Public health care financing in Nigeria: Which way forward?

Olakunde, Babayemi O

doi:10.4103/0331-3131.100199

Cited by 78 publications

(102 citation statements)

References 24 publications

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“…Presently, TB is being additionally funded through improved availability of Global Fund for AIDS, Tuberculosis and Malaria which increases the availability of health services for TB in Nigeria [5]. …”

Section: Introductionmentioning

confidence: 99%

Patients’ willingness to pay for the treatment of tuberculosis in Nigeria: exploring own use and altruism

Ochonma

Onwujekwe

2017

Int J Equity Health

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BackgroundAlthough, current treatment services for Tuberculosis (TB) in Nigeria are provided free of charge in public facilities, the benefits (value) that patients attach to such service is not known. In addition, the prices that could be charged for treatment in case government and its partners withdraw from the provision of free services or inclusion of the services in health insurance plans are not known. Hence, there is a need to elicit the maximum amounts that patients are willing to pay for TB treatment services, both for themselves and for the very poor patients that may not be able to pay if some user fees are introduced (altruistic willingness to pay).MethodsA pretested interviewer-administered questionnaire was used to elicit the maximum willingness to pay (WTP) for TB treatment services from TB patients in a tertiary hospital in southeast Nigeria. WTP was elicited using the bidding game question format after a scenario was presented to the respondents. Data was analysed using tabulations. Tobit regression models were used to examine the validity of the elicited WTP for own use and altruistic WTP.ResultsThe results show that those aged 30 years and below constituted more than two-fifth (43.2%) of the respondents. More than half of the respondents (52.8%) were not employed. 100 (80.0%) of the respondents were willing to pay for their own use of TB treatment services while 78(62.4%) of the respondents were willing to make altruistic contributions so that the very poor could benefit from the TB services. A Tobit regression analysis of maximum WTP for TB for own use shows that respondents were willing to pay maximum amounts at different statistically significant levels. The results equally show that altruistic WTP was positively and statistically significantly related to the employment status, distance from UNTH and global seriousness of TB.ConclusionsMost patients positively valued the provision of free TB services and were willing to pay for TB treatment for own use. The better-off ones were also willing to make altruistic contributions. Free provision of TB treatment services is potentially worthwhile, but there is potential scope for continuation of universal provision of TB treatment services, even if the government and donors scale down their financing of the services.Electronic supplementary materialThe online version of this article (doi:10.1186/s12939-017-0574-2) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Patients’ willingness to pay for the treatment of tuberculosis in Nigeria: exploring own use and altruism

Ochonma

Onwujekwe

2017

Int J Equity Health

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“…Current health care system in Nigeria has been well described by Olakunde [10]. Public sector involvement includes the overall health system run by the Federal Ministry of Health (FMOH), state ministries of health, and local government health departments.…”

Section: Discussionmentioning

confidence: 99%

Role of Private Enterprise in Cancer Control in Low to Middle Income Countries

Nwogu

Mahoney

Okoye

et al. 2016

Journal of Cancer Epidemiology

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Background. About 65% of cancer deaths globally occur in low to middle income countries (LMICs) where prioritization and allocation of resources to cancer care are often quite poor. In the absence of governmental focus on this problem, public-private partnerships may be an avenue to provide effective cancer control. Methods. This manuscript highlights the establishment of a nongovernmental organization (NGO) to stimulate the development of partnerships between oncology professionals, private enterprise, and academic institutions, both locally and internationally. Examples of capacity building, grant support, establishment of collaborative networks, and the development of a facility to provide clinical care are highlighted. Results. Collaborations were established between oncology professionals at academic institutions in the US and Nigeria. Cancer control workshops were conducted in Nigeria with grant support from the Union for International Cancer Control (UICC). A monthly tumor board conference was established at LASUTH in Lagos, and further capacity building is underway with grant support from the United States NCI. An outpatient, privately funded oncology clinic in Lagos has been launched. Conclusion. In LMICs, effective partnership between public and private institutions can lead to tangible strides in cancer control. The use of creative healthcare financing models can also support positive change.

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“…The single most essential component of nursing practice is therefore good communication between patients and caregivers. This is due to the rapid and clear identification of the problems, while at the same time defining expectations that create confidence between health care providers and patients (Iliyasu, Abubakar, Abubakar, Lawan, & Gajida, 2010;Olakunde, 2012). Other factor will include cost of health care services, technical quality of HCPs and the income levels of the patients.…”

Section: People Centered Care Challenges In Nigeriamentioning

confidence: 99%

A Literature Review on People-Centered Care and Nursing Practice in Primary Health Care Setting

Lateef¹,

Mhlongo²

2020

GJHS

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Background: With increased research, the concept of people-centered care is advancing, and it remains an important concept in the health sector. Despite reported evidence of significant benefits, this concept is poorly utilized by professional nurses. The principle has not been demonstrated and absorbed at primary health care levels.Aim: The aim of this study is to present review of literature on people-centered care (PCC) in nursing and its practice in primary health care setting. Result:The findings of this research review outlined the evidence, practicability and acceptability of nursing care with people-centered care concept in the primary health care centers. Considering that nurses play a vital role in the health sector, it is possible to use people-centered care in Primary Health Care settings. However, there are many difficulties and obstacles identified such as: absence of nursing fraternity training and growth, absence of clear educational advancement resulting from change in accreditation, small number of nurses at the organizational level of health care organizations, and reduced global health care organization assistance. Discussion:The results from this review highlighted evidence of the relationship between quality healthcare deliveries of nurses with people-centered care concept in primary healthcare centers. Nurses' role in delivering PCC and gauging their knowledge and understanding is becoming imperative and crucial. In primary health care environments, nurses play a significant role in understanding a patient's culture of quality and efficient health care.

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Public health care financing in Nigeria: Which way forward?

Cited by 78 publications

References 24 publications

Patients’ willingness to pay for the treatment of tuberculosis in Nigeria: exploring own use and altruism

Patients’ willingness to pay for the treatment of tuberculosis in Nigeria: exploring own use and altruism

Role of Private Enterprise in Cancer Control in Low to Middle Income Countries

A Literature Review on People-Centered Care and Nursing Practice in Primary Health Care Setting

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