Operationalizing universal health coverage in Nigeria through social health insurance

Nigerian Medical Journal : Journal of the Nigeria Medical Association
Arnold Ikedichi Okpani, Seye Abimbola

Abstract

Nigeria faces challenges that delay progress toward the attainment of the national government's declared goal of universal health coverage (UHC). One such challenge is system-wide inequities resulting from lack of financial protection for the health care needs of the vast majority of Nigerians. Only a small proportion of Nigerians have prepaid health care. In this paper, we draw on existing evidence to suggest steps toward reforming health care financing in Nigeria to achieve UHC through social health insurance. This article sets out to demonstrate that a viable path to UHC through expanding social health insurance exists in Nigeria. We argue that encouraging the states which are semi-autonomous federating units to setup and manage their own insurance schemes presents a unique opportunity for rapidly scaling up prepaid coverage for Nigerians. We show that Nigeria's federal structure which prescribes a sharing of responsibilities for health care among the three tiers of government presents serious challenges for significantly extending social insurance to uncovered groups. We recommend that rather than allowing this governance structure to impair progress toward UHC, it should be leveraged to accelerate the process by supporting...Continue Reading

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Citations

Apr 27, 2017·Global Public Health·Kilian N AtuoyeIsaac Luginaah
Aug 4, 2018·The International Journal of Health Planning and Management·Chukwuemeka A Umeh
Aug 10, 2018·The International Journal of Health Planning and Management·Olusesan Ayodeji MakindeDavid Boone
Jan 23, 2020·Health Policy and Planning·Heleen E NelissenAnja H Van't Hoog
Sep 15, 2018·Journal of Pharmaceutical Policy and Practice·Ademola Joshua Itiola, Kenneth Anene Agu
Dec 15, 2019·The International Journal of Health Planning and Management·Gladys N EbunohaObinna E Onwujekwe
Mar 21, 2021·Journal of Immigrant and Minority Health·Miriam O EzenwaDiana J Wilkie
Jun 16, 2021·World Neurosurgery·Danjuma Sale, Happy Dauda Amos
Aug 6, 2021·JCO Global Oncology·Chidinma P Anakwenze AkinfenwaAtara Ntekim

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