Programmes in order to ensure that every nigerian has access to good healthcare services, the national health insurance scheme has developed various programmes to cover different segments of the society. The main reason for its establishment is the provision of health care services by giving a sustainable alternative source of funding health care services. The national health insurance scheme nhis, an agency of the fmoh, regulates health insurance, as well as accredits health maintenance organizations. The national health insurance scheme nhis is a body corporate established under act 35 of 1999 by the federal government of nigeria to improve the health of all nigerians at an affordable cost3. National health insurance in south africa policy paper.
Health insurance scheme nhis since 2005 in nigeria, the. By promoting greater resources and expanded access to services, hpp will help stakeholders improve the health of women, children, and infants in nigeria. A prepayment scheme for health through the national health insurance scheme nhis was commenced in nigeria about ten years ago. This study examined the challenges in the implementation and scaleup of the national health insurance scheme nhis in nigeria. Rating the national health insurance scheme nhis in nigeria.
Nhisnational health insurance scheme by upmanagers. In 2004, ghana began implementation of a national health insurance scheme nhis to minimize outofpocket expenditure at the point of use of service. The role of national health insurance scheme on structural. May 28, 2018 health insurance scheme refers to a programme that covers or shares the expenses associated with healthcare of individuals. Pdf on jan 10, 2016, david adewole and others published nigeria national health insurance scheme. However, due to many flaws over the years, the ability of the system to provide free and good quality healthcare for the entire population has been fairly limited.
The implementation of the scheme was accompanied by increased access and use of health care services. Assessing equity in health care through the national health. The national health insurance scheme as a tool a thesis submitted in partial fulfilment of the requirement for the degree of master of public health by eno ekaete usoroh nigeria declaration. We designed this descriptive crosssectional study to investigate the knowledge and opinions of 150 randomly selected adults in urban kano regarding the nhis. Sep 11, 2015 established by act 35 of the 1999 constitution as a public private partnership aimed at providing affordable,accessible and quality health services for nigerians. Recently, the national health insurance scheme nhis has begun to incorporate family planning services into its various benefits packages. Understanding nigerias health insurance scheme punch. Jan 22, 20 nigeria and ghana have recently introduced a national health insurance scheme nhis with the aim of moving towards universal health care using more equitable financing mechanisms. Payment for health care and perception of the national health insurance scheme in a rural area in southwest nigeria. National health policy 2016 women advocates for vaccine access. Operationalizing universal health coverage in nigeria through social. The national health insurance scheme nhis in nigeria was introduced in 2005 to ensure universal access to good health care services, by protecting families from financial barriers to health care, and ensuring availability of funds to the health sector for improved services.
The different tiers of government should be encouraged to buy into the scheme and avenues for funding through general taxation, donor financing etc should be explored in nigeria. It is on the basis of the need to ensure effective healthcare services. Nigeria has included a regulated communitybased health insurance cbhi model within its national health insurance scheme nhis. Nhis was established under the national assembly act no. Olubunmi public administration, obafemi awolowo university, nigeria abstract the study examined the administration of national health insurance scheme nhis using public administration obafemi awolowo university health centre oauhc as a case study. National health insurance scheme in nigeria prospects and. National health insurance scheme news latest breaking. National health insurance scheme nhis and employees access to healthcare services in cross river state, nigeria. Since introduction of the scheme, however, there has been. South africa is in the process of introducing an innovative system of healthcare financing with far reaching consequences on the health of south africans.
The national health insurance scheme in ghana is deemed as one of the legacies of the john kufuor administration. Predictors of enrolment in the national health insurance scheme. This study assesses the implementation of a health insurance scheme using optimal resource use domains and examines possible. These measurements evaluate the extent to which various aspects of the schemes meet their key objectives. Osun state, southwestern nigeria towards the national health insurance. Evidence suggests most health facilities are faced with management challenges in the delivery of services. Nigerias life expectancy stunted by deficiencies in our health system mark umoh despite its failings, the national health insurance scheme nhis in nigeria is still considered as one of several useful mechanisms. Ghanas national health insurance scheme nhis was created by the national health insurance act of august 2003, and is one of very few attempts by a subsaharan african country to implement a nationallevel, universal health insurance program. Awareness and coverage of the national health insurance. Adewole da, adebayo am, udeh ei, shaahu vn, dairo md. The effect of ghanas national health insurance scheme on. Feb 21, 2014 nigeria has included a regulated communitybased health insurance cbhi model within its national health insurance scheme nhis. The national health insurance scheme nhis was established under act 650 of 2003 by the government of ghana to provide basic healthcare services to persons resident in the country through mutual and private health insurance schemes.
National health insurance, enrolment, women, universal health coverage, nigeria. National health insurance scheme decree nigerialaw. The national health insurance scheme nhis is a social intervention program introduced by government to provide financial access to quality health care for residents in ghana. Performance evaluation of a health insurance in nigeria using.
They include the formal sector social health insurance programmes a public sector federal, states and local governments. Mar 14, 2014 performance measures are often neglected during the transition period of national health insurance scheme implementation in many low and middle income countries. Nhisnational health insurance scheme health nigeria. The national health insurance scheme nhis in nigeria the nhis is a public health system that was officially established in 1999 with the purpose of providing universal coverage. Downloadable documents national health insurance scheme. Challenges to the scaleup of the nigerian national health. The law makes it compulsory for all ghanaians to join a health insurance scheme in ghana. Repositioning health insurance in nigeria international journal of. The national health insurance levy nhil, which is 2. Pdf the national health insurance scheme and its implication for.
Health insurance, health insurance models, market failure, nigerian health insurance scheme, community based health insurance. National health insurance scheme in nigeria is on the verge. In 20, maternal mortality in nigeria is 560 deaths per 100,000 live births. The national health insurance scheme nhis is a body corporate established under act 35 of 1999 by the federal government of nigeria to improve the.
Learning from case studies of india, colombia, and thailand. Communitybased health insurance programmes and the national. Her responsibilities in the world bank also include preparing, supervising, and evaluating lending operations at the country level. This may be as a result of poor health facilities, lack of access to quality health care, malnutrition due to poverty, herderfarmer conflicts, female genital mutilations, abortions, and displacements due to boko haram terrorism in the north east of nigeria. Universal coverage of health is one of the goals of the united nations and one which every african country, nigeria inclusive strives to achieve. A highly subsidized health care program for a privileged few find, read and cite all the. Before joining the world bank, she was a researcher on health sector reform initiatives in china and the united states. Aug 03, 2015 since its enactment in 1999, the nigerian national health insurance scheme only became operational in june, 2005. The national health insurance scheme nhis took off in the year 2005 and is a corporate body established under act 35 of 1999 constitution by the federal government of nigeria to improve the health of all nigerians at an affordable cost through various prepayment systems. The idea for the national health insurance scheme nhis in ghana was conceived by former president john kufuor who when seeking the mandate of the people in the 2000 elections, promised to abolish the cash and carry system of health delivery. A highly subsidized health care program for a privileged few. National health insurance scheme nhis is one of the health financing options adopted by nigeria for improved healthcare access especially to the low income. Apr 24, 2017 also a guideline will be drawn how the scheme will react in nigeria now it has been established and lunched. Where other peoples work has been used either from a printed source.
The significance of this paper is to highlight lacunas in respect of aging programs and services in the national health insurance scheme in nigeria, with a view. Sub national levels possess a high degree of autonomy in a number of sectors including health. Key mandate is to secure universal health coverage uhc for all nigerians and residents. This study compares health and economic indicators, describes the structure of each countrys nhis within the wider healthcare system, and analyses impacts on equity in financing and access to health care. Pdf the national health insurance scheme nhis in nigeria.
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