Work

Universal health coverage in Chad: evaluating the non-contributory scheme within the Central African subregional framework

Year: 2025

Type: article

Abstract: Chad has adopted Law No. 035/PR/2019 establishing Universal Health Coverage (UHC), with a non-contributory scheme targeting vulnerable populations. This policy reflects a commitment to social justice and equity, but also raises concerns about its feasibility and sustainability. This article explores the key challenges and risks associated with the policy, including dependence on public resources, systemic weaknesses (governance, human resources, technical capacity) and the potential for hospital indebtedness. It also highlights the opportunities offered by the initiative, such as the inclusion of the most vulnerable groups, the reinforcement of state legitimacy, and the support of international partners. The successful implementation of UHC in Chad will require strengthened and operational capacities, and the exploration of innovative financing mechanisms.

Source: Sahelian Journal of Responsible One Health

DOI: 10.4081/sjroh.2025.545

Authors: Steffie Mbessa, Mokhtar Mahamat, Abel Dafogo Djibagaou, Sabrina Atturo, Vittorio Colizzi

Institutions: Université de Versailles Saint-Quentin-en-Yvelines, University of N'Djamena

Language: English

Topic: Healthcare Systems and Reforms

Subfield: Finance

Field: Economics, Econometrics and Finance

Domain: Social Sciences

SDGs: Peace, justice, and strong institutions, Good health and well-being, Reduced inequalities, Partnerships for the goals

Open Access status: hybrid

Funder: Agenzia Italiana per la Cooperazione allo Sviluppo