Charting the path to the implementation of universal health coverage policy in Nigeria through the lens of Delphi methodology
Abstract Background Expanding access to equitable health insurance is an important lever towards the overall strategy for achieving universal health coverage. In Nigeria, health insurance coverage is low with a renewed government action on increasing access to and coverage of high-quality healthcare...
Saved in:
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-01-01
|
| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-024-12201-7 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841544898700902400 |
|---|---|
| author | Jibril M. Bashar Sulaiman Hadiza Ozoilo J. Ugochi Lawal S. Muhammad Adeoye Olufemi Ukoh Eberechi Yakubu Agada-Amade Alhassan Yusuf Abdulhamid H. Abdullahi Hassan S. Musa Ahmad A. Ibrahim Kalu-Umeh Nnennaya Jennifer Anyanti Dayyabu Yusuf Kenneth Okoineme Jennifer Adebambo Samuel O. Ikani Dennis Aizobu Musa Abubakar Babandi S. Zaharaddeen Lawal Aminu Yusuf H. Wada |
| author_facet | Jibril M. Bashar Sulaiman Hadiza Ozoilo J. Ugochi Lawal S. Muhammad Adeoye Olufemi Ukoh Eberechi Yakubu Agada-Amade Alhassan Yusuf Abdulhamid H. Abdullahi Hassan S. Musa Ahmad A. Ibrahim Kalu-Umeh Nnennaya Jennifer Anyanti Dayyabu Yusuf Kenneth Okoineme Jennifer Adebambo Samuel O. Ikani Dennis Aizobu Musa Abubakar Babandi S. Zaharaddeen Lawal Aminu Yusuf H. Wada |
| author_sort | Jibril M. Bashar |
| collection | DOAJ |
| description | Abstract Background Expanding access to equitable health insurance is an important lever towards the overall strategy for achieving universal health coverage. In Nigeria, health insurance coverage is low with a renewed government action on increasing access to and coverage of high-quality healthcare services to citizens, particularly for the vulnerable and poor population. Therefore, our study co-creates the priorities for expanding health insurance in Nigeria, focusing on key policy reforms, public advocacy, and innovative financing strategies to ensure broader and more equitable coverage for the population. Methodology We employed a Delphi approach methodology through strategic health insurance meetings with a diverse multidisciplinary panel of 125 stakeholders including representatives of accredited Health Insurance Maintenance Organizations, Heads of States Social Health Insurance Agencies, Development Partners representatives, academics, government officials, national health insurance authority expanded management team and experts in health insurance across all the states of Nigeria to recommend specific actions towards health insurance expansion and universal health coverage in Nigeria. Results The participants/panels were able to come up with a consensus on 66 priorities for health insurance expansion in Nigeria working with stakeholders within the Nigerian health insurance ecosystem across the 36 states and Nigeria’s FCT. From these priorities, seven priority areas and 17 themes were derived that should be considered by the government, policymakers, regulators, and practitioners to deepen health insurance penetration in Nigeria. These seven priority areas that have been identified include enrolment, equity, organizational health and structure, data and technology, quality, market efficiency, and citizen engagement. Conclusion The priorities identified for health insurance expansion in Nigeria will go a long way in shaping health insurance. We hope that government, policymakers, regulators, and practitioners in the health ecosystem will use these social policy actions to set priorities for increasing health insurance coverage and address inadequacies to accelerate the drive towards the attainment of UHC by 2030. |
| format | Article |
| id | doaj-art-9fe9e025ac41409ea6d9502fa10d8656 |
| institution | Kabale University |
| issn | 1472-6963 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj-art-9fe9e025ac41409ea6d9502fa10d86562025-01-12T12:13:07ZengBMCBMC Health Services Research1472-69632025-01-0125111810.1186/s12913-024-12201-7Charting the path to the implementation of universal health coverage policy in Nigeria through the lens of Delphi methodologyJibril M. Bashar0Sulaiman Hadiza1Ozoilo J. Ugochi2Lawal S. Muhammad3Adeoye Olufemi4Ukoh Eberechi5Yakubu Agada-Amade6Alhassan Yusuf7Abdulhamid H. Abdullahi8Hassan S. Musa9Ahmad A. Ibrahim10Kalu-Umeh Nnennaya11Jennifer Anyanti12Dayyabu Yusuf13Kenneth Okoineme14Jennifer Adebambo15Samuel O. Ikani16Dennis Aizobu17Musa Abubakar18Babandi S. Zaharaddeen19Lawal Aminu20Yusuf H. Wada21National Health Insurance AuthorityNational Health Insurance AuthorityNational Health Insurance AuthorityNational Health Insurance AuthorityNational Health Insurance AuthorityNational Health Insurance AuthorityNational Health Insurance AuthorityNational Health Insurance AuthorityNational Health Insurance AuthorityNational Health Insurance AuthorityNational Health Insurance AuthorityNational Health Insurance AuthoritySociety for Family HealthSociety for Family HealthSociety for Family HealthSociety for Family HealthSociety for Family HealthSociety for Family HealthAbubakar Tafawa UniversityAhmadu Bello UniversityKatsina State Primary Health Care AgencySociety for Family HealthAbstract Background Expanding access to equitable health insurance is an important lever towards the overall strategy for achieving universal health coverage. In Nigeria, health insurance coverage is low with a renewed government action on increasing access to and coverage of high-quality healthcare services to citizens, particularly for the vulnerable and poor population. Therefore, our study co-creates the priorities for expanding health insurance in Nigeria, focusing on key policy reforms, public advocacy, and innovative financing strategies to ensure broader and more equitable coverage for the population. Methodology We employed a Delphi approach methodology through strategic health insurance meetings with a diverse multidisciplinary panel of 125 stakeholders including representatives of accredited Health Insurance Maintenance Organizations, Heads of States Social Health Insurance Agencies, Development Partners representatives, academics, government officials, national health insurance authority expanded management team and experts in health insurance across all the states of Nigeria to recommend specific actions towards health insurance expansion and universal health coverage in Nigeria. Results The participants/panels were able to come up with a consensus on 66 priorities for health insurance expansion in Nigeria working with stakeholders within the Nigerian health insurance ecosystem across the 36 states and Nigeria’s FCT. From these priorities, seven priority areas and 17 themes were derived that should be considered by the government, policymakers, regulators, and practitioners to deepen health insurance penetration in Nigeria. These seven priority areas that have been identified include enrolment, equity, organizational health and structure, data and technology, quality, market efficiency, and citizen engagement. Conclusion The priorities identified for health insurance expansion in Nigeria will go a long way in shaping health insurance. We hope that government, policymakers, regulators, and practitioners in the health ecosystem will use these social policy actions to set priorities for increasing health insurance coverage and address inadequacies to accelerate the drive towards the attainment of UHC by 2030.https://doi.org/10.1186/s12913-024-12201-7UHCHealth insuranceSocial health insuranceDelphiNigeriaUniversal health coverage |
| spellingShingle | Jibril M. Bashar Sulaiman Hadiza Ozoilo J. Ugochi Lawal S. Muhammad Adeoye Olufemi Ukoh Eberechi Yakubu Agada-Amade Alhassan Yusuf Abdulhamid H. Abdullahi Hassan S. Musa Ahmad A. Ibrahim Kalu-Umeh Nnennaya Jennifer Anyanti Dayyabu Yusuf Kenneth Okoineme Jennifer Adebambo Samuel O. Ikani Dennis Aizobu Musa Abubakar Babandi S. Zaharaddeen Lawal Aminu Yusuf H. Wada Charting the path to the implementation of universal health coverage policy in Nigeria through the lens of Delphi methodology BMC Health Services Research UHC Health insurance Social health insurance Delphi Nigeria Universal health coverage |
| title | Charting the path to the implementation of universal health coverage policy in Nigeria through the lens of Delphi methodology |
| title_full | Charting the path to the implementation of universal health coverage policy in Nigeria through the lens of Delphi methodology |
| title_fullStr | Charting the path to the implementation of universal health coverage policy in Nigeria through the lens of Delphi methodology |
| title_full_unstemmed | Charting the path to the implementation of universal health coverage policy in Nigeria through the lens of Delphi methodology |
| title_short | Charting the path to the implementation of universal health coverage policy in Nigeria through the lens of Delphi methodology |
| title_sort | charting the path to the implementation of universal health coverage policy in nigeria through the lens of delphi methodology |
| topic | UHC Health insurance Social health insurance Delphi Nigeria Universal health coverage |
| url | https://doi.org/10.1186/s12913-024-12201-7 |
| work_keys_str_mv | AT jibrilmbashar chartingthepathtotheimplementationofuniversalhealthcoveragepolicyinnigeriathroughthelensofdelphimethodology AT sulaimanhadiza chartingthepathtotheimplementationofuniversalhealthcoveragepolicyinnigeriathroughthelensofdelphimethodology AT ozoilojugochi chartingthepathtotheimplementationofuniversalhealthcoveragepolicyinnigeriathroughthelensofdelphimethodology AT lawalsmuhammad chartingthepathtotheimplementationofuniversalhealthcoveragepolicyinnigeriathroughthelensofdelphimethodology AT adeoyeolufemi chartingthepathtotheimplementationofuniversalhealthcoveragepolicyinnigeriathroughthelensofdelphimethodology AT ukoheberechi chartingthepathtotheimplementationofuniversalhealthcoveragepolicyinnigeriathroughthelensofdelphimethodology AT yakubuagadaamade chartingthepathtotheimplementationofuniversalhealthcoveragepolicyinnigeriathroughthelensofdelphimethodology AT alhassanyusuf chartingthepathtotheimplementationofuniversalhealthcoveragepolicyinnigeriathroughthelensofdelphimethodology AT abdulhamidhabdullahi chartingthepathtotheimplementationofuniversalhealthcoveragepolicyinnigeriathroughthelensofdelphimethodology AT hassansmusa chartingthepathtotheimplementationofuniversalhealthcoveragepolicyinnigeriathroughthelensofdelphimethodology AT ahmadaibrahim chartingthepathtotheimplementationofuniversalhealthcoveragepolicyinnigeriathroughthelensofdelphimethodology AT kaluumehnnennaya chartingthepathtotheimplementationofuniversalhealthcoveragepolicyinnigeriathroughthelensofdelphimethodology AT jenniferanyanti chartingthepathtotheimplementationofuniversalhealthcoveragepolicyinnigeriathroughthelensofdelphimethodology AT dayyabuyusuf chartingthepathtotheimplementationofuniversalhealthcoveragepolicyinnigeriathroughthelensofdelphimethodology AT kennethokoineme chartingthepathtotheimplementationofuniversalhealthcoveragepolicyinnigeriathroughthelensofdelphimethodology AT jenniferadebambo chartingthepathtotheimplementationofuniversalhealthcoveragepolicyinnigeriathroughthelensofdelphimethodology AT samueloikani chartingthepathtotheimplementationofuniversalhealthcoveragepolicyinnigeriathroughthelensofdelphimethodology AT dennisaizobu chartingthepathtotheimplementationofuniversalhealthcoveragepolicyinnigeriathroughthelensofdelphimethodology AT musaabubakar chartingthepathtotheimplementationofuniversalhealthcoveragepolicyinnigeriathroughthelensofdelphimethodology AT babandiszaharaddeen chartingthepathtotheimplementationofuniversalhealthcoveragepolicyinnigeriathroughthelensofdelphimethodology AT lawalaminu chartingthepathtotheimplementationofuniversalhealthcoveragepolicyinnigeriathroughthelensofdelphimethodology AT yusufhwada chartingthepathtotheimplementationofuniversalhealthcoveragepolicyinnigeriathroughthelensofdelphimethodology |