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Role of Community-Based Volunteers (CBVs) in expanding Zambia’s National Health Insurance Scheme (NHIS): Lessons from a Ministry-led exercise (Policy Brief)

October 1, 2025 By

Authors: Kalangwa Kalangwa, Mpuma Kamanga, Shivani Shukla

Nearly 80% of Zambia’s workforce is employed in the informal sector, yet most remain uncovered by the National Health Insurance Scheme (NHIS). Without financial protection, these households face high out-of-pocket costs and limited access to care. Community-Based Volunteers (CBVs) are trusted, present in every district, and regularly engage with households. With the right training and support, they can help close this gap by raising NHIS awareness, supporting enrollment, and linking people to accredited health services.

In 2024, the Ministry of Health led a series of joint discussions with NHIMA and partners to explore how CBVs could better support NHIS implementation. This included technical workshops, stakeholder consultations, and reviews of current tools and delivery systems. The process identified practical, government led actions to strengthen collaboration between NHIS and Zambia’s community health platform.

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Resource Topic: Community Health Financing

Resource Type: FAH, brief

Year: 2025

Region: Africa

Country: Zambia

Publisher May Restrict Access: No

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