These measurements evaluate the extent to which various aspects of the schemes meet their key objectives. Mar 06, 2018 describes the history of nhis injury and poisoning questions and provides tools for identifying, accessing, and using nhis injury and poisoning data. This conversion was carried out because the resultant binary variables. Less than 5% of nigerians covered by nhis official today. The national health insurance scheme is a form of social intervention established by the government of ghana in the year 2003. Awareness and coverage of the national health insurance scheme. Assessing responsiveness of health care services within a. Alhaji abdusalami abubaker enacted nhis into military law on 10th of may, 1999, but the nigerian public had to wait 40 more years for the nhis to become official. Nhis, hmos disagree over n381b for healthcare the guardian. To meet this challenge, the government in nigeria constituted various panels whose recommendations culminated in the enactment of the national health insurance scheme act, 1999 nhis law.
Downloadable documents national health insurance scheme. These hmos have contributed significantly to policy advocacy, regulatory framework, healthcare delivery and the development of the nations health insurance market. Nhisnational health insurance scheme by upmanagers. Repositioning health insurance in nigeria international journal of. National health insurance scheme nhis, abuja, federal. National health insurance scheme decree nigerialaw.
Programmes in order to ensure that every nigerian has access to good healthcare services, the national health insurance scheme has developed various. This paper examines the performance of nigerias nhis related to oru. The executive secretary of the national health insurance scheme nhis, prof. Abuja has been the capital of nigeria since december 12, 1991. Therefore, we have decided to educate the masses on this topic. Nigeria s national health act 2014 was signed into law by president goodluck ebele jonathan on the 9 th of december, 2014. Nhis charges hmos to be innovative, flexible the guardian. Evaluation of health insurance implementation in nigeria. Payment for health care and perception of the national health insurance scheme in a rural area in southwest nigeria.
According to preliminary results of the 2006 census and subsequent estimates, the most populous cities in nigeria are lagos about 8 million, kano 3. Looking for online definition of nhis or what nhis stands for. For inquiries or suggestions, nhis staff may be contacted by mail, phone, or email at. Communitybased health insurance programmes and the national. The effect of ghanas national health insurance scheme on. However, not everyone knows about the nhis nigeria operational guidelines. Plot bp 873, baba ajuji house, opposite uba bank, lafiajos express way, lafia, nasarawa state. 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. An evaluation of the national health insurance scheme nhis in jos.
It is only now that the present government in nigeria is trying to fasttrack the implementation of the nhis law. Health insurance scheme among formal sector workers in nigeria. This study assesses the implementation of a health insurance scheme using optimal resource use domains and examines possible. Usman yusuf, has charged the 48 health maintenance. National health insurance scheme nhis facilitate fairfinancing of healthcare costs. Health insurance scheme among formal sector workers in nigeria 2 afr. Awareness and perception of national health insurance scheme.
The nhis has had limited success in rolling out communitybased health insurance cbhi in nigeria. They include the formal sector social health insurance programmes a public sector federal, states and local governments. 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. Contacts address and nhis nigeria functions gmposts. Attempts by successive governments met with vigorous opposition either from the labour unions or bickering among health care professionals. Nigeria went down the nhis route the easiest way and it is time we come back to the drawing board to make it work. National health insurance scheme nhis is a health care scheme established by the federal. Yusuf usman, has disagreed with health maintenance organisations hmos over the. The scheme provides equitable access and financial coverage for basic health care services to residents in ghana. Nhis special topics from the national health interview survey. The law makes it compulsory for all ghanaians to join a health insurance scheme in ghana. Adewole da, adebayo am, udeh ei, shaahu vn, dairo md.
The united nations have seventeen sustainable development goals, of which number three is ensure healthy lives and promote wellbeing for all at all age. Operationalizing universal health coverage in nigeria through. Provides regulatory oversight to health maintenance organizations hmos and participating healthcare providers. 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. A nigerian newspaper and online version of the vanguard, a daily publication in nigeria covering nigeria news, niger delta, general national news, politics, business, energy, sports. Businessday presents insights from the leading hmos in nigeria. Although this responsiveness has been evaluated in many developed countries, it has rarely been done in. Analysis of health financing in canada, nigeria and ghana.
Standardized variables that convert the various time unit responses to. Nhis is listed in the worlds largest and most authoritative dictionary database of abbreviations and acronyms the free dictionary. Provide users of the nhis with indepth information on race and hispanic origin, two of the most important demographic variables that are collected in the survey. Why are states not adopting the formal sector programme of the. Prescribed drugs, pharmaceutical care and diagnostic. 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. Generalised appraisal of nhis in nigeria the nigeria nhis is a social health insurance programme ship which continues the principle of socialism being brothers keeper with that of insurance pooling of risks and resources. Nhis questionnaires, datasets, and related documentation. Describes the history of nhis injury and poisoning questions and provides tools for identifying, accessing, and using nhis injury and poisoning data. Nhis standard treatment guidelines and referral protocol ii. 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 acting executive secretary of national health insurance scheme, mallam attahiru ibrahim, says less than 5 per cent of nigerias population has been covered by the scheme. This study assesses the implementation of a health insurance scheme using optimal resource use domains and.
Mar 14, 2014 performance measures are often neglected during the transition period of national health insurance scheme implementation in many low and middle income countries. A nigerian newspaper and online version of the vanguard, a daily publication in nigeria covering nigeria news, niger delta. The crisis rocking the national health insurance scheme, nhis, has taken a new dimension, as the executive secretary of the federal government. 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. Provides regulatory oversight to health maintenance organizations. The nhis is a body corporate established under act 35 of 1999 by the federal. Performance evaluation of a health insurance in nigeria using. Eight studies reported the impact of nhis on financial protection 456910 11 12. Nigerias economy exceeds world banks projection, grows by 2. Under the constitution, each of the three regions retained a substantial measure of selfgovernment. Although this responsiveness has been evaluated in many developed countries, it has rarely been done. For quite some time now, nigerian citizens have been able to use the national health insurance scheme. 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. This is a major reason for the idea of a national health insurance scheme nhis in nigeria, which was first considered in 1962 4 and its established operations in 2005 5.
Health management information system in nigeria dr aa abubakar department of community medicine ahmadu bello university zaria nigeria learning objectives at the end of this lecture you should be able to. Nigeria has included a regulated communitybased health insurance cbhi model within its national health insurance scheme nhis. National health insurance scheme easy access to health care for all. In nigeria, the national health insurance scheme nhis was established in 2005 with the aim of. 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. Challenges to the scaleup of the nigerian national health. Despite the implementation of the national health insurance scheme nhis since 2005 in nigeria, the level of health. This study examined the challenges in the implementation and scaleup of the national health insurance scheme nhis in nigeria.
Nigeria gained full independence in october 1960, as a federation of three regions northern, western, and eastern under a constitution that provided for a parliamentary form of government. The nigeria time converter calculates the number of hours between nigeria and different locations with daylight saving time adjustments. We designed this descriptive crosssectional study to investigate the knowledge and opinions of 150 randomly selected adults in urban kano regarding the nhis. Problems of nigeria health sector and possible solutions. Government of nigeria in 2005 for better healthcare delivery to its populace.
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. The national health insurance levy nhil, which is 2. 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. Osun state, southwestern nigeria towards the national health insurance. Nhis was established under the national assembly act no. The national health insurance scheme nhis took off in 2005. Performance measures are often neglected during the transition period of national health insurance scheme implementation in many low and middle income countries. 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. The five hmos are avon hmo limited, aiico multishield, healthcare international, hygeia nigeria and total health trust tht. Learning from case studies of india, colombia, and thailand. Responsiveness of health care services in low and middle income countries has been given little attention.
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