For reasons ranging from lack of funds and conflicting needs to long wait times and complicated registration processes, the average Nigerian prefers to self-medicate or go to the neighborhood pharmacy or pharmacy when does not feel well, rather than see a doctor.
Very few Nigerians can afford the services of private hospitals, let alone have health insurance. This means that when medical emergencies arise, they end up paying out of pocket. Available data showed that in 2016, direct health expenditure in
The National Health Insurance Scheme (NHIS) in
The Delta State Contributory Health Plan
The Delta State Contributory Health Scheme was established in 2017 to provide quality, affordable health care to all residents of the Delta State. The scheme is managed by the
The program has registered more than one million lives since its inception. The enrolled pay an annual premium applicable to the plan they choose, allowing them access to quality health care in approved institutions under the scheme at no extra cost.
The program offers four plans designed to meet the needs of all residents of Delta State, regardless of their social or financial status. The plan for the formal sector is for officers and employees of the organized private sector; for the plan is for individuals in the informal sector, such as artisans, merchants and laborers, registrants pay a flat rate
The program’s equity plan plays a major role in increasing positive maternal and child health outcomes, one of the program’s goals. People who fall into this category are pregnant women, children under 5, men and women over 65, and people with physical or mental disabilities. The program built on the state’s existing free maternity and under-5 program to achieve this. The state government ensures the sustainability of the equity plan through investment partnerships with the
What are the factors responsible for these encouraging figures?
Delta State has enrolled around one million of its more than 5 million citizens, or about 17% of its citizens. Obasa Lilian Chineyeye,
One of the factors responsible for the increased enrollment of people of Delta State is advocacy and commitment continuing the community. The meeting DSCHC municipal unions, alumni and stakeholders in the community, and the political groups to raise awareness of the benefits of enrolling in the program. The testimonies of the beneficiaries are another powerful tool for membership. Sir
To ensure effective coordination, the Director General of the Commission, Dr Ben Nkechika, has established several teams, including Technical Compliance, Process Monitoring and Technical Integration teams to oversee the process and correct the course over time. gradually. These teams are all locally staffed and the program is run without development aid or support, which further promotes ownership.
Clinton Ekaeze, technical assistant to the Commission DG underlined that access to funding programs has enabled health establishments to be fully operational 24/7 in neighboring communities, where this was not possible. possible before. Mr. Ekaeze also noted that partnerships with pharmaceutical companies have facilitated access to quality medicines. Ekaeze and Martin both agree that developing tailor-made solutions to solve unique condition problems, rather than simply copying what others have done, has greatly contributed to the program’s nascent success.
The impact of the DSCHC underlines the essential role of public-private partnerships (PPP) in the delivery of health care. A good example of the PPP landscape in
What needs to work?
While guaranteeing access to quality health care is one of the main objectives of the Scheme, it has been a constant struggle to achieve it, as the actual functioning of health establishments is not completely under the influence of the government. Diet. For example, according to Dr. Owuigho Oghene, the strike actions of health personnel prevent beneficiaries from accessing quality health services 24/7, despite the payment of capitations to health facilities. According to comrade Bulu Martin, there were also cases where beneficiaries had to pay for certain services such as blood transfusion even though the insurance premium covered them, due to the duplicity of the agents of the health establishments.
Collaboration and cooperation between health workers and health facilities remains a challenge that must be met in order to make full progress towards universal health coverage. In addition, key DSCHC stakeholders report that although some progress has been made in registering the informal sector, it has not happened as quickly as needed to ensure that more residents have access to quality and affordable health care.
While the road traveled so far has not been without challenges, DSCHC is proud of the progress of the program so far and is ready to do even more. According to Dr Ben Nkechika, the state is looking to achieve an additional 20% coverage over the next four years.
Of the 34 states that have passed health insurance laws, different levels of progress have been observed in progress towards universal health coverage. As we mark World UHC Day in a few days, we encourage states to continue to collaborate and learn from each other to improve access to care.