**2. Methods**

A case study design was used to synthesize health insurance-Bismarck model with Sustainable Development Goals (SDGs) 1,2,3,6 and 10, UHC frameworks, the four types of preventions, the district division administrative disaggregation data framework, the district health system, and social determinants of health, to innovate the six-dimension pooling risk framework. In addition, the Precede-Proceed Planning Model was applied to formulate the six-dimension pooling risk framework.
