.worldbank.org/indicator/SI.POV.DDAY?end=2017&start=2017&view=bar).

  • †Unemployment rate refers to the proportion of individuals in the labour force who do not have any form of employment. This was obtained from the World Bank (https://data.worldbank.org/indicator/SL.UEM.TOTL.NE.ZS).

  • ‡Informality rate refers to the proportion of employed individuals in a country whose employment is in the informal sector of the economy—this was computed from DHS data.

  • DHS, Demographic and Health Surveys; VAT, value-added tax.