Premier Medicaid Nigeria Limited Ayedun Community-Based Social Health Insurance Programme Current health issues in Nigeria The population of Nigeria (168 million) is roughly two per cent of the world population but Nigeria contributes ten per cent of maternal deaths worldwide. According to the United National Fund for Population Activities (UNFPA), Nigeria is one of the countries with the worst maternal mortality rates in the world with Angola, Burkina Faso, Mauritania and Sierra Leone following. In Nigeria, 92.2 per cent of Nigerians live below 256 per day and cannot access medical care because drugs are purchased ‘out of pocket’. Malaria causes about 60 per cent of overall deaths in Nigeria, while 110 million case incidences are reported per year. Ninety per cent of these cases are at the rural community level. Therefore, if Nigeria is to achieve Universal Health Coverage and become one of the best 20 economies by 2020, a concerted and aggressive approach must be evolved that will bring adequate, qualitative, affordable and sustainable healthcare to the doorstep of every Nigerian citizen and this can only be achieved through the instrumentality of the Community- Based Social Health Insurance Programme (CB-SHIP). Stakeholders in CB-SHIP The major stakeholders in CBSHIP at ward level are Mutual Health Association (MHA), Healthcare Facility (HF) and Health Maintenance Organisation (HMO). The MHA is the organisation put in place by the community to superintend the healthcare needs of the people. The Royal Father or Traditional Ruler is the Patron, while the common denominator is the household enrolee. The MHA, also known as Health Promoters Association (HPA), chooses their Board of Trustees from which the Executive Council is elected. The HMO provides technical support and advice. The contributions (premiums to be collected) must be determined by the community and managed according to health insurance principles. A unit of the Ward Health Organisation should register about 5,000 enrolees. All governments, (federal, state, local) should subsidise these so that capitation will at least cover MDG 4, 5 and 6, i.e. infant and maternal mortality, malaria, HIV/AIDS, bacterial and amoebic diseases and viral infections with immunisation. This is the way forward in Universal Health Coverage. Left: Sir Dr Kayode Obembe BSc Med Sc, MBBS, FMCOG, FWACS, FIAMN, FAGP, FICS, DMP, Hon. DG, M.O.W., J.P., KJW Vice- Chairman / Chief Executive Offi cer, Premier Medicaid Nigeria Limited (HMO/ NHIS) and President of Nigerian Medical Association Above: Ayedun Community-Based Social Health Insurance Programme (A-CB-SHIP) Organogram of Ayedun CB-SHIP Royal Fathers (Patrons) Health Advisory Council (Board of Trustees) Health Promoters Association (Household Heads) Household Enrolees For full details visit www.premiermedicaid.com.ng Household Enrolees Household Enrolees Household Enrolees Household Enrolees
Commonwealth Health Partnerships 2015
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