Department of Community Medicine, Federal Teaching Hospital, Ido-Ekiti, Nigeria.
Department of Community Medicine, Federal Teaching Hospital, Ido-Ekiti; Department of Community Medicine, Afe Babalola University, Ado-Ekiti, Nigeria.
Niger Postgrad Med J. 2022 Oct-Dec;29(4):281-287. doi: 10.4103/npmj.npmj_216_22.
The National Health Insurance Scheme (NHIS) faced several inherent and systemic drawbacks towards achieving universal health coverage for all Nigerians, and this has led to the signing of the new National Health Insurance Authority Act (NHIA), 2022. This article highlights the benefits of NHIA, discusses the possible challenges and the way forward in its implementation. A narrative review of past literature searched in PubMed, MEDLINE, African Journal Online, and Goggle was conducted. A total of 76 publications were initially retrieved and following data triangulation, 55 were finally used. The authors also included their experiences. The NHIA addressed some of the shortcomings of the previous NHIS, however, it would still face several challenges in its implementation such as low government funding priority to health, shortage of healthcare workers and poor healthcare coverage, as well as problems with enforcement as it mandates all Nigerians to enroll. These and other impending constraints must be surmounted and all stakeholders must be involved to ensure the Act accomplishes its aim.
国家健康保险计划(NHIS)在实现全体尼日利亚人全民健康覆盖方面面临着一些固有的和系统性的缺陷,这导致了新的国家健康保险管理局法案(NHIA)的签署,2022 年。本文强调了 NHIA 的好处,讨论了在实施过程中可能面临的挑战和前进的方向。对 PubMed、MEDLINE、非洲在线期刊和谷歌上的过去文献进行了叙述性综述。最初检索到了 76 篇出版物,经过数据三角剖分,最终使用了 55 篇。作者还包括了他们的经验。NHIA 解决了之前 NHIS 的一些缺点,但在实施过程中仍将面临一些挑战,如政府对卫生保健的低优先投资、医疗保健工作者短缺和医疗保健覆盖范围差,以及由于该法案要求所有尼日利亚人都必须参保而导致的执法问题。这些和其他即将出现的限制必须克服,所有利益相关者都必须参与,以确保该法案实现其目标。