It envisaged clients receive good customer care by health facilities given much focus so far as patients expectation is concerned. Citeseerx document details isaac councill, lee giles, pradeep teregowda. A case study of jamaicas health financing system and its. The health care sector is still a labourintensive handicraft industry, in spite of advances in technology, and health care. Health care financing system is a process by which revenues are collected from. Challenges of healthcare financing in nigeria punch. Department of health administration and management, university of nigeria. The distributional impact of healthcare financing in. An assessment of the national health insurance scheme nhis find, read and cite all the research you. Notwithstanding the generally broad nature of the public component, the canadian healthcare. Fifty years after independence, nigeria is still struggling with the provision of basic health services for its teeming population, now estimated at over 150million.
In northern nigeria, the public sector provides over 90% of. Health care is paid for by government programs such as medicare and medicaid, private health insurance plans usually through employers, and the persons own funds outofpocket. Sustainable health financing, universal coverage and social health insurance 2005 wha resolution wha58. Health care financing in nigeria nigerian journal of clinical practice. Healthcare financing and health outcomes in nigeria core. African strategies for health the african strategies for health project and management sciences for health participated in the financial protection and access to care workshop, held in accra, ghana from february 1519, 2016. It notes that health care in nigeria is financed through different sources. Health financing functions revenue contribution and collection. Convened by ghanas ministry of health, the national health insurance authority, the world health. Households decision to utilize healthcare is identical with healthcare financing.
Tax revenues are pooled at the federal level and are shared between the three tiers of government. One of the basic functions of government is to provide quality and effective health care services to its citizens as it is only when the people are healthy that any reasonable development can take place. It draws on available and relevant literature to provide an overview and the state of public health care financing i. This paper aims to outline jamaicas health financing system by describing how it carries out the various functions to achieve its objectives and determine whether achievements have had any impact on the performance of the general health. The overreliance on user fees as a major source of financing health care in nigeria is inequitable as majority of those who pay outofpocket for health services are taxed to provide health services for the rich who can afford health care.
This section reports on the outcome of interviews conducted using a mental health financing diagnostic tool, aimed at gaining a deeper understanding of the process for health financing reform in general, but with specific focus on mental health financing in nigeria. Some strategies to tackle health sector challenges in nigeria may include improved access to primary healthcare. In the face of achieving uhc, achieving successful health care financing system continues to be a challenge in nigeria and concludes that to achieve universal coverage using health financing as. Nigeria health financing system assessment english the. Two purchasing mechanisms operate in nigeria to determine which health services to purchase, increase value for money, and ensure longterm financing sustainability9. In the healthcare facility, for every 100 clients that experienced poor services, about 70 patients would be unlikely to patronize the same health. Health care finance and expenditure 3overwhelmingly, health care financing in saudi arabia is provided mainly fromgovernment revenues. Exploring effectiveness of different health financing mechanisms in. Section 5 appraises the health care financing mechanism in nigeria. Implications for achieving universal health coverage bsc uzochukwu 1, md ughasoro 2, e etiaba 3, c okwuosa 4, e envuladu 5, oe onwujekwe 6 1 department of community medicine, university of nigeria, enugu campus, enugu. The funding of health care in nigeria has often been described as inadequate with budgetary provision to health hardly exceeding 3% of the nations total budgetary provisions orubuloye and oni, 1996. Sustainable health financing structures and universal coverage 2011 wha resolution wha64. A history of capital allocations to the ministry of health. Health care financing african strategies for health.
The study utilizes the multivariate analytical tool to describe the relationship that exists between health care financing, health facility utilization and health outcome. This is so because it determines whether the health services that are available are. Implications for achieving universal health coverage bsc uzochukwu1,2,3, md ughasoro3,4, e etiaba2. Trends and challenges of public health care financing. The nigerian health care has suffered several downfalls.
Pdf healthcare financing and health outcomes in nigeria. One of the major challenges of healthcare financing is unfair and unsustainable financing practice in healthcare services. Health care financing, nigeria, primary health care. Nigeria has one of the largest stocks of human resources for health hrh in africa but, like the other 57 hrh crisis countries, has densities of nurses, midwives and doctors that are still too low to effectively deliver essential health. Ichoku and colleagues highlight that uneven distribution of resources in nigeria has had an effect on health care financing, particularly oops. Health care system in nigeria nigeria as a nation operates a pluralistic health care delivery system orthodox and traditional health care. Nigerias main strategic mechanism for achieving uhc is her national health insurance scheme nhis, which is a contributory social health insurance scheme. Indias total health expenditure the as a percentage of gross.
Healthcare provision in nigeria is a concurrent responsibility of the three tiers of government in the country. Public health care finance system in nigeria health care financing refers to the collection of funds from various sources example. The way a country finances its health care system is a critical determinant for reaching universal health coverage uhc. This article examines the different financing mechanisms that have been used in nigeria, including the national primary health care development fund proposed for increasing the resource allocation to primary health care. Implications for achieving universal health coverage article pdf available in nigerian journal of clinical practice 184. Nigeria the best possible health services within the limits of available resources. Financing health systems is a major challenge in both developed and developing countries but nigeria has yet to show the ability to face this challenge so that the health system can benefit all the citizens of the country. Strengthen primary health care in nigeria s federal context, with special reference to ondo state. Pdf on nov 12, 2017, alfred eboh and others published health care financing in nigeria. Trends and challenges of public health care financing system in. Funding for primary health care is especially affected as the. Section 3 looks into health sector reform process in nigeria. Sustainable financing mechanisms for strengthening mental.
Overview of health care financing fundamentals merck. Therefore in a most basic form, health care financing represents a flow of funds from. This is so because it determines whether the health services that are available are affordable to those that need them. Nigeria health financing system assessment english abstract. An assessment of the national health insurance scheme nhis eboh, alfred 1 akpata, grace oremeyi 2 akintoye, akinwole ebenezer 3 1. Outside the country, the publicprivate blend of canadas healthcare financing is often poorly understood. Need for integrating adequate medical intelligence and surveillance systems article pdf available october 2011 with 22,577 reads how we measure reads.
Trends and challenges of public health care financing system in nigeria. Nigeria s commitment to universal health coverage was enshrined by the passage of the national health act of 2014 in response to the continued underinvestment and poor performance of its health care. The deregulation of healthcare financing and supply in nigeria has shifted the healthcare system towards competitive market ideals. Healthcare financing and health outcomes in nigeria. The primasys case studies cover key aspects of primary health care systems, including policy development and implementation, financing, integration of primary health care. Nigeria health financing system assessment world bank. Implications for achieving universal health coverage. Health care financing an overview sciencedirect topics. Toward synergy and collaboration to expand the supply of and strengthen primary health care in nigeria. Health care spending in nigeria is segmented into private and public spending. The cost of health care and perceived low quality of care by the public have been argued to be the reason for the poor utilisation of maternal and child health services in nigeria.
881 219 1156 1062 474 482 1545 1530 1463 316 1523 1171 228 19 270 453 313 235 222 1531 737 1272 1067 1093 594 625 908 813 229 1499 1020 1544 1475 237 1504 73 786 460 702 170 723 326 1350 220 138 1289 1400 94 997