The New York Times writes:
Across the continent, fewer than 10 percent of working people have health insurance, pension coverage or other forms of social security, according to the International Labor Organization, the United Nations’ oldest specialized agency.
But that is slowly changing, and not just because some African governments are expanding their ailing social security systems, vestiges of the colonial days and geared mostly to the vast number of people on the government payroll.
The bigger push is coming from everyday Africans who are tired of waiting for politicians to address their needs and have begun spinning their own safety nets.
Plans in which neighbors come together and create their own makeshift health coverage are the rage in Africa, particularly in the continent’s west. Here, the plans now have a significant presence in 11 countries and membership has grown beyond 200,000 people.