Achieving Universal Health Coverage in Nigeria: Moving Beyond Annual Celebrations to Concrete Address of the Challenges
Achieving Universal Health Coverage in Nigeria: Moving Beyond Annual Celebrations to Concrete Address of the Challenges
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DOI：
10.1002/wmh3.328
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发表时间：
2020-03-01
影响因子：
4.1
通讯作者：
Enabulele, Osahon
中科院分区：
文献类型：
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作者：
Enabulele, Osahon
根据世界卫生组织（世卫组织），全民医保是保健系统的组织方式，通过在获得必要的保健服务过程中提供财务风险保护，向特定人口的所有成员提供具体的一揽子保健福利。自2005年世界卫生大会通过全民健康覆盖的概念以来，随后在2030年可持续发展目标（SDG）议程中将其作为可持续发展目标3的第八个目标，现在全球更加关注全民健康覆盖的实现。虽然迄今为止所取得的成功在不同国家和大陆各不相同，但尼日利亚的情况仍然非常可悲。尼日利亚实现全民健康覆盖的主要战略机制是国家健康保险计划，这是一个缴费型社会健康保险计划。自2005年6月6日国家健康保险计划正式启动以来，该计划覆盖的人口不超过尼日利亚总人口的40%。因此，本文的目的是审查尼日利亚的UHC的进展，特别强调其挑战，并提出了一些建议，尼日利亚如何更现实地实现UHC。
According to the World Health Organization (WHO), universal health coverage (UHC) is the organization of health-care systems in a way that provides a specific health-care benefit package to all members of a defined population, through provision of financial risk protection in the course of accessing necessary health-care services. Since the adoption of the concept of UHC by the World Health Assembly in the year 2005, followed by its adoption in the 2030 Sustainable Development Goal (SDG) Agenda as the eighth target of SDG 3, greater global attention is now focused on the achievement of UHC. While the successes recorded so far vary in different countries and continents, the case of Nigeria remains very pathetic. Nigeria's main strategic mechanism for achieving UHC is her National Health Insurance Scheme (NHIS), which is a contributory social health insurance scheme. Since the formal launch of the NHIS on June 6, 2005, not more than 4percent of Nigeria's population has been covered by the scheme. This article is therefore aimed at reviewing Nigeria's progress toward UHC, with particular emphasis on its challenges, and with some recommendations proffered on how Nigeria can more realistically achieve UHC.