Community based healthcare financing: An untapped option to a more effective healthcare funding in Nigeria

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL

Nigerian Postgraduate Medical Journal Pub Date : 2010-07-01 DOI:10.4314/NMJ.V51I3.59876

E. Adinma, Brian-D J. I. Adinma

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引用次数: 38

Abstract

Context:The Nigerian health system is characterized by chronic under funding. This has resulted in poor performance of the health sector evident from Nigerian's poor reproductive health indices. Objective: This review evaluates healthcare funding in Nigeria with respect to health budget and health expenditure, appraises the national health insurance scheme, and examines community health care financing as a plausible option to a more effective funding of healthcare in Nigeria. Pattern of health funding in Nigeria: Federal Government budget on health ranged from N 4, 835 million-N 17, 581. 9 million from 1996 to 2000. This amount represented only 2. 7%- 5. 0% of the total Federal Government budget. Nigerian's Total Health Expenditure (THE) as a percentage of Gross Domestic Product (GDP) is low ranging between 4. 3 %- 5. 5 % from 1996- 2005. General Government Health Expenditure (GGHE) as percentage of THE is also low ranging from 21. 8 %- 33. 5 %. Private sector expenditure on health as percentage of THE is high ranging between 66. 5 %- 78. 2 % from 19962005, with private households' out of pocket accounting for 90. 4 %- 95. 0 % over the period. Social security fund had no contribution to the general government expenditure over the 10-year period. The National Health Insurance Scheme (NHIS) currently covers only the formal sector of 4. 5 million people ( 3. 2 %) of the population. Community-based healthcare financing (CBHF): Community-based healthcare financing has been recognized as a community-friendly and community-driven initiative that has a wider reach and coverage of the informal sector especially if well designed. Experience with the Anambra State CBHF scheme, and a few other similar schemes in Nigeria indicate high acceptability of the people to CBHF scheme. Conclusion and Recommendations: Government and non-governmental organizations should collective develop various forms of CBHF to reach out widely to Nigerians.

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基于社区的医疗保健融资:尼日利亚一个尚未开发的更有效的医疗保健融资选择

背景:尼日利亚卫生系统的特点是长期资金不足。这导致卫生部门表现不佳，尼日利亚的生殖健康指数很差。目的:本综述评估了尼日利亚在卫生预算和卫生支出方面的卫生保健资金，评估了国家健康保险计划，并审查了社区卫生保健融资作为尼日利亚更有效的卫生保健资金的合理选择。尼日利亚卫生筹资模式:联邦政府卫生预算从48.35奈拉到17,581奈拉不等。从1996年到2000年。这个数字只代表2。- 5 7%。联邦政府总预算的0%尼日利亚的卫生总支出(THE)占国内生产总值(GDP)的百分比很低，介于4%和4%之间。3% - 5。从1996年到2005年5%。一般政府保健支出占保健费用的比例也很低，在21%左右。8% - 33。5%。私营部门在保健方面的支出占医疗保健支出的比例很高，在66%之间。5% - 78。由一九九六年至二零零五年的百分之二，其中私人住户自掏腰包占百分之九十。4% - 95。在这段时间内是0%。在这10年期间，社会保障基金对政府一般支出没有贡献。国家健康保险计划目前只覆盖4个正规部门。500万人;占人口的2%。以社区为基础的保健融资:以社区为基础的保健融资已被认为是一项社区友好和社区驱动的举措，特别是如果设计得当，可以更广泛地影响和覆盖非正规部门。阿南布拉州社区基金计划和尼日利亚其他一些类似计划的经验表明，人们对社区基金计划的接受程度很高。结论和建议:政府和非政府组织应共同发展各种形式的社区基金，以广泛接触尼日利亚人。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nigerian Postgraduate Medical Journal MEDICINE, GENERAL & INTERNAL-

CiteScore

1.90

自引率

0.00%

发文量