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. We designed this descriptive crosssectional study to investigate the knowledge and opinions of 150 randomly selected adults in urban kano regarding the nhis. The aim of this study was to determine the proportion of enugu east. Nhis medicines list national health insurance scheme. The national health insurance scheme nhis, an agency of the fmoh, regulates health insurance, as well as accredits health maintenance organizations. Downloadable documents national health insurance scheme. Welcome to total health trust quick facts about tht. 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 effect of the national health insurance scheme nhis on. In 2004, ghana began implementation of a national health insurance scheme nhis to minimize outofpocket expenditure at the point of use of service. The scheme provides equitable access and financial coverage for basic health care services to residents in ghana.
Nhis was established under the national assembly act no. The national health insurance scheme and its implication for elderly care in nigeria. By promoting greater resources and expanded access to services, hpp will help stakeholders improve the health of women, children, and infants in nigeria. National health insurance scheme decree nigerialaw. National health insurance in south africa policy paper.
The scheme is undermined by limitations ranging from very frequent use of the services more than necessary by enrollees, to cost escalation, poor management. Recently, the national health insurance scheme nhis has begun to incorporate family planning services into its various benefits packages. 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. 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. Nigeria has included a regulated communitybased health insurance cbhi model within its national health insurance scheme nhis. 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. Pdf an evaluation of the national health insurance scheme. The federal government introduced the national health insurance scheme nhis because it considered funding health so demanding due to dwindling economy. National health insurance scheme decree no 35 of 1999.
Learning from case studies of india, colombia, and thailand. 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. The national housing fund establishment act 2018 what you need to know and ten cogent reasons nigeria cannot afford the new law. The federal military government hereby decrees as follows. The fundamental concept of health insurance is risk sharing and burden bearing.
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 is a body corporate established under act 35 of 1999 constitution by the federal government of nigeria to improve the health. Nigerias leading health insurance provider liberty health. Nhisnational health insurance scheme health nigeria. Pdf the national health insurance scheme and its implication for. Insurance businesses pay only the doctor a small % of whatever they bill as well as result is undoubtedly multimillion dollars insurance firms.
The universal health insurance scheme uhis has been redesigned targeting only the bpl families. 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. 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. They include the formal sector social health insurance programmes a public sector federal, states and local governments. A highly subsidized health care program for a privileged few find, read and cite all the. Global analysis of health insurance in subsaharan africa. Osun state, southwestern nigeria towards the national health insurance. 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. The study aims to examine the predictors of enrolment in the nhis among women of.
Studies were analyzed based on its relevance to the nigeria health care system. 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. 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. However, it has become necessary to develop a new national health policy to. Nhis is to provide social health insurance in nigeria where health care services of contributors are paid from the common pool of funds. 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 policy and strategy to achieve health for all nigerians launched in 1988, was nigeria s first comprehensive national health policy. Nhisnational health insurance scheme health nairaland. 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 scheme nigeria pdf anthem blue. 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.
The implementation of the scheme was accompanied by increased access and use of health care services. 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 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. 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. Download the official copy of the national health act 2014 pdf. This study examined the challenges in the implementation and scaleup of the national health insurance scheme nhis in nigeria. Where other peoples work has been used either from a printed source. Payment for health care and perception of the national health insurance scheme in a rural area in southwest nigeria. The national health insurance scheme is a form of social intervention established by the government of ghana in the year 2003.
Adewole da, adebayo am, udeh ei, shaahu vn, dairo md. Challenges to the scaleup of the nigerian national health. Predictors of enrolment in the national health insurance scheme among women of reproductive age in nigeria. Odeyemi iao, communitybased health insurance programs and the national health insurance scheme of nigeria. This study compares health and economic indicators, describes the structure of each countrys nhis within the wider healthcare system, and analyses impacts on. Evidence suggests most health facilities are faced with management challenges in the delivery of services. Nigerias national health act 2014 was signed into law by president goodluck ebele jonathan on the 9 th of december, 2014. Pdf an evaluation of the national health insurance. 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. Nphcda national primary health care development agency. National health insurance scheme national health insurance.
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. Pdf on jan 10, 2016, david adewole and others published nigeria national health insurance scheme. Overview of the national health insurance scheme in nigeria. National health insurance scheme nigeria pdf bulk consumers, like employers, see some sort of reason dominate. Nigeria is among a few african countries that promulgated a national health insurance nhi law. Communitybased health insurance programmes and the national. In 20, maternal mortality in nigeria is 560 deaths per 100,000 live births. Repositioning health insurance in nigeria international journal of. Universal coverage of health is one of the goals of the united nations and one which every african country, nigeria inclusive strives to achieve. Evaluation of national health insurance scheme nhis. Promotion of health sector reforms for health systems strengthening in nigeria. Predictors of enrolment in the national health insurance scheme. Health policy research group, university of nigeria, enugu. The national health insurance levy nhil, which is 2.
Niprd national institute for pharmaceutical research and development. National health insurance scheme nigeria pdf that insures many techniques from medikament to pregnant state. National health policy 2016 world health organization. The effect of ghanas national health insurance scheme on. Operationalizing universal health coverage in nigeria through social. Why are states not adopting the formal sector programme of the. Health insurance scheme nhis since 2005 in nigeria, the. The national health insurance scheme nhis, an agency of the fmoh, regulates health insurance, as well as accredits health maintenance organizations hmos.
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. Pdf predictors of enrolment in the national health. 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. With fixed and low income, majority of the public service workers cannot boast of meeting their basic medical needs. Awareness and coverage of the national health insurance scheme. Understanding nigerias health insurance scheme punch. 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. 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.
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. 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. Health insurance scheme among formal sector workers in nigeria. 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.
A prepayment scheme for health through the national health insurance scheme nhis was commenced in nigeria. Assessing equity in health care through the national. Pdf assessment of national health insurance schemes. Nhis is a health insurance plan programme for every individual in nigeria. Predictors of enrolment in the national health insurance. 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. Operationalizing universal health coverage in nigeria through. The national health insurance scheme nhis in nigeria. Challenges facing the national health insurance scheme. Communitybased health insurance programmes and the. National health insurance schemes national health portal of. Any other services approved by the minister of health. Communitybased health insurance programmes and the national health insurance scheme of nigeria. Providing healthcare services to public service workers in nigeria has not been an easy task.