Department of Community Medicine, Federal Teaching Hospital, Ido-Ekiti, Ekiti State, Nigeria.
Department of Community Medicine, Afe Babalola University, Ado-Ekiti, Ekiti State, Nigeria.
West Afr J Med. 2023 May 27;40(5):525-532.
Currently, <10% of Nigerians are insured by the National Health Insurance Scheme (NHIS) and this among other things has led to the signing of the National Health Insurance Authority (NHIA) Act in May 2022, which aims at ensuring the effective implementation of a national health insurance policy and attainment of Universal Health Coverage (UHC) in Nigeria.
To highlight the new features of the NHIA Act and its policy implications for the Nigerian health system.
A modified Delphi method was used for extracting the differences in the two Acts. A total of three rounds of reviews were carried out among 5 reviewers within three weeks. Differences were tabulated and also presented in prose.
The NHIA Act makes health insurance mandatory for all residents of Nigeria with the introduction of the vulnerable group fund and implementation of the Basic Health Care Provision Fund through the established State Health Insurance Schemes. Unlike the NHIS which is a Scheme, the NHIA is an Authority and has an expanded function to regulate, promote, manage and integrate all health insurance schemes and practices in Nigeria. Also, funds management has been transferred from Health Maintenance Organizations to the State Health Insurance Schemes and the Health Maintenance Organizations are now excluded from the Governing Council.
Certainly, the journey towards UHC could be safer and more equitable with health insurance now mandatory for all Nigerians and the introduction of vulnerable group funds in the new Act. This will eliminate the catastrophic expenses of poor Nigerians if the Act is correctly implemented.
目前，<10%的尼日利亚人受国家健康保险计划（NHIS）的保障，这导致了 2022 年 5 月签署了国家健康保险管理局（NHIA）法案，旨在确保有效实施国家健康保险政策，并在尼日利亚实现全民健康覆盖（UHC）。
强调 NHIA 法案的新特点及其对尼日利亚卫生系统的政策影响。
采用改良德尔菲法提取两部法案的差异。在三周内，共有 5 名评审员进行了三轮审查。将差异制成表格，并以散文形式呈现。
NHIA 法案通过引入弱势群体基金，并通过已建立的州健康保险计划实施基本医疗保健提供基金，规定尼日利亚所有居民必须参加健康保险。与作为计划的 NHIS 不同，NHIA 是一个管理局，并扩大了职能，以监管、促进、管理和整合尼日利亚所有的健康保险计划和实践。此外，资金管理已从健康维护组织转移到州健康保险计划，健康维护组织现已被排除在理事会之外。
当然，随着健康保险现在对所有尼日利亚人强制要求，以及新法案中引入弱势群体基金，全民健康覆盖的道路可能会更安全、更公平。如果该法案得到正确实施，这将消除贫困尼日利亚人的灾难性支出。
