collective effort to develop the National Strategic Health Development Plan (NSHDP). It is
noteworthy that the partners also signed an international health partnership and related initiatives
(HP+) compact to affirm their commitment to the provision of predictable and sustainable funding
for the implementation of the NSHDP.
The World Health Organisation (WHO) has an office in every state of Nigeria while most of
the other agencies also have structures and are active in more than one state. Through such
decentralized presence, the partners are able to work with government not only at the national
level but also at the state and local levels.
Potential for Sufficiency in Human Resources for Health
Nigeria has one of the largest pools of human resources for health in Africa comparable only
to Egypt and South Africa. By the end of 2015, there were 66,162 doctors, 148,343 nurses and
101,709 midwives, 15,911 pharmacists registered in the country. Compared with most of the other
countries in the region. Nigeria has a high human resources for health production rate due to the
availability of many medical schools, schools of pharmacy, and each of the 36 states has at least
one school of nursing and midwifery as well as one school of health technology. Each of these
institutions turns out graduates every year.
Promising Health care Financing Arrangements for protection of the Poor
The National Health Insurance Scheme (NHIS) was set up by Act 35 of 1999. Health sector
reform in 2004 reinvigorated the drive to push the actualization of Health Insurance (a contributory
pre-payment method) as a veritable programme for improving the health of Nigerians by making
healthcare easily available, affordable and accessible. It is a social health insurance scheme. Various
programmes or products were developed to meet the needs of the different groups/sectors of the
population.
The Formal sector social health insurance programme (public sector), targeted employees
under the Federal government and their dependents and was flagged off in 2005.
NHIS-MDG/MCH: A major component of the NHIS that holds great promise for women and
children is the MDG/NHIS project for pregnant women and under 5s. This project ensures the
provision of free health services to pregnant women and under 5s in twelve states of the federation.
Plans are on to extend the coverage to other states of the federation.
Community Based Social Health Insurance: CBHI is a form of private health insurance
whereby individuals, families, or community groups finance or co-finance costs of health services.
CBHI was designed for people living in the rural area and people in the informal sector who cannot
get adequate public, private, or employer-sponsored insurance. We intend to use CBHI to cover
people employed in the informal sector and in the rural area especially women and children that
constitute majority of the highly vulnerable groups. The CBHI was flagged off in 2011 by Mr.
President at Isanlu, Kogi State.
Since then, many communities in eleven states have keyed into the programme. The States
are: Anambra, Bauchi, Borno, Ebonyi, FCT, Kaduna, Katsina, Kogi, Kwara, Lagos and Ogun.
Three states, Bauchi, Cross-River and Enugu are participating in the Health Insurance
Programme. Unfortunately, payment has not been consistent thus affecting implementation of the
programme in those States. Other programmes include tertiary institutions social health insurance
and road transport health insurance programmes.
The scheme has extended health insurance cover to over 6,806,687 Nigerian through one
payment mechanism or the other.
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