Daily Trust Saturday

Strategies to improve health insurance coverage in Nigeria

- Martins Eke Martins Eke wrote from Abuja

Access to quality healthcare is a fundamenta­l human right, and an effective health insurance system plays a pivotal role in ensuring that individual­s and families can afford essential medical services. In Nigeria, despite the government’s efforts to provide healthcare services to its citizens, an overwhelmi­ng majority of the population still lacks access to proper healthcare due to inadequate health insurance coverage.

The need to improve health insurance coverage in Nigeria is critical, as it can enhance the overall health and well-being of the nation. In this article, we will explore the challenges faced by Nigeria’s healthcare system and propose strategies to enhance health insurance coverage in the country.

One of the primary challenges facing Nigeria’s healthcare system is the low penetratio­n of health insurance. This low coverage leaves a vast majority of Nigerians vulnerable to high healthcare costs, which can lead to financial hardships or even the avoidance of necessary medical treatment. In many cases, healthcare services in Nigeria are paid for out-ofpocket, which can be financiall­y burdensome for many citizens.

This payment system can lead to significan­t disparitie­s in access to care and financial strain on households. Reducing the reliance on out-of-pocket payments is crucial to improving access to healthcare for all.

A lack of trust in the Nigerian healthcare system contribute­s to low participat­ion in health insurance schemes. Many Nigerians are skeptical about the quality of healthcare services and the efficiency of the insurance system. Building trust in the healthcare system is essential to encourage more people to enroll in health insurance programs.

Nigeria should expand and strengthen its public health insurance programs to cover a more extensive portion of the population. The national health insurance programme can be revitalize­d and extended to ensure broader participat­ion. Additional­ly, state government­s should strengthen and properly fund their health insurance schemes to complement the national health insurance programme, providing coverage to more citizens.

A significan­t barrier to improving health insurance coverage in Nigeria is the lack of awareness and understand­ing of how health insurance works. Public awareness campaigns should be launched to educate citizens about the benefits of health insurance, the different available plans, and the process of enrolling.

This can be achieved through media campaigns, community outreach, and partnershi­ps with healthcare providers and community leaders. Building trust in the Nigerian healthcare system is paramount to increasing health insurance coverage. The government should invest in improving the quality of healthcare services, increasing transparen­cy, and addressing corruption within the system. Establishi­ng mechanisms for reporting and addressing grievances related to healthcare services can also help build trust among citizens.

In addition to public health insurance, the private sector should be encouraged to play a more significan­t role in expanding health insurance coverage. Private insurance companies can develop innovative, affordable health insurance products tailored to the needs of different segments of the population. Public-private partnershi­ps can also be formed to extend coverage to underserve­d areas.

Subsidies and Financial Assistance: The government can provide subsidies or financial assistance to low-income and vulnerable population­s to make health insurance more affordable. This can be done through targeted programs that provide premium subsidies, co-payment reductions to help the most disadvanta­ged citizens access health insurance.

Leveraging digital technology can simplify the process of enrolling in and utilizing health insurance. Mobile applicatio­ns and online platforms should be developed to allow easy registrati­on, payment, and access to healthcare services. These platforms can also be used to track the performanc­e of healthcare providers and ensure quality care. Regular monitoring and evaluation of health insurance programs are essential to ensure they are effective and equitable. Data should be collected on enrollment, claims, and healthcare outcomes to identify areas for improvemen­t and policy adjustment­s.

Continuous evaluation helps policymake­rs make informed decisions and refine health insurance schemes over time. Improving the quality and accessibil­ity of healthcare services is critical to boost trust in the healthcare system and encourage more people to participat­e in health insurance programs. Investment in healthcare infrastruc­ture, including facilities, equipment, and trained healthcare profession­als, is essential to ensure that insured individual­s receive the care they need.

Access to adequate healthcare

is a fundamenta­l human right that should be available to all, regardless of their financial situation. In Nigeria, improving health insurance coverage is an essential step towards achieving this goal.

By expanding public insurance programs, raising awareness, addressing trust issues, and encouragin­g private sector participat­ion, Nigeria can make significan­t strides in enhancing health insurance coverage.

Moreover, subsidisin­g health insurance, embracing digitalisa­tion, making insurance mandatory for certain groups, and consistent­ly monitoring and evaluating these efforts can contribute to a more inclusive and effective health insurance system. Ultimately, a robust and comprehens­ive health insurance system will lead to better health outcomes, reduce financial burdens on households, and improve the overall well-being of Nigerians. It is a vital investment in the nation’s future health and prosperity.

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