The forum of CEOs of State Social Health Insurance Agencies (SSHIA) in Nigeria has announced a substantial increase in enrollment into the National Health Insurance Authority (NHIA).
Within just five years of its inception, the scheme has successfully enrolled 50 per cent of the country’s citizens, marking a momentous stride in expanding health insurance coverage.
Chairman of the forum of CEOs of SSHIAs, Dr. Simeon Onyemaechi disclosed this update during the forum’s first-quarter review meeting in 2024 held in Abuja. The reported enrollment rate not only demonstrates remarkable progress but also underscores the efficacy of the NHIA in reaching and enrolling a significant portion of Nigeria’s population.
The SSHIAs, introduced by the Nigerian government, aimed to address the long-standing issue of limited healthcare access for a substantial portion of the population. These state-level insurance programs were designed to offer comprehensive health coverage to both formal and informal sector workers, including the most vulnerable groups in society.
The success of the SSHIAs can be attributed to several key factors. First and foremost, the affordability of these schemes has made them accessible to a broader segment of the population, dismantling financial barriers to healthcare. Additionally, the comprehensive coverage provided by the schemes has instilled a sense of security among Nigerians, encouraging enrollment and utilisation of available services.
The involvement of state governments in implementing and managing these schemes has played a pivotal role in their success. The collaboration between the Federal and state governments has ensured effective administration, efficient fund allocation and improved healthcare infrastructure across the states.
The impact of the SSHIAs on healthcare outcomes has been significant. By providing access to quality healthcare services, the schemes have contributed to the reduction of preventable diseases, improved maternal and child health and better management of chronic conditions. This, in turn, has positively affected the overall health and well-being of Nigerians, leading to increased productivity and economic growth.
While acknowledging the commendable success of the SSHIAs, challenges persist. Continued investment in healthcare infrastructure, enhancement of service quality, and expansion of coverage to remote areas are crucial areas that require attention for sustained success.
To ensure the long-term sustainability of these schemes, ongoing collaboration between the government, healthcare providers and the public is imperative. Onyemaechi unveiled a multifaceted approach aimed at enhancing access to healthcare across the country. Key initiatives include urging employers to provide health insurance for their workers, implementing a tax-for-service model for the organised informal sector and expanding the NHIA medicine supply initiative to ensure medication availability.
One notable funding mechanism introduced is the allocation of the Vulnerable Group Fund (VGF), sourced from a ring-fenced 2.5 per cent increment on VAT (Value Added Tax). This financial strategy aims to bolster resources for healthcare services targeted at vulnerable populations.
Moreover, Onyemaechi underscored their commitment to learning from the experiences of other states and the Federal Capital Territory (FCT) to avoid starting from scratch. By leveraging existing solutions and innovations, the goal is to accelerate progress and achieve tangible results in the upcoming quarter.
Actung executive secretary of the Rivers State Contributory Health Protection Programme (RIVCHPP),Dr. Vetty Agala emphasised the need for awareness creation and highlighted the state’s commitment to covering vulnerable populations, especially in the hinterland.
The permanent secretary of Lagos State Health Management Agency, Dr. Emmanuella Zamba outlined the major pillars that contribute to the state’s success, including involving the formal sector and implementing programmes for vulnerable people. The state has prioritised social welfare, enjoying political goodwill and support for initiatives that aim to cover a large portion of the population.
The forum’s report showcases a significant leap in healthcare coverage for Nigerians. The comprehensive healthcare strategy underscores the government’s dedication to addressing healthcare disparities and improving the overall well-being of citizens across the region. As the nation continues its journey towards enhanced healthcare, collaboration, innovation and strategic initiatives will remain key drivers of success.