SINCE it was established in 1999 via Decree (now Act) 35 of the Federal Government of Nigeria, the National Health Insurance Scheme (NHIS) has been tasked with the overall goal of enhancing access to quality and affordable health care for all Nigerians. This scheme eventually saw the light of day 27 years after it was first mooted in 1962 as the Lagos Health Bill. But since it became operational in 2005, the scheme has not been on track to meet its primary target of providing universal coverage
for all Nigerians by 2015. Its poor implementation has not justified the years of spadework invested before it became a reality. For many years now, the state of the health system in Nigeria has been in jeopardy. Even after 55 years of independence, Nigeria still ranks low among the World Health Organisation (WHO) member nations. But health insurance in Nigeria remains fraught with a lot of problems. Apart from being operated strictly with the government’s contributions, the NHIS has not enssured that every Nigerian has access to good health care services.
Today, there is little or no protection of individuals or families from the financial hardship of huge medical bills. Many individuals have no faith in the Scheme, while a number of corporate bodies have withdrawn from it. Treatment from accredited hospitals is often questionable.
While consumers often accuse healthcare providers of being too profit-conscious, many hospitals complain of non-payment of the bills of patients treated by them. Clients also moan that many diseases are not covered and they are given substandard drugs. The nation’s healthcare system deserves urgent reformation. What Nigerians need is a universal healthcare system which will increase coverage, reduce maternal and child mortality, while increasing life expectancy of the generality of the citizenry.