Learning from case studies of india, colombia, and thailand. They include the formal sector social health insurance programmes a public sector federal, states and local governments. 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. The effect of ghanas national health insurance scheme on. 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. Understanding nigerias health insurance scheme punch. The federal government introduced the national health insurance scheme nhis because it considered funding health so demanding due to dwindling economy. 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. Nhisnational health insurance scheme health nigeria. Nigerias national health act 2014 was signed into law by president goodluck ebele jonathan on the 9 th of december, 2014. National health insurance in south africa policy paper. Any other services approved by the minister of health.
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 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. 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. Assessing equity in health care through the national. National health insurance scheme decree no 35 of 1999. Communitybased health insurance programmes and the national. Nhisnational health insurance scheme health nairaland. Insurance businesses pay only the doctor a small % of whatever they bill as well as result is undoubtedly multimillion dollars insurance firms. National health insurance scheme nigeria pdf that insures many techniques from medikament to pregnant state. Operationalizing universal health coverage in nigeria through. Nhis medicines list national health insurance scheme. Pdf assessment of national health insurance schemes. We designed this descriptive crosssectional study to investigate the knowledge and opinions of 150 randomly selected adults in urban kano regarding the nhis. However, it has become necessary to develop a new national health policy to.
The universal health insurance scheme uhis has been redesigned targeting only the bpl families. 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. By olanrewaju alabi high level panel on illicit financial flows iff, the federal inland revenue service firs background according to maslows hierarchy of needs theory. 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. The scheme provides equitable access and financial coverage for basic health care services to residents in ghana.
Why are states not adopting the formal sector programme of the. Nhis was established under the national assembly act no. Nhisnational health insurance scheme by upmanagers. 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. Pdf communitybased health insurance programmes and the. Before the advent of the national health insurance scheme nhis, health service to government officials, their dependents and students were supposed to be free.
This study examined the challenges in the implementation and scaleup of the national health insurance scheme nhis in nigeria. Pdf on jan 10, 2016, david adewole and others published nigeria national health insurance scheme. Operationalizing universal health coverage in nigeria through social. 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. Welcome to total health trust quick facts about tht. The national health insurance scheme nhis, an agency of the fmoh, regulates health insurance, as well as accredits health maintenance organizations. Repositioning health insurance in nigeria international journal of. Health insurance scheme nhis since 2005 in nigeria, the.
Downloadable documents national health insurance scheme. Health insurance scheme among formal sector workers in nigeria. The aim of this study was to determine the proportion of enugu east. National health insurance scheme national health insurance. May 28, 2018 it is on the basis of the need to ensure effective healthcare services to all nigerians at an affordable cost that the federal government established the national health insurance scheme under act. Nigeria has included a regulated communitybased health insurance cbhi model within its national health insurance scheme nhis. National health policy 2016 world health organization. Osun state, southwestern nigeria towards the national health insurance. Challenges to the scaleup of the nigerian national health. By promoting greater resources and expanded access to services, hpp will help stakeholders improve the health of women, children, and infants in nigeria.
Global analysis of health insurance in subsaharan africa. Odeyemi iao, communitybased health insurance programs and the national health insurance scheme of nigeria. Medication, namely, prescription medicines on the national health insurance scheme medicines list, traditional medicines approved by the food and drugs board and prescribed by accredited medical and traditional medicine practitioners. Health policy research group, university of nigeria, enugu. Jan 18, 2018 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. Where other peoples work has been used either from a printed source. Predictors of enrolment in the national health insurance scheme among women of reproductive age in nigeria.
Evidence suggests most health facilities are faced with management challenges in the delivery of services. National health insurance scheme nigeria pdf bulk consumers, like employers, see some sort of reason dominate. Download the official copy of the national health act 2014 pdf. Nhis is a health insurance plan programme for every individual in nigeria. Pdf an evaluation of the national health insurance scheme. The national health policy and strategy to achieve health for all nigerians launched in 1988, was nigeria s first comprehensive national health policy. The national housing fund establishment act 2018 what you need to know and ten cogent reasons nigeria cannot afford the new law. An evaluation of the national health insurance scheme in ghana. The scheme is undermined by limitations ranging from very frequent use of the services more than necessary by enrollees, to cost escalation, poor management. A highly subsidized health care program for a privileged few find, read and cite all the. Nigeria is among a few african countries that promulgated a national health insurance nhi law. National health insurance scheme nigeria pdf anthem blue. Universal coverage of health is one of the goals of the united nations and one which every african country, nigeria inclusive strives to achieve.
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. 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. In 2004, ghana began implementation of a national health insurance scheme nhis to minimize outofpocket expenditure at the point of use of service. Awareness and coverage of the national health insurance scheme.
While attempting to identify some sources of health care financing in nigeria, the core concern of this paper however, is to explore theoretically and empirically the nature and the structure of the national health insurance scheme nhis in nigeria. Pdf an evaluation of the national health insurance. Nigerias leading health insurance provider liberty health. Predictors of enrolment in the national health insurance. This study compares health and economic indicators, describes the structure of each countrys nhis within the wider healthcare system, and analyses impacts on. The implementation of the scheme was accompanied by increased access and use of health care services. With fixed and low income, majority of the public service workers cannot boast of meeting their basic medical needs. Communitybased health insurance programmes and the.
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. Predictors of enrolment in the national health insurance scheme. Overview of the national health insurance scheme in nigeria. In 20, maternal mortality in nigeria is 560 deaths per 100,000 live births. Nhis is to provide social health insurance in nigeria where health care services of contributors are paid from the common pool of funds. Adewole da, adebayo am, udeh ei, shaahu vn, dairo md.
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. 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. Tht was founded in 1997 and commenced operations in june 1998 tht is nigeria s leading health maintenance organisation hmo tht won the nigerian healthcare excellence award for hmo of the year in 2016 and 2017 tht is hmo of choice to over 300 000 members from continued. Evaluation of national health insurance scheme nhis. The fundamental concept of health insurance is risk sharing and burden bearing. Studies were analyzed based on its relevance to the nigeria health care system. South africa is in the process of introducing an innovative system of healthcare financing with far reaching consequences on the health of south africans. Pdf the national health insurance scheme and its implication for. National health insurance schemes national health portal of. National health insurance scheme decree nigerialaw. The effect of the national health insurance scheme nhis on.
The federal military government hereby decrees as follows. 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. 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. The scheme established under nhis act 2004 by the federal government of nigeria, is aimed at providing easy access to healthcare for all nigerians. The national health insurance scheme nhis, an agency of the fmoh, regulates health insurance, as well as accredits health maintenance organizations hmos. 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. The national health insurance scheme and its implication for elderly care in nigeria. 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. Providing healthcare services to public service workers in nigeria has not been an easy task.
Plot 297, shehu yaradua way, utako district, abuja. Pdf predictors of enrolment in the national health. Promotion of health sector reforms for health systems strengthening in nigeria. Nphcda national primary health care development agency.
The national health insurance levy nhil, which is 2. What is known today as the nati onal health insurance scheme nhis was fir st intr oduced in nigeria in 1 962 under the lead ership of the then. Communitybased health insurance programmes and the national health insurance scheme of nigeria. After many attempts at having legislation on health insurance since the 1960s, the nhis, although established in 1999, became operational in 2005 to ensure access to quality healthcare services, provide financial risk protection, reduce rising cost of healthcare services and ensure efficiency in healthcare.