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Table 2 Pros and cons of the different methods for instituting a national UHI

From: Unique health identifiers for universal health coverage

Method of assigning a national unique health identifier

Pros

Cons

(1) UIN is used as UHI

- Can connect with other systems, beyond the health sector

- Lower cost in infrastructure and human resources

- Greater potential for data breach and fraud

- Not all health service users may have proof of national ID

(2) UIN and UHI are both used and linked to each other

- Can connect with other systems, beyond the health sector

- Lower risk of misuse of the national UIN

- Higher cost of maintaining infrastructure and human resources for having two identity management systems

(3) No UIN; Only UHI is assigned

- Superior confidentiality comes with limited scope and use of the UHI

- UHI is used for health purposes only and not for other sectors