The effect of the national health insurance scheme nhis. In analyzing this topic i will give a brief introduction on how the scheme works and states the prospect and problem. Recently, the national health insurance scheme nhis has begun to incorporate family planning services into its various benefits packages. Where other peoples work has been used either from a printed source. 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. The idea of creating a governmental body to address health care concerns in nigeria had its origins in 1962, but the idea was shot down at the time by government officials. A highly subsidized health care program for a privileged few find, read and cite all the. This is a study to determine the knowledge, attitudes to, and utilization of the national health insurance scheme nhis among health workers at the university of nigeria teaching hospital unth, itukuozalla, and enugu state, nigeria.
Communitybased health insurance programmes and the. Niprd national institute for pharmaceutical research and development. In abuja, the government launched the national health insurance scheme nhis in 1999, but the program only kicked off in earnest in may 2005 and still has not substantially increased the number of nigerians with medical insurance. The national health insurance scheme nhis was established under act 35 of 1999 1. Nigerias health care system is piecemeal and ineffective. The nhis is financed through a central national health insurance fund nhif which is. We designed this descriptive crosssectional study to investigate the knowledge and opinions of 150 randomly selected adults in urban kano regarding the nhis. A highly subsidized health care program for a privileged few. Learning from case studies of india, colombia, and thailand. Awareness and coverage of the national health insurance scheme. Plenary session 3 shaping uhc policy for post 2015. This model ensured the introduction of health maintenance organisations hmos as. Its cost is 15,000 yearly in bank draft in favour of national health insurance scheme. 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.
The national health insurance scheme nhis has been in operation for over ten years but it seems to have failed in the realization of the objectives for which it was established. Health insurance scheme among formal sector workers in nigeria. A prepayment scheme for health through the national health insurance scheme nhis was commenced in nigeria. The national health insurance scheme is a form of national health insurance established by the government of ghana, with a goal to provide equitable access and financial coverage for basic health care services to ghanaian citizens. Nhisnational health insurance scheme health nigeria. In 2004, ghana began implementation of a national health insurance scheme nhis to minimize outofpocket expenditure at the point of use of service. Predictors of enrolment in the national health insurance scheme. Why are states not adopting the formal sector programme of the. 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 scheme in nigeria public.
Pdf on jan 10, 2016, david adewole and others published nigeria national health insurance scheme. The national health insurance scheme nhis in nigeria was launched in 2005 as part of efforts of the federal government to achieve universal coverage with. This study examined the challenges in the implementation and scaleup of the national health insurance scheme nhis in nigeria. The nigerian national health insurance scheme nhis is planned to attract more resources to the health care sector and. Nigeria will need to devise ingenious means of combating the emerging trend of larger numbers of people afflicted with ncd, such as diabetes. The national health insurance scheme nhis, an agency of the fmoh, regulates health insurance, as well as accredits health maintenance organizations hmos.
In 20, maternal mortality in nigeria is 560 deaths per 100,000 live births. For an important affected person with an occluded coronary artery, percutaneous transluminal coronary angioplasty can amenable the artery without opening torso cavities which is an crucial plus above circumvent medical procedures. 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. National health insurance scheme nhis is a social health insurance programme designed by the federal government of nigeria. Introduction the national health insurance scheme is form of the national health insurance established by the government of ghana with the aim of providing equitable access and financial coverage for the basic health care services to ghanaian citizens. Global analysis of health insurance in subsaharan africa. Plenary session 2 towards innovative healthcare financing experiences from the world. Although the nhis aims to reach all nigerians, government was quick to take cue. The nigerian senate passed the highly controversial national health bill into law following its 3rd reading at the national assembly.
The scheme established under nhis act 2004 by the federal government of nigeria, is aimed at providing easy access to healthcare for all nigerians. Nigerias national health act 2014 was signed into law by president goodluck ebele jonathan on the 9 th of december, 2014. Nigerias national health bill was signed into law by the president on december 9, 2014. National health insurance scheme nigeria pdf anthem blue. Downloadable documents national health insurance scheme. Challenges facing the national health insurance scheme. They include the formal sector social health insurance programmes a public sector federal, states and local governments b organized private sector c armed forces, police and other uniformed services. National health insurance scheme in nigeria pdf discovering the right coverage plan to your family means taking inside consideration the cost of medical center care, the health practitioner or perhaps specialists the fact that may often be desired, and even soon after maintenance.
Repositioning health insurance in nigeria international journal of. The scheme is a social health insurance scheme aimed at providing universal coverage for all nigerians. National health insurance scheme decree no 35 of 1999. Nhis was established under the national assembly act no. The national health insurance scheme nhis, an agency of the fmoh, regulates health insurance, as well as accredits health maintenance organizations.
National health insurance scheme nhis is a health care scheme that was by established by the federal government of nigeria in 2005 for better healthcare delivery to its populace. Providing healthcare services to public service workers in nigeria has not been an easy task. The aim of this study was to determine the proportion of enugu east. Challenges to the scaleup of the nigerian national health. The national health insurance scheme a national health insurance scheme was first proposed in nigeria in 1962 under a bill that was introduced to parliament in the same year by then federal minister of health, dr. The real estate sector in nigeria has struggled for decades contributing less than an average of 7 percent to gdp and under 1 percent to employment. Plot 297, shehu yaradua way, utako district, abuja. This constitutional provision is however not effectively implemented because of the relatively large informal sector and weak administrative capability of the national health insurance authority nhia in ghana. Only 4% of nigerians covered by nhis vanguard news. National health insurance scheme in nigeria prospects and problems abstract the intention of this research is to analyse the prospect and problems of national health insurance scheme in nigeria. The nigerian national health insurance scheme nhis is planned to attract more resources to the health care sector and improve the level of access and utilization of. By promoting greater resources and expanded access to services, hpp will help stakeholders improve the health of women, children, and infants in nigeria. The scheme was to commence in lagos area and provide health services through salaried doctors. Promotion of health sector reforms for health systems strengthening in nigeria.
Despite the rising cost of healthcare services in the country, indications emerged yesterday that only four percent of nigerians have been covered by the national health insurance scheme, nhis. Does national health insurance promote access to quality. The plan to establish a national health insurance scheme in nigeria dates back to 1962. Vcship is gradually phasing out giving way for the nmhip national mobile health insurance program which is inconjonction with the mobile communication industry like mtn etc. Analysis of nigeria health insurance scheme iosr journal. Nigeria has included a regulated communitybased health insurance cbhi model within its national health insurance scheme nhis. Before the advent of the national health insurance scheme nhis, health service to government officials, their dependents and students were supposed to be free. 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. Plenary session 1 ghanas journey to universal health coverage. The implementation of the scheme was accompanied by increased access and use of health care services.
Nphcda national primary health care development agency. Health insurance in nigeria is handled by the nigerian national health insurance scheme nhis which is planned to attract more resources to the health care sector and improve the access, resources, and utilization of healthcare services. Tertiary social health insurance programme is for students in tertiary. Nigeria is among a few african countries that promulgated a national health insurance nhi law. Operationalizing universal health coverage in nigeria through social. 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. The aim of the act is to establish a framework for the regulation, development and management of a national health. The national health insurance scheme nhis is a body corporate established under act 35 of 1999 constitution by the federal government of nigeria to improve the health of all nigerians at an affordable cost. Evidence suggests most health facilities are faced with management challenges in the delivery of. National health insurance scheme nigeria pdf bulk consumers, like employers, see some sort of reason dominate. Understanding nigerias health insurance scheme punch. Operationalizing universal health coverage in nigeria. The act established the framework for the regulation, management and development of a national health system and also set standards for rendering health services and other related matters. With fixed and low income, majority of the public service workers cannot boast of meeting their basic medical needs.
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