J Prev Med Public Health.  2024 Jan;57(1):91-94. 10.3961/jpmph.23.110.

The Paradox of the Ugandan Health Insurance System: Challenges and Opportunities for Health Reform

  • 1School of Public Health, Gudie University Project, Kampala, Uganda
  • 2Uganda Peoples Defense Forces, Kampala, Uganda
  • 3Department of Public Health, Faculty of Public Health, Nursing and Midwifery, Uganda Christian University, Mukono, Uganda


For nearly four decades, Ugandans have experienced a period marked by hope, conflict, and resilience across various aspects of healthcare reform. The health insurance system in Uganda lacks a legal framework and does not extend benefits to the entire population. In Uganda, community-based health insurance is common among those in the informal sector, while private medical insurance is typically provided to employees by their workplaces and agencies. The National Health Insurance Scheme Bill, introduced in 2019, was passed in 2021. If the President of Uganda gives his assent to the National Health Insurance Bill, it will become a significant policy driving health and universal health coverage. However, this bill is not without its shortcomings. In this perspective, we aim to explore the complex interplay of challenges and opportunities facing Uganda’s health sector.


Health Insurance Scheme, Community based health insurance, Universal health coverage, Uganda
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