The Nigerian Health Sector

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The Nigerian health sector: its challenge on maternal and child mortality. Nigeria is the most populous nation in Africa with over 160million people, Male population is greater, with 85,898,305 men, representing 50.87% of the total, compared to 82,935,471 or 49.12% women(1). The life expectancy is 53/55 for male/female respectively, whereby the gross domestic product (GDP) in 2011 was 5.3%, while in the same year the total expenditure on health per capita was 139$(2). With this large growing population, and the increasing life expectancy, the GDP is expected to continually rise as well. The recurrent expenditure on health as at 2008 was 98 million Nigeria Naira (3). Nigerian health system The government created the National Health Insurance Scheme (NHIS) which was launched in 1999 to ensure that every Nigerian has access to good health care services (4). In a bid to strengthen the health system, National health policy (NHP) in 2006 was embraced to create a convincing health financing system capable of meeting the goals of improved health status of Nigerians; financial protection of citizens against the cost of illness; fair financing of health services; and responsiveness to the citizens’ expectations. This plan includes the implementation of a re-designed National Health Insurance System (NHIS). However, since implementation of the National Health Insurance System, only 5 million Nigerians can readily access care through the NHIS. Use of NHIS services is lower among low-income groups and young people, which is because the programs that target these populations still have not been introduced or fully incorporated into the NHIS system. Thus, while it appears that coverage has been extended greatly to the population, there are st... ... middle of paper ... ...mes Nigeria. [cited 2014 Apr 28]. Available from: http://www.premiumtimesng.com/news/152371-2014-nigerian-government-must-improve-health-sector.html 12. WHO Country Cooperation Strategy: Federal Republic of Nigeria 2002-2007. World 13. Mooney GH. Equity in health care: confronting the confusion. Eff Health Care. 1983 Dec;1(4):179–85. 14. Poverty in Nigeria: Rich Country, Poor People [Internet]. Poverties.org. [cited 2014 Apr 28]. Available from: http://www.poverties.org/poverty-in-nigeria.html 15. Dussault G, Franceschini MC. Not enough there, too many here: understanding geographical imbalances in the distribution of the health workforce. Hum Resour Health. 2006;4:12. 16. Oxman AD, Fretheim A. Can paying for results help to achieve the Millennium Development Goals? Overview of the effectiveness of results-based financing. J Evid-Based Med. 2009 May;2(2):70–83.

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