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NIGERIA COUNTRY TEAM

NIGERIA COUNTRY TEAM . AFRICA HEALTH INSURANCE WORKSHOP Accra, Ghana, October 19-23, 2009. Country Team. Alhaji Umar Namadi – General Manager , Contribution Management Aliyu Hamza – Assistant General Manager in charge of CBHI Nyinongo Korve – General Manager , Technical Operations

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NIGERIA COUNTRY TEAM

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  1. NIGERIA COUNTRY TEAM AFRICA HEALTH INSURANCE WORKSHOP Accra, Ghana, October 19-23, 2009

  2. Country Team • AlhajiUmarNamadi – General Manager , Contribution Management • AliyuHamza – Assistant General Manager in charge of CBHI • NyinongoKorve– General Manager , Technical Operations • OluwamayowaJoel – Africa Public Health Alliance /CSO • Charles Cudjoe – President of Guild of Medical Directors • Kenneth Ojo – National Health Financing Advisor PATHS2/DFID • OlalekanOlubajo – Health Economist , NPHCDA • Team Mentor: Francois Diop, Sr. Health Specialist, World Bank • Facilitator: NawsheenElaheebocus, World Bank

  3. Current State of Health Insurance • National Health Insurance Scheme launched on June 6, 2005 (over 3 million covered) • Private Insurance (1 million covered) • 12 Community Based Health Insurance Schemes • Social Protection in Health

  4. Current State of Health Financing (1) NHIS • By design contributions from employer/employee --23% of basic salary • In practice 15% of basic salary of staff from federal and state government • 10% from employer • 5% from employee (not collected because of labor/political issues) • Fund to meet health MDG to provide coverage to meet needs of pregnant women and children under 5. Private Insurance • Financed by private companies

  5. Current State of Health Financing (2) CBHI • Owned and run by the community. • Shongai community and market women in Lagos paid by the Dutch government through Hygeia HMO SOCIAL PROTECTION IN HEALTH INSURANCE • Bayelsa State Government

  6. Opportunities to Expand: Coverage • NHIS –State, LGA civil servants • Private Companies • Informal sector • Urban • Rural High Priority

  7. Opportunities to Expand: Financing • National Health Bill • 2% of federal government total earnings • 1% to Health Insurance • 1% Primary Health Care Agency – supply side improvement • MDG funding • Contributions from households

  8. Operations • HMOs – intermediary between NHIS and providers regarding • Payments • Quality assurance • Risk management • Progressive disengagement with for-profit HMOs • Engagement with CSOs • Implementing agencies • Technical assistance to CBHI

  9. Challenges • Vested interest of HMOs • Actualizing the National Health Bill • Huge size of informal sector (over 100 million Nigerians) • High level of poverty in the informal sector • Capacities of actors (NHIS, State, LGA, CSOs)

  10. Next Steps • Developing an IT system (NHIS) to modernize current database (expected completion 2011) • Advocacy for actualization of National Health Bill • CSO identification and engagement • Training of CSOs and other actors • Identification of pilot sites • Advocacy at the state and LGA levels • Sensitization activities • Start the implementation of pilots

  11. PROUDLY NIGERIAN!

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