The Nigeria national health insurance authority act and its implications towards achieving universal health coverage

Ipinnimo, Tope Michael; Durowade, Kabir Adekunle; Afolayan, Christiana Aderonke; Ajayi, Paul Oladapo; Akande, T.M.

doi:10.4103/npmj.npmj_216_22

Cited by 9 publications

(9 citation statements)

References 20 publications

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“…Healthcare insurance has several forms, such as Medicaid and Medicare (72), social health insurance (72, 73), and private health insurance (74). To illustrate one by one, single-payer or national health insurance (e.g., Medicare) is a form of free government-owned healthcare provided to everyone, while citizen should pay for income tax revenue (72, 75–81). There are also mixed health plans, such as applying Medicare as a public health insurance and purchasing private hospital coverage or paying a tax surcharge as subsidized private care (82, 83).…”

Section: Resultsmentioning

confidence: 99%

Universal Health Coverage – Exploring the What, How, and Why Using Realistic Review

Endalamaw,

Mengistu,

Khatri

et al. 2024

Preprint

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Background: Universal health coverage (UHC) is a critical target in many health system strategies to achieve the ‘good health and wellbeing’. Evidence on the meaning and scope of UHC and the strategies required to achieve it are needed, as variations in its understanding and implementation have risen. We synthesised evidence on the meaning, components, significance, and strategies of UHC. Methods: A review of evidence was conducted based on realist synthesis. We searched PubMed, EMBASE, Scopus, and Web of Science for published materials and websites for grey literature. We have followed some steps: define the scope of the review and develop initial programme theory, search for evidence, data extraction, and synthesis of evidence. Results: Universal coverage, universal health, universal healthcare, universal access, and insurance coverage are used interchangeably with UHC. It is a legal notion that embodies a human rights-based and collaborative approach to ensure fair and comprehensive health care services. Universal health coverage is relevant for three macro reasons: first, it prevents and reduces the impact of diseases; second, it addresses inequality and promotes equity; and third, it is key for global health security. Various mechanisms involved to implement UHC, such as health insurance, social health protection, digital financing systems, value-based care, private sectors, civil societies, partnership, primary health care, and reciprocal health care systems. Conclusions: Universal health coverage is a multifaceted concept that can be expressed by various terms in different contexts. Universal health coverage is a political and ethical imperative that aims to promote health equity and protect human dignity across different levels of society. It is essential in preventing diseases and serving a crucial role in global health security. Practically, UHC is not truly universal, as it does not include all services under its scheme and varies across countries. This requires consistent advocacy, strategic and operational research as well as political will to ensure UHC.

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Section: Resultsmentioning

confidence: 99%

Universal Health Coverage – Exploring the What, How, and Why Using Realistic Review

Endalamaw,

Mengistu,

Khatri

et al. 2024

Preprint

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“…There had been several moves by the government to make family planning more affordable to the communities. However, this has not yielded so much fruit as many clients still pay out of pocket for healthcare services including family planning commodities 27 28. Literature has shown that young people have varied preference and dissatisfaction for public hopsitals due to lack of privacy and attitude of health workers 21.…”

Section: Discussionmentioning

confidence: 99%

Community perceptions, beliefs and factors determining family planning uptake among men and women in Ekiti State, Nigeria: finding from a descriptive exploratory study

Ibikunle,

Ipinnimo,

Bakare

et al. 2024

BMJ Open

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ObjectivesTo examine family planning through the community’s perception, belief system and cultural impact; in addition to identifying the determining factors for family planning uptake.DesignA descriptive exploratory study.SettingThree communities were selected from three local government areas, each in the three senatorial districts in Ekiti State.ParticipantsThe study was conducted among young unmarried women in the reproductive age group who were sexually active as well as married men and women in the reproductive age group who are currently living with their partners and were sexually active.Main outcome measuresEight focus group discussions were conducted in the community in 2019 with 28 male and 50 female participants. The audio recordings were transcribed, triangulated with notes and analysed using QSR NVivo V.8 software. Community perception, beliefs and perceptions of the utility of family planning, as well as cultural, religious and other factors determining family planning uptake were analysed.ResultsThe majority of the participants had the perception that family planning helps married couple only. There were diverse beliefs about family planning and mixed reactions with respect to the impact of culture and religion on family planning uptake. Furthermore, a number of factors were identified in determining family planning uptake—intrapersonal, interpersonal and health system factors.ConclusionThe study concluded that there are varied reactions to family planning uptake due to varied perception, cultural and religious beliefs and determining factors. It was recommended that more targeted male partner engagement in campaign would boost family planning uptake.

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“…Social support is defined as the presence of a caregiver that is not a healthcare worker for at least 12 hours a day, and who may or may not be a financial provider to the cost of care of the patient. In many parts of Nigeria, there is a profound shortage of skilled manpower in the health sector, compounded by the limited coverage of health insurance [22][23][24]. Social support provides an informal but critical aspect of patient care in our environment and may indeed determine the outcome of care [25,26].…”

Section: Discussionmentioning

confidence: 99%

Assessing the Correlation Between Patient-Specific Characteristics and Braden Pressure Injury Risk Score at a Suburban Tertiary Hospital in Nigeria

Salawu,

Ipinnimo,

Bamidele

et al. 2023

Cureus

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Background and objectivePressure injury (PI) is a frequent complication of hospital admissions, and it increases healthcare costs, morbidity, and mortality. This study aimed to use the Braden scale to assess the PI risk among hospitalized patients without PI and determine its association with patient-specific factors. MethodsA cross-sectional study was conducted at a suburban tertiary hospital involving a total of 211 hospitalized patients recruited during the study period (October 2022). Patients were assessed using the Braden scale and their sociodemographic data were also recorded. Data analysis was performed using IBM SPSS Statistics version 26.0 (IBM Corp., Armonk, NY). ResultsThe mean age of the patients was 41.8 ±23.0 years and 54.0% of the patients were females. The average Braden score of the patients was 19.01 ±3.42, and more than half (58.3%) of the patients showed no risk while only 0.9% of the patients had a severe risk of PI. There was a statistically significant association between PI risk and patients' age (r=-0.353, R=12.5%, p<0.001), pre-admission occupation (F=10.290, p<0.001) as well as the ward of admission (F=11.915, p<0.001). However, gender and social support were not significantly associated. ConclusionThe age, pre-admission occupation, and ward of admission of patients were found to be significantly associated with the risk of developing PI. It is recommended that more resources be channeled toward preventing PI among high-risk patients in resource-limited settings.

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The Nigeria national health insurance authority act and its implications towards achieving universal health coverage

Cited by 9 publications

References 20 publications

Universal Health Coverage – Exploring the What, How, and Why Using Realistic Review

Universal Health Coverage – Exploring the What, How, and Why Using Realistic Review

Community perceptions, beliefs and factors determining family planning uptake among men and women in Ekiti State, Nigeria: finding from a descriptive exploratory study

Assessing the Correlation Between Patient-Specific Characteristics and Braden Pressure Injury Risk Score at a Suburban Tertiary Hospital in Nigeria

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