Nigeria has two groups of health insurance companies. Census bureau has been the data collection agent for the national health interview survey. 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. The 2016 nhis paradata file contains data about the nhis data collection process. The national health insurance scheme nhis is a body corporate established under act 35 of 1999 constitution by the federal government of nigeria to. Social protection is, therefore, concerned with preventing. 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 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. Provides regulatory oversight to health maintenance organizations.
The national health insurance scheme, nhis, has reaccredited 39 health maintenance organizations, hmos, after what it described as a thorough process of revalidating the health care organisations. Nhis standard treatment guidelines and referral protocol ii. We designed this descriptive crosssectional study to investigate the knowledge and opinions of 150 randomly selected adults in urban kano regarding the nhis. This study therefore set to investigate the potency of nhis and employees access to quality and affordable healthcare in cross river state, nigeria. Health insurance scheme among formal sector workers in nigeria. Poor health indices exemp lified by low life expectanc y at 54 years, high infant and u nder 5 mortality rates of 8 8 and. 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. Eight studies reported the impact of nhis on financial protection 456910 11 12. Awareness and coverage of the national health insurance scheme. 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 nhis provides health insurance coverage for employees of the federal government. Access care once the name is on the current nhis enrollee register after proper identification.
National health insurance scheme nhis, abuja, federal. First nhis management meeting as he assumed office at nhis hqtrs. Therefore, we have decided to educate the masses on this topic. Nigeria has included a regulated communitybased health insurance cbhi model within its national health insurance scheme nhis. Through its various platforms, nigeria health watch provides informed commentary and indepth analysis of health issues in nigeria, always in good conscience. This study examined the challenges in the implementation and scaleup of the national health insurance scheme nhis in nigeria. It may be used as a standalone data file or linked to the nhis 2016 health data files. However, not everyone knows about the nhis nigeria operational guidelines. Authors contribution the sole author designed, analyzed and interpreted and prepared the manuscript. Lessons from nigeria and ghana christian aid is an international development agency that insists the world can and must be swiftly changed to one where everyone can live a full life. Life assurance premium, a deduction of the actual amount of any premium paid by the individual during the year preceding the year of assessment. When the nhis was established under act 35 of 1999 by the federal government of nigeria, its aim was to provide easy access to healthcare for all nigerians at an affordable cost through various.
Responsiveness of health care services in low and middle income countries has been given little attention. National health insurance scheme decree nigerialaw. Tertiary institutions social health insurance programme 07 2. Curated by knoemas data analysts to deliver leading shortterm and longterm indicators and forecasts from trusted sources for each of the covered industries. The introduction of the national health insurance scheme nhis in ghana in 2003 significantly contributed to improved health services utilization and health outcomes. However, stagnating active membership, reports of poor quality health care rendered to nhisinsured clients and cost escalations have raised concerns on the operational and. Assessing responsiveness of health care services within a. One of these nhis piloted schemes is the ijah mha, located in tafa lga, niger state. Prescribed drugs, pharmaceutical care and diagnostic. It is only now that the present government in nigeria is trying to fasttrack the implementation of the nhis law. Awareness and perception of national health insurance scheme nhis among radiographers in south east nigeria. 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.
The guardian nigeria newspaper brings you the latest headlines, opinions, political news, business reports and international news. Downloadable documents national health insurance scheme. Does national health insurance promote access to quality. National health insurance scheme nhis facilitate fairfinancing of healthcare costs. Many of the reasons advanced to these enrollees by these providers are unacceptable. The national health interview survey nhis has monitored the health of the nation since 1957. Hmos act as purchasers under the nhis and pay providers by a mix of. Nhis questionnaires, datasets, and related documentation.
Enrolees from the community contributed a fixed amount, n120 per individual per month. Treatment at the nearest nhis accredited healthcare faclilities on emergency. Nhis data on a broad range of health topics are collected through personal household interviews. Despite being introduced over a decade ago in many developing countries, national health insurance schemes have yet to be evaluated in terms of responsiveness of health care services. Other smallscale cash transfers include a child savings scheme in bayelsa state and a disability allowance in jigawa.
For quite some time now, nigerian citizens have been able to use the national health insurance scheme. Although the nhis aims to reach all nigerians, government was quick to take cue. Odeyemi iao, communitybased health insurance programs and the national health insurance scheme of nigeria. Adeniji 1 1department of preventive and social medicine, faculty of clinical sciences, university of port harcourt, rivers state, nigeria. Add or remove dependants subject to approval by nhis. The effect of ghanas national health insurance scheme on. Nigeria health watch uses informed advocacy and communication to influence health policy and seek better health and access to healthcare in nigeria.
Nigeria went down the nhis route the easiest way and it is time we come back to the drawing board to make it work. Although this responsiveness has been evaluated in many developed countries, it has rarely been done. More information, including an overview of nhis unique identifiers, ipums nhis linking keys, and general guidance on how to link variables from nhis public use files to an ipums nhis data extract, can be found in a user note on linking. Nigeria has introduced national health insurance scheme nhis as a financial risk protection option against ill health. In ijah, first an association was formed for the purpose and a bot was elected to manage the programme. Harmonized guidelines for the administration, disbursement, monitoring and fund management of the basic healthcare provision fund federal ministry of health fmoh, national health insurance scheme nhis and the national primary health care development agency nphcda december 2016. Awareness, knowledge and perception of the national health. The paradata file description document gives an overview of the 2016 paradata file, including information about the sample design, weighting, and variables found on the file. Limited knowledge of the nhis objectives was also reported in a similar study in nigeria where a significant number 70% of the respondents had poor knowledge of the objectives of nhis 19 okaro ao, ohagwu cc, njoku j. Learning from case studies of india, colombia, and thailand.
Ossap mdgs office of the senior special assistant to the president on the mdgs. In addition to the general guidance offered by this user note, sample stata and sas programs are provided to. Programmes in order to ensure that every nigerian has access to good healthcare services, the national health insurance scheme has developed various. Plot bp 873, baba ajuji house, opposite uba bank, lafiajos express way, lafia, nasarawa state. Harmonized guidelines for the administration, disbursement. Benefit package for participants in the national health insurance scheme the nhis has recently been inundated with various complaints from enrollees in the scheme concerning the poor health care services being rendered to them by many providers. Nhis public and several other hmos, private the nhis receive 10% contribution from workers salary workers are responsible for choosing own hmo as care providers within the nhis system the nhis was. Operationalizing universal health coverage in nigeria through social.
The potential for cash transfers in nigeria vii effectiveness of cash transfers there are currently two main cash transfers being implemented in nigeria both are conditional. The national health insurance scheme as a tool is my own work. Challenges to the scaleup of the nigerian national health. The thesis achieving universal health coverage in nigeria. Pdf national health insurance scheme nhis and employees.
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