Pursuing Universal Health Care in a developing economy like Ghana is a bold,
laudable idea. Given the immutable benefits of Social Health Insurance in this pursuit,
the long-term performance of Community-Based Health Insurance (CBHI) Schemes in
developing countries remains a conundrum when viewed from the predominant
economic and health system frameworks. In the context of a weak state with a large
informal sector however, this study demonstrates that the inclusion of a social context in
the foundational framework yields valuable insights that must inform the
conceptualization, design and implementation of CBHI-founded Social Health
Insurance initiatives across the developing world.