ReviewNigerian medical journal : journal of the Nigeria Medical Association
Operationalizing universal health coverage in Nigeria through social health insurance.
Review in Nigerian medical journal : journal of the Nigeria Medical Association. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.
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Who cites it
51 citing papers in PubMed.
- Satisfaction and retention among NHIS enrollees at a tertiary hospital in Ebonyi State, Nigeria: facility-based insights for community-based health insurance policy.BMC public health · 2026Article
- The perspectives of Lagos faith-institution leaders on health, hypertension, and faith-based hypertension interventions: a qualitative interview study.Frontiers in public health · 2026Article
- Geographic Variations, Peculiarities, and Management of Heart Failure in Sub-Saharan Africa.Current heart failure reports · 2025Review
- Coverage and predictors of enrollment in the state-supported health insurance schemes in Nigeria: a quantitative multi-site study.BMC public health · 2025Article
- Challenges and Opportunities of Universal Health Coverage in Africa: A Scoping Review.International journal of environmental research and public health · 2025Article
- Inequities in Household Out-Of-Pocket Spending Among Urban Slum Dwellers in Southeast Nigeria.International journal of public health · 2025Article
- Lassa Fever: Critical Review and Prospects for Control.Tropical medicine and infectious disease · 2024Review
- A National survey describing the quality of care in Paediatric Emergency Departments of Tertiary Hospitals in Nigeria.African health sciences · 2024Article
- Does mobile renewal make health insurance more responsive to clients? A case study of the National Health Insurance Scheme in Ghana.BMJ global health · 2023Article
- Health insurance coverage and access to child and maternal health services in West Africa: a systematic scoping review.International health · 2023Article
- Coping with the economic burden of non-communicable diseases among hypertensive and diabetic patients in private and public health facilities in Ado-Ekiti, Nigeria.Ghana medical journal · 2023Article
- Article
- COVID-19 Pandemic Impacted Food Security and Caused Psychosocial Stress in Selected States of Nigeria.International journal of environmental research and public health · 2023Article
- Effect of Health Insurance Uptake on Hesitancy toward COVID-19 Vaccines in Nigeria: A Recursive Bivariate Probit and Decomposition Estimation.International journal of environmental research and public health · 2023Article
- Do national health insurance schemes guarantee financial risk protection in the drive towards Universal Health Coverage in West Africa? A systematic review of observational studies.PLOS global public health · 2023Article
- Fraud within the Nigerian health system, a double threat for resilience of a health system and the response to the COVID-19 pandemic: a review.The Pan African medical journal · 2023Review
- Cost of illness of non-communicable diseases in private and public health facilities in Nigeria: a qualitative and quantitative approach.The Pan African medical journal · 2023Article
- Understanding context in the implementation of emergency obstetric and neonatal care in health facilities in Osun State, Nigeria- a mixed-methods study.BMC pregnancy and childbirth · 2022Article
- Health insurance coverage and modern contraceptive use among sexually active women in Nigeria: Further analysis of 2018 Nigeria Demographic Health Survey.Contraception and reproductive medicine · 2022Article
- Assessment of tuberculosis case notification rate: spatial mapping of hotspot, coverage and diagnostics in Katsina State, north-western Nigeria.Journal of public health in Africa · 2022Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Nigeria faces challenges that delay progress toward the attainment of the national government's declared goal of universal health coverage (UHC). One such challenge is system-wide inequities resulting from lack of financial protection for the health care needs of the vast majority of Nigerians. Only a small proportion of Nigerians have prepaid health care. In this paper, we draw on existing evidence to suggest steps toward reforming health care financing in Nigeria to achieve UHC through social health insurance. This article sets out to demonstrate that a viable path to UHC through expanding social health insurance exists in Nigeria. We argue that encouraging the states which are semi-autonomous federating units to setup and manage their own insurance schemes presents a unique opportunity for rapidly scaling up prepaid coverage for Nigerians. We show that Nigeria's federal structure which prescribes a sharing of responsibilities for health care among the three tiers of government presents serious challenges for significantly extending social insurance to uncovered groups. We recommend that rather than allowing this governance structure to impair progress toward UHC, it should be leveraged to accelerate the process by supporting the states to establish and manage their own insurance funds while encouraging integration with the National Health Insurance Scheme.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.