Social Health Insurance and Sustainable Healthcare Reform in Nigeria

Omoruan, A.; Bamidele, Akinfemi P.; Phillips, O. F.

doi:10.1080/09735070.2009.11886346

Cited by 27 publications

(14 citation statements)

References 1 publication

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“…[39–41] The primary health care system is managed by the 774 local government areas (LGAs), with support from their respective state ministries of health as well as private medical practitioners. [40] The primary health care has its sublevel at the village, district, and LGA. The secondary health care system is managed by the ministry of health at the state level.…”

Section: Resultsmentioning

confidence: 99%

“…[3940] This is evident in the various health indicators outlined in Table 2 and mortality from several outbreaks of diseases in Table 3. [48]…”

Section: Resultsmentioning

confidence: 99%

“…Current statistics show that health institutions rendering health care in Nigeria are 33,303 general hospitals, 20,278 primary health centers and posts, and 59 teaching hospital and federal medical centers. [40] This represents a huge improvement in regards to the last decades; nonetheless, health care institution continues to suffer shortage.…”

Section: Resultsmentioning

confidence: 99%

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The Nigerian health care system: Need for integrating adequate medical intelligence and surveillance systems

2011

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Objectives:As an important element of national security, public health not only functions to provide adequate and timely medical care but also track, monitor, and control disease outbreak. The Nigerian health care had suffered several infectious disease outbreaks year after year. Hence, there is need to tackle the problem. This study aims to review the state of the Nigerian health care system and to provide possible recommendations to the worsening state of health care in the country. To give up-to-date recommendations for the Nigerian health care system, this study also aims at reviewing the dynamics of health care in the United States, Britain, and Europe with regards to methods of medical intelligence/surveillance.Materials and Methods:Databases were searched for relevant literatures using the following keywords: Nigerian health care, Nigerian health care system, and Nigerian primary health care system. Additional keywords used in the search were as follows: United States (OR Europe) health care dynamics, Medical Intelligence, Medical Intelligence systems, Public health surveillance systems, Nigerian medical intelligence, Nigerian surveillance systems, and Nigerian health information system. Literatures were searched in scientific databases Pubmed and African Journals OnLine. Internet searches were based on Google and Search Nigeria.Results:Medical intelligence and surveillance represent a very useful component in the health care system and control diseases outbreak, bioattack, etc. There is increasing role of automated-based medical intelligence and surveillance systems, in addition to the traditional manual pattern of document retrieval in advanced medical setting such as those in western and European countries.Conclusion:The Nigerian health care system is poorly developed. No adequate and functional surveillance systems are developed. To achieve success in health care in this modern era, a system well grounded in routine surveillance and medical intelligence as the backbone of the health sector is necessary, besides adequate management couple with strong leadership principles.

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Section: Resultsmentioning

confidence: 99%

“…[3940] This is evident in the various health indicators outlined in Table 2 and mortality from several outbreaks of diseases in Table 3. [48]…”

Section: Resultsmentioning

confidence: 99%

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The Nigerian health care system: Need for integrating adequate medical intelligence and surveillance systems

2011

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“…Much of the shortcoming in the provision of health insurance to young people may be due to the fact that majority of the people in this age category are not in employment in the formal sector where employees or dependants of employees have access to health services through an insurance scheme like the National Health Insurance Scheme (NHIS) established since 2006. This, in addition to poor implementation and problems associated with implementation of health insurance programmes in the informal sector, contributes to the problem (Omoruan et al 2009). This has serious implications for Table 9 Test of bivariate and multivariate logistic models for wellbeing predictors: unemployment, literacy and delayed graduation from secondary school the definition of dependency (and the calculation of dependency ratio) in Nigeria as young people of up to 24 years of age are still dependent on their parents for basic needs including food, housing, health care, and clothing among others.…”

Section: Discussionmentioning

confidence: 96%

Where are We with Young People’s Wellbeing? Evidence from Nigerian Demographic and Health Surveys 2003–2013

Ushie¹,

Udoh

2015

Soc Indic Res

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Young people aged 15-24 years constitute a huge proportion of Nigeria's population and have enormous potential for socio-economic development. However, the fulfillment of that potential is dependent on how society meets their present needs and aspirations. We examined the evidence from 2003 to 2013 to establish whether there has been improvement in social conditions and opportunities for young people in Nigeria. We used the 2003, 2008 and 2013 Nigerian DHS data to estimate young people's wellbeing. Indicators of wellbeing were: unemployment rate, uneducated and unemployed young people, literacy rate; support for schooling, young people not graduating secondary school on time, young people in households where either parent lacks secondary education, teenage pregnancy and young people not covered by health insurance. We used bi-variate statistics and logistic regression to highlight determinants of wellbeing. Unemployment rate increased from 57.0 % in 2008 to 59.2 % in 2013 while the proportion of those who were both uneducated and unemployed was 12.6 % in 2013 (vs. 13.0 and 14.1 % in 2003 and 2008, respectively). Only 0.6 and 0.5 % of young people received support for schooling in 2008 and 2013, respectively. Literacy rate increased from 50.9 % (measured for only women) in 2003 to 71.0 % in 2013. Nearly all young people were not covered by health insurance. There is improvement in young people's wellbeing during the under considered, although progress is still unsatisfactory, with more efforts required.

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“…The common man seems to be reverting to the traditional care providers, because of problems of access and affordability [15,38,39] . Moreover the demography of Nigeria shows that about 55% of the total population live in the rural areas while about 45% live in urban areas [40] . Primary health care is currently catering for less than 20% of the potential patients [41] .…”

Section: The Nigerian Health Systemmentioning

confidence: 99%

Challenges of implementing sustainable health care delivery in Nigeria under environmental uncertainty

Emmanuel

2014

JHA

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Introduction: The increasing cost of health care in developed and developing economies has called for a change in the way health activities are implemented. Nigeria is faced with fundamental health care related challenges coupled with recent security issues. Uncertainty prevails as health system dynamics unfolds.Objectives: To explore the relationship between environmental uncertainty and health care delivery system in Nigeria. The study aims at reviewing the dynamics of health care delivery in some developed economies and Nigeria with regard to methods of adaptation of health care under uncertainty, and developing a framework for sustainable health care delivery. Methods:Databases were searched for relevant literatures using the following keywords: environmental and health uncertainty, Nigerian health care system, Nigerian primary health care, health care financing and sustainability. Other keywords used include: US, Europe and China health care dynamics, among others. Scientific databases obtained from the Internet were used including online journals, which were sourced mainly from the Google. Relationships if any were established and a framework for sustainability developed. Results:Environmental uncertainty has a multiplicity of interactions with different aspects of health care system, resulting in poor infrastructural development, inadequate government funding, absence of integrated system for disease prevention and surveillance, policy reversals, security challenges, and unimpressive health indicators in Nigeria. A framework for implementing sustainable health care delivery under uncertainty is proposed. Discussion and conclusion: Uncertainty abounds in the Nigerian health care delivery system; causing further distortion in development of the health sector. Effective mobilization of health care professionals, use of sustainable care plans by government, use of integrated medical intelligence and surveillance systems, accountability, commitment, and above all quality leadership -will minimize uncertainty factors and enhance health care performance and sustainability in Nigeria.

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Social Health Insurance and Sustainable Healthcare Reform in Nigeria

Cited by 27 publications

References 1 publication

The Nigerian health care system: Need for integrating adequate medical intelligence and surveillance systems

The Nigerian health care system: Need for integrating adequate medical intelligence and surveillance systems

Where are We with Young People’s Wellbeing? Evidence from Nigerian Demographic and Health Surveys 2003–2013

Challenges of implementing sustainable health care delivery in Nigeria under environmental uncertainty

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