Health Cooperatives

Forming strategically-oriented communities has led to people addressing some of the challenges they face, such as scarcity of medical services. The clustering of people can enable the creation of entire healthcare systems when supported by some expert technical and logistical expertise and guidance.

We offer a wide range of services for communities wishing to solve their healthcare services problems with their own hands. These are provided with the aim of creating a self-sustained system that is independent from all.

Among these services we can help in:

1. Identification of needs, expectations available resources and stakeholders

This is the initial step adopted by Shamseya when studying a healthcare services situation of any community. After identification of all possible stakeholders, we characterize healthcare system needs, resources types and availability and expectations from the healthcare system in community-centered manner. Furthermore, the extent of social solidarity, cohesiveness and attitudes towards insurance and available services and infrastructure are also assessed.

2. Coaching in community solution design

Our team then begins a customized process of coaching that enables the selected community to design the healthcare system solution they perceive as most suitable. We help not only in facilitation, documentation, frame-setting and planning, but we most importantly provide a network of supporters, expert opinions and policy backing up for these solutions.

3. Technical, informational and logistical support in implementation

We then introduce the communities to our network, information database, policy-makers and market connections, as parties who can enable the realization of the solutions they aspire to implement. Throughout this process, we ensure a transparent and effective service procurement strategy that maintains and saves community resources and brings the best players on stage.

4. Follow-up, improvement, vertical and horizontal expansion

Once the system is up and running, the Shamseya team maintains follow-ups, monitoring and addressing of technical issues to improve the system. Additionally, extensive communication with our community representatives is maintained and potential for scaling up in terms of coverage, widening of scope and aptness for different income levels are explored. We also begin linking communities together and pushing for system quality and governance development.


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Blueprint of a Participatory Healthcare System

At Shamseya we are seeking the gradual implementation of a deep, community-rooted, dynamic system that accounts for the scarce resources and available infrastructure, is custom-designed and managed by communities, possesses the flexibility to adapt to each communities’ preferences and needs, insures choice of providers, guarantees work sustainability, pushes towards accountability […]


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The role of the Market and the social sectors

It has been widely agreed upon that healthcare systems left to function according to market forces alone do not result in socially optimal quantity, quality or distribution of healthcare. J.F. Outreville, The health insurance sector: Market segmentation & international trade in health services Yet, in this proposed scheme, the private […]


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Social Re-insurance

Sometimes, the risks that an insurance (or micro-insurance) scheme has to deal with become too large to be assumed through one entity. In addition, if micro-insurance schemes group people with different income levels and risk profiles under one pool, it is expected that there will be different micro-insurance units with […]


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The role of the Government

The main building blocks of this proposed healthcare system rest on the notion that even poor households can and do pay for healthcare, and that their community can generate income to cover the recurrent costs of basic health units, to complement or replace weak public institutions. This means a major […]


Graphical representation of the flow of funds in the proposed micro-insurance model through income-rated premiums and risk-based distribution

Community Micro-insurance

Micro-insurance schemes are programs and institutions that adapt traditional insurance mechanisms (pre-payment, risk-pooling and coverage guarantees) to the informal sector, providing services to beneficiaries that are commonly excluded from formal insurance. E. Morelli, G.A. Onnis, W.L. Ammann, C. Sutter (Eds), Micro insurance – An Innovative tool for risk and disaster […]


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Preferred-Provider Networks and Health Cooperatives (health co-ops)

Preferred-Provider Organizations (PPOs) are a variant of health service coverage that is largely used in the western world. They are usually privately run organizations that group individuals under a list of preferred providers and can therefore provide better prices for its members with the option of using services outside of […]


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Vision of a participatory healthcare system

In the Arab Republic of Egypt, the role of the government in guaranteeing the respect, protection and fulfillment of the right to health for all citizens has been underlined in the constitution, where it is announced to be a fundamental right. There has been, however, no realization of the right […]