Administrative Challenges of the National Health Insurance Scheme in Nigeria
Abstract
The study empirically examined the challenges health administrators encounter in the usage of the National Health insurance scheme and the possible ways of handling those challenges. A descriptive study design was employed using key informant interview approach. Nine (9) respondents were handpicked for the study. The study revealed that administrators experience great challenges ranging from: inadequate implementation policies, low level of awareness ineffective mode of payment etc. To this end, the study recommends that mass sensitization should be encouraged, strict administrative and regulatory oversight be harnessed, increase in usage of information and communication technology. These issues the stakeholders need to address in order to ensure reduced challenges to boost healthcare provision to the beneficiaries.
Keywords
Administrative challengeshealth insurancehealth coveragecare providers
References
Adei D, Amankwah E, Mireku IS. An Assessment of the National Health Insurance Scheme in the Sekyere South District, Ghana. Current Research Journal Social Science. 2015;7(3):67–80. Adewole DA, Adebayo AM, Udeh EI, Shaahu VN, Dairo MD. Payment for health care and perception of the national health insurance scheme in a rural area in Southwest Nigeria. Am J Trop Med Hyg. 2015;93(3):648–54. Adewole DA, Osungbade KO. Nigeria National Health Insurance Scheme: a highly subsidized health care program for a privileged few. Int J Trop Dis Health. 2016;19(3):1–11. Adewole DA. The impact of political institution and structure on health policy making and implementation: Nigeria as a case study. Afr J Med Med Sci. 2015;44(1):101–5. Adewole MD. Assessment of design and anticipated challenges in the implementation of State Supported Health Insurance Scheme in a South West State, Nigeria. Afr J Med Med Sci. 2019;48(4):493–505. Agba A, Ushie E, Osuchukwu N. National Health Insurance Scheme (NHIS) and employees? access to healthcare services in cross river state, Nigeria. Glob J Hum Soc Sci. 2010;10:9–16. Amo HF, Ansah-Adu K, Simpson SN. The provider payment system of the National Health Insurance Scheme in Ghana. Stud Sociol Sci. 2013;4(1):9. Arin D, Hongoro C. Scaling up national health insurance in Nigeria: learning from case studies of India, Colombia, and Thailand. Washington DC: Futures Group Health Policy Project; 2013. Boutayeb A. The double burden of communicable and non-communicable diseases in developing countries. Trans R Soc Trop Med Hyg. 2006;100(3):191–9. Bu?oi CS. Health systems and the influence of political ideologies. Managing Health. 2010;14(2):6. Carrin G, James C, Adelhardt M, et al. Health financing reform in Kenya – assessing the social health insurance proposal. S Afr Med J. 2007;97:130-5. Carrin G, James C. Social health insurance: Key factors affecting the transition towards universal coverage. Int Soc Secur Rev. 2005;58:45-64. Cassells A. Health sector reform: key issues in less developed countries (WHO/SH5/NHP/95.4). Geneva: WHO; 1995. Chuma J, Mulupi S, Mcintyre D. Providing financial protection and funding health service benefits for the informal sector: Evidence from sub-Saharan Africa. London: KEMRI— Wellcome Trust Research Programme, University of Cape Town; 2013. Elaigwu J. I. Nigerian federalism under civilian and military regimes. Publius: J Federalism. 1988;18(1):173–88. Etobe U.E. The National Health Insurance Scheme and Its Implication for Elderly Care in Nigeria. Int J Sci Res. 2013;4(2):2319–7064. Ezeoke OP, Onwujekwe OE, Uzochukwu BS. Towards universal coverage: examining costs of illness, payment, and coping strategies to different population groups in southeast Nigeria. Am J Trop Med Hyg. 2012;86(1):52–7. Gilson L, Kalyalya D, Kuchler F, Lake S, Oranga H, Ouendo M. Strategies for promoting equity: experience with community financing in three African countries. Health Policy. 2001;58(1):37–67. Iloh GU, Ofoedu J, Njoku P, Okafor G, Amadi A, Godswill-Uko E. Satisfaction with quality of care received by patients without national health insurance attending a primary care clinic in a resource. Poor environment of a tertiary hospital in eastern Nigeria in the Era of scaling up the Nigerian formal; 2013. Jegede AS. What led to the Nigerian Boycott of the Polio Vaccination Campaign? PLoS Med. 2007;4(3):e73. Kamuzora P, Gilson L. Factors influencing implementation of the Community Health Fund in Tanzania. Health Policy Plan. 2007;22(2):95–102. Kutzin J. Health insurance for the formal sector in Africa: “Yes, but...”; 1997. Layton TJ, McGuire TG, Sinaiko AD. Risk corridors and reinsurance in health insurance marketplaces: insurance for insurers. Am J Health Econ. 2016;2(1):66–95. Lee PR, Estes CL. New federalism and health policy. Ann Am Acad Pol Soc Sci. 1983;468(1):88–102. Logie DE, Rowson M, Ndagije F. Innovations in Rwanda's health system: looking to the future. Lancet. 2008;372(9634):256–61. Mcintyre D, Garshong B, Mtei G, Meheus F, Thiede M, Akazili J, Ally M, Aikins M, Mulligan JA, Goudge J. Beyond fragmentation and towards universal coverage: insights from Ghana, South Africa and the United Republic of Tanzania. Bull World Health Organ. 2008;86(11):871–6. Mills A, Bennett S. Lessons on the sustainability of health care funding from low-and middle -income countries. In: Mossialos E, Dixon A, Figueras J, Kutzin J, editors. Funding health care: options for Europe. Buckingham-Philadelphia: Open University Press; 2002. p. 206–25. Ministry of Health Kigali. In: Health, M. O, editor. Republic of Rwanda: Annual report; 2008. National Health Insurance Scheme Operational. National Health Insurance Scheme Operational Guidelines Revised. 2012a. National Health Insurance Scheme Operational. NHIS Operational Guidelines (Revised). 2012b. Available from:https://www.nhis.gov.ng/file/repository/NHIS_Operational_Guidelines.pdf Acces sed 12 Dec 2016. National Health Insurance Scheme. Standard treatment guidelines and referral protocol for primary health care providers. 2005. Normand C. Using social health insurance to meet policy goals. Soc Sci Med. 1999;48(7):865– 70. Obama B. United States health care reform: progress to date and next steps. Jama. 2016;316(5):525–32. Odeyemi IAO. Community-based health insurance programmes and the national health insurance scheme of Nigeria: challenges to uptake and integration. Int J Equity Health. 2014;13:20. Ogaboh A. National Health Insurance Scheme (NHIS) and employees’ access to healthcare services in cross river state, Nigeria. Glob J Human-Soc Sci Res. 2010;10:7. Onoka C, Onwujekwe O, Uzochukwu BS, Ezumah N. Promoting universal financial protection: constraints and enabling factors in scaling-up coverage with social health insurance in Nigeria. Health Res Policy Syst. 2013a;11:20. Onoka CA, Hanson K, Hanefeld J. Towards universal coverage: a policy analysis of the development of the National Health Insurance Scheme in Nigeria. Health Policy Plan. 2015;30(9):1105–17. Onoka CA, Onwujekwe OE, Uzochukwu BS, Ezumah NN. Promoting universal financial protection: constraints and enabling factors in scaling-up coverage with social health insurance in Nigeria. Health Res Policy Syst. 2013b;11(1):1. Onwujekwe O, Velenyi E. Feasibility of voluntary health insurance in Nigeria. Washington DC: The World Bank; 2006. Onwujekwe, O, Okereke, E, Onoka C, Uzochukwu B, Kirigia J, Petu A. Willingness to pay for community-based health insurance in Nigeria: do economic status and place of residence matter? Health Policy Plan. 2010;25(2):155–61. Onyedibe KI, Goyit MG, Nnadi NE. An evaluation of the National Health Insurance Scheme (NHIS) in Jos, a north-central Nigerian city; 2012. Osungbade KO, Obembe TA, Oludoyi A. Users’ Satisfaction with Services Provided Under National Health Insurance Scheme in South Western Nigeria; 2014. Owumi B, Adeoti A, Patricia AT. National Health Insurance Scheme dispensing outreach and maintenance of health status in Oyo State. Int J Humanit Soc Sci Invent. 2013;2(5):37– 46. Owusu M. NPP Demo hits NHIS capitation’. Daily Guide. 2012. [Online]. Available from: http: //www.dailyguideghana.com/?p=39648. Accessed 5 Jan 2017. Saltman R, Rico A, Boerma W. Social health insurance systems in western Europe. UK: McGraw-Hill Education; 2004. Sanusi R, Awe A. An assessment of awareness level of national health insurance scheme (NHIS) among health care consumers in Oyo State, Nigeria. Soc Sci. 2009;4(2):143–8. Saraki AB. Nigerian farmers rejoice in pilot insurance plan. Bull World Health Organ. 2010;88:329–30. Spaan E, Mathijssen J, Tromp N, Mcbain F, Have A, Baltussen R. The impact of health insurance in Africa and Asia: a systematic review. Bull World Health Organ. 2012;90(9):685–92. The American Heritage
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