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
