Project report: The impact of access to quality healthcare in Africa – Compendium impact report available now

Jul 29, 2015

AIID, together with its research partners, the Amsterdam Institute for Global Health and Development (AIGHD), University of Ilorin Teaching Hospital (UITH) and Lagos University Teaching Hospital (LUTH), have released a comprehensive impact report entitled The Impact of Access to Quality Healthcare in Africa: Research findings on Health Insurance Fund supported programs. This report is a compendium of the research conducted by AIID, AIGHD and its research partners in Kenya, Tanzania and Nigeria, on Health Insurance Fund (HIF) supported programs, between 2007 and 2015, and offers extensive insight into the results of the programs.

The Health Insurance Fund was founded in 2006 with a generous grant from the Dutch Ministry of Foreign Affairs. With this support, implementing partner PharmAccess was able to initiate, implement and operate functioning health insurance and delivery ‘labs’ in Africa to test the interventions and business model with the goal of increasing access to quality healthcare for low-income people in sub-Saharan Africa. Because of the innovative character of the PharmAccess approach, the Health Insurance Fund decided early on that all projects funded by the Health Insurance Fund and implemented by PharmAccess should be rigorously evaluated in terms of their impact on the target population. AIID and AIGHD have been carrying out this task together with their local research partners since 2007.

After briefly summarizing the Community Health projects funded by the Health Insurance Fund as well as the linked improvements in the health sector infrastructure, the report dives into the research results. The research is split into two areas: 1) population based impact evaluations using household surveys which look into outcomes such healthcare utilization, out of pocket expenses on healthcare and health outcomes; and 2) in-depth research on numerous topics, including, enrollment, willingness to pay for health insurance, and maternal and child health. The report also shortly looks at the local research capacity built through the activities carried out with partner organizations over the past 8 years. After a general conclusion the report provides recommendations for improvement on various aspects of the HIF funded programs.

To request a hard copy, please send an email to

In addition to this report, close to 60 other reports and articles have already been produced from research on HIF supported programs, some of which have been published in internationally renowned peer-reviewed journals.

The impact report was presented during an impact conference entitled State-Supported Health Insurance: Research & Results Day, held in Kwara State, Nigeria on July 21st 2015.

In memory of
The report is dedicated to Joep Lange and his partner Jacqueline van Tongeren whose tireless efforts to improve the health of the poor will continue to be an inspiration to us always.