ArticleBMC health services research2019
Exploring effectiveness of different health financing mechanisms in Nigeria; what needs to change and how can it happen?
Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.
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Who cites it
46 citing papers in PubMed.
- Machine Learning Analysis of Maternal Mortality Determinants in Nigeria: An Exploratory Study.The International journal of health planning and management · 2026Article
- Availability, utilization patterns, and challenges of intraoperative C-arm fluoroscopy in orthopedic surgeries: a survey of orthopedic surgeons in Nigeria.BMC health services research · 2026Article
- Examining Tertiary Healthcare Quality Under Asset Leasing, Performance-Based Financing, and Social Impact Bonds: The Role of Government Stewardship in a Cross-Sectional Quantitative Study in Kenya.Health science reports · 2026Article
- Drug stockouts and treatment delays in African health systems: impact on malaria morbidity and mortality.Annals of medicine and surgery (2012) · 2026Review
- Health economics in Africa: historical perspectives, current challenges, and policy recommendations for sustainable healthcare financing and resource allocation.Cost effectiveness and resource allocation : C/E · 2026Review
- How does the Nigerian health system serve people living with disabilities? A socio-ecological analysis on people living with visual impairment.Global health action · 2025Review
- Rare "double tragedy" and successful salvage strategy after failed bilateral humeral fracture fixation in a resource-constrained setting: a case report.Patient safety in surgery · 2025Article
- Barriers to Comprehensive Cleft Care as Perceived by Healthcare Professionals in Sub-Saharan Africa.Plastic and reconstructive surgery. Global open · 2025Article
- Administrative perspectives on the implementation and sustainability of state-supported health insurance schemes in Nigeria: a descriptive qualitative study.BMC public health · 2025Article
- Financial risk protection and Nigeria's journey towards universal health coverage.npj health systems · 2025Review
- Challenges and Opportunities of Universal Health Coverage in Africa: A Scoping Review.International journal of environmental research and public health · 2025Article
- Charting the path to the implementation of universal health coverage policy in Nigeria through the lens of Delphi methodology.BMC health services research · 2025Article
- Review
- Care mobilities and associated contexts of hospital-based informal caregiving in Nigeria: Towards an explanatory framework.PloS one · 2025Article
- Factors associated with Catastrophic Healthcare Expenditure in communities of Lagos Nigeria: A Megacity experience.PloS one · 2025Article
- Systematic Review of Financing Functions for Universal Health Coverage in Low- and Middle-Income Countries: Reforms, Challenges, and Lessons Learned.Public health reviews · 2025Review
- Healthcare managers' perspectives on direct health facility financing in Tanzania.PLOS global public health · 2025Article
- Critical review of healthcare financing and a survey of system quality perception among healthcare users in Nigeria (2010-2023).PLOS global public health · 2025Article
- Inequities in Household Out-Of-Pocket Spending Among Urban Slum Dwellers in Southeast Nigeria.International journal of public health · 2025Article
- Role of digital health technologies in improving health financing and universal health coverage in Sub-Saharan Africa: a comprehensive narrative review.Frontiers in digital health · 2025Review
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundVarious attempts to examine health financing mechanisms in Nigeria highlight the fact that there is no single mechanism that fits all contexts and people. This paper sets out findings of an in-depth assessment of different health financing mechanisms in Nigeria.
methodsThe study was undertaken in the Federal Capital territory of Nigeria and two States (Niger and Kaduna). Data were collected through review of government documents, and in-depth interviews of purposively selected respondents. Data analysis was guided by a conceptual framework which draws from various approaches for assessing health financing mechanisms. Data was examined for current practices, what needs to change and how the change can happen.
resultsHealth financing mechanisms in Nigeria do not operate optimally. Allocation and use of resources are neither evidence-based nor results-driven. Resources are not allocated equitably or in a manner that minimizes wastage and improves efficiency. None of the mechanisms effectively protects individuals/households from catastrophic health expenditure. Issues with social health insurance cut across legal frameworks and use of Health Maintenance Organisations (HMOs) as purchasers. The concomitant effect is that attainment of Universal Health Coverage is greatly compromised. In order to improve efficiency of health financing mechanisms, government needs to allocate more funds for purchasing health services; this spending must be based on evidence (strategic), and appropriately tracked. The legislation that established National Health Insurance Scheme should be amended such that social health insurance becomes mandatory for all citizens. Implementation of the latter should be complemented by revision of benefit package, strict oversight and regulation of HMOs.
conclusionIn order to improve health financing in the country, legal and regulatory frameworks need to be revised. Efficient utilization of resources could be improved through strategic purchasing arrangements and strict oversight.
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Registered trials
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.