Health
Inclusion of Family Planning, Cancer Services in NHIS will Reduce Mortality- Experts
Some health experts have identified the need for inclusion of family planning and cancer services into the National Health Insurance Scheme (NHIS) benefit package.
According to them, the inclusion of these packages will help reduce morbidity and mortality arising from arising from lack of finances from patients and Nigerians who seek health care services.
The experts spoke at a two-day retreat organised by the Africa Health Budget Network (AHBN) in partnership with NHIS, Nigerian Medical Association (NMA) and the Nigerian Cancer Society (NCS) on Wednesday in Abuja.
Due to the huge out-of-pocket spending for health services, which often leave average and poor Nigerians in penury, the government established the NHIS in 2005.
But in spite billions of Naira expended into the scheme since its inception, millions of Nigerians still lack access to quality healthcare.
About 70 per cent of Nigerians pay out-of-pocket for healthcare while the few enrolled in the scheme complaining of inadequate service delivery.
The scheme only covers between five to 10 per cent of the Nigerian population, mainly civil servants and corporate workers in the private sector.
Also, it does not cover key cancer treatment regimen which is very expensive.
Prof. Innocent Ujah, the President of the Nigerian Medical Association (NMA), noted that the inclusion of family planning into the NHIS would improve acceptance and continued use of family planning.
This is will help to prevent unintended pregnancies through correct, consistent and social behaviour change.
Ujah, who was represented by Commissioner for Health and Human Services, Benue, Dr Joseph Ngbea, said the advocacy for these medical services would further strengthen advocacy to build political will for implementation.
Prof. Oladapo Ladipo said that the first rational for family planning was in the interest of the mother and the child to reduce mortality.
Ladipo said the country’s maternal mortality ratio was high when compared with other developed countries.
He said that Nigeria had not made any substantial progress in terms of services to its citizens in the past decades.
Alo speaking at the retreat, the Executive Secretary of NHIS, Dr Mohammed Sambo, said the advocacy was in line with the reform agenda of the current leadership of the scheme.
Sambo, who was represented by Mr Yakubu Agada,General Manager of Standard and Quality Assurance, NHIS, said the scheme was expanding coverage of essential healthcare services for all Nigerians.
He noted that efforts were under way for the scheme to cover retirees, elderly, IDPs and corps members.
“NHIS on its own part is currently reviewing its benefit package to accommodate some drugs and services for cancer and other communicable and non-communicable diseases,” he said.
He disclosed that the scheme was working with the International Labour Organisation (ILO) on the actuarial valuation of the comprehensive benefit package was on-going.
“In that package, we already have some of the new generation chemotherapy; chemo drugs and others are included.
“While we are doing this, we need to look at how we are going to finance the new package, otherwise we are going to deplete the pool we have been able to put together,” he explained.
Hon. Tanko Sununi, Chairman, Healthcare Services Committee, House of Representatives, said that the Federal Ministry of Health was at the modality stage of disbursing funds to selected hospitals that will cover for indigent patients.
In her remarks, the wife of the Governor of Kebbi State, Dr Zainab Bagudu, said that access to family planning services and cancer treatment was critical to health care outcome in the country.
Bagudu explained that the inclusion of these essential services would reduce morbidity, mortality and financial burden placed on patients and care givers.
“Well-designed and resource sensitive health insurance benefits packages available on state and national scheme can see these services incorporated into packages in the immediate future,” she added.
She, however, called for collaboration and commitments of all stakeholders to achieve this.
NAN also reports that Sambo had in February said that Nigeria needed about three trillion naira annually to provide adequate health insurance to its total population of over 200 million.
He said that with sufficient funds, the scheme would expand its benefits package to include medical conditions including cancer.
To reduce the financial burden of treating the cancer, the Minster of Health, Dr Osagie Ehanire , at a National Health Dialogue in 2019, had also announced plans to institute a cancer treatment fund.
“There will be a creation of a fund, either a cancer treatment fund or whatever we decide to call it. It is important and can be driven by investment or donation,” the minister had said. (NAN)
Health
Agency Seals 12 Islamic Medicine Stores, One Clinic in Niger Crackdown
The Niger State Private Health Facilities Agency (NiSPHFA) has sealed 12 unregistered Islamic medicine stores in Minna and a health facility in Katcha Local Government Area (LGA).
The Executive Chairman of NiSPHFA, Dr.
Abdullahi Suleiman, disclosed this while receiving members of the Islamic and Prophetic Medicine Practitioners’ Association of Nigeria (IPMPAN) in Minna.The enforcement is part of the agency’s renewed efforts to protect residents from unsafe healthcare practices and ensure compliance with minimum standards.
Suleiman said the facilities were sealed over alleged non-compliance with regulatory standards.
According to him, the enforcement is not aimed at persecuting healthcare providers but at ensuring residents have access to safe, quality, and standard-compliant healthcare services.
“Our responsibility is to protect the people by ensuring that anyone providing healthcare services operates within the required standards,” he said.
He urged genuine alternative medicine practitioners to register with NiSPHFA, saying registration would enable the agency to identify operators, monitor their activities, and protect residents from unsafe products and practices.
Suleiman also announced plans to organise a trade fair for verified alternative medicine practitioners to promote legitimate practices and improve public confidence in alternative healthcare.
He emphasised the need for practitioners to maintain minimum standards of hygiene, sanitation, safe preparation and storage of medicines, proper packaging, and infection prevention.
“Practitioners should refer patients whose conditions are beyond their capacity to appropriate health facilities. Such referrals will help reduce avoidable health risks,” he said.
The chairman said sustained enforcement, stakeholder collaboration, and improved compliance would enable NiSPHFA to safeguard residents and promote a safer, more accountable, and quality-driven healthcare system across the state.
He said the NiSPHFA enforcement team inspected 10 health facilities in Katcha local government and identified various irregularities requiring improvement.
Suleiman said the affected facilities were issued 21-day notices to correct the identified deficiencies.
“One of the facilities inspected was sealed for non-compliance with established standards,” he said.
He added that the agency also secured the support of the local government area in identifying and addressing facilities operating with irregularities.
IPMPAN Chairman, Abdullahi Haske, commended the state government for establishing NiSPHFA.
He pledged the association’s cooperation in ensuring that its members complied with regulatory requirements.
Health
Stakeholders Seek Improved Health Budget Implementation, Accountability in Kaduna
Stakeholders have called for improved implementation, tracking and accountability of health sector budgets to strengthen healthcare delivery and advance Universal Health Coverage (UHC) in Kaduna State.
They made the call during an engagement on strengthening participatory budget processes, health budget tracking and advocacy on Saturday in Kaduna, with emphasis on the 2027 budget process and implementation of the Annual Operational Plan (AOP) for the health sector.
Seth Luke, a Civil Society Coach on strengthening participatory budget processes under the Open Government Partnership (OGP) Kaduna, said the engagement was aimed at strengthening the capacity of OGP Technical Working Groups and state and local government accountability mechanisms to effectively participate in budget processes and advocacy.
Seth said the engagement was particularly focused on the health sector, including tracking the implementation of the Annual Operational Plan as the state commenced preparations for the 2027 budget.
“We want to see how we can track the implementation of the Annual Operational Plan for the health sector and, from our findings, bring out recommendations around improving funding and other areas that require attention,” he said.
He said the government needed to prioritise health financing beyond budgetary allocation by ensuring effective implementation of approved programmes and projects.
According to him, budget allocation represents government plans based on expected revenue, but available resources should be prioritised toward activities capable of improving healthcare and service delivery at the grassroots.
Seth urged participants to use the knowledge and findings from the engagement to engage relevant government stakeholders on improving health financing and budget implementation.
He also encouraged them to extend the knowledge gained to other sectors and continuously engage government on budgeting, accountability and service delivery.
Similarly, Garba Mohammed, Co-Chair of the Kaduna Maternal Accountability Mechanism (KADMAM), said the engagement was aimed at reviewing health budget performance against key indicators linked to maternal mortality reduction and child survival.
Mohammed said participants examined first and second quarter performance, particularly in areas such as family planning, Maternal, Newborn and Child Health (MNCAH), nutrition, malaria, immunisation and essential medicines.
He said family planning interventions largely involved commodities at the primary healthcare level, while MNCAH activities remained largely donor-dependent.
Mohammed commended the Kaduna State Government for meeting the Abuja Declaration benchmark of allocating at least 15 per cent of its annual budget to health.
He, however, expressed concern over gaps in the implementation of some critical health budget lines, stressing that allocation alone was not enough to improve health outcomes.
“We have looked at the budget allocation, and Kaduna State has met the 15 per cent Abuja Declaration benchmark. We commend the state for that. However, there are still issues around budget performance in critical health indicators,” he said.
He said the findings would be used to identify advocacy priorities and engage key government decision-makers, including the Ministry of Health, Planning and Budget Commission, Ministry of Finance and other relevant authorities.
Mohammed said participants were expected to understand the relevant health budget lines and their implementation status and use the knowledge to undertake evidence-based advocacy in their respective organisations.
Meanwhile, Yusuf Guje, Executive Director, Civic Impact for Sustainable Development Foundation (CISDF), and a participant at the programme, told the News Agency of Nigeria (NAN) that the engagement was timely in strengthening the capacity of civil society and accountability mechanisms.
Guje said the programme would deepen participants’ capacity in budget tracking, project monitoring and social auditing, particularly within the health sector.
He described the health sector as a critical pillar of development, saying civil society organisations had an important role to play in complementing government efforts through effective monitoring and accountability.
He said CSOs needed to strengthen their ability to analyse budgets, track expenditure and visit healthcare facilities to determine whether appropriated and released funds were being properly utilised.
“Civil society needs to really improve on how effectively we analyse the budget, how we track the spending, and go down to the various facilities to see how well the money appropriated and released is being utilised,” Guje said.
He said effective monitoring would help determine the extent to which communities benefited from government investments in healthcare.
According to him, Kaduna State’s commitment to Universal Health Coverage could only be strengthened through sustainable health financing and effective accountability mechanisms.
Guje described CSOs as representatives of communities that often lacked the knowledge, skills and platforms required to engage government on public policies and resource allocation.
He therefore urged civil society actors to continuously strengthen their capacity to represent citizens effectively, particularly in health financing advocacy and accountability.
“As civil society, we need to remain committed to holding the government accountable where necessary and tracking the entire health financing process,” he said.
Guje said the ultimate objective of budget tracking and social accountability was to ensure value for money in public expenditure on health.
He added that effective monitoring of public finances would contribute to improved healthcare delivery and better health outcomes at the grassroots. (NAN)
Health
C’River Makes Health Insurance Compulsory for Civil Servants
Cross River Government has made enrolment in the state Health Insurance Scheme compulsory for all civil and public servants in the state.
The Head of Service, Bassey Okon, announced this in a circular dated Sept.
3, following the official relaunch of the Formal Sector Enrolment Programme of the Cross River State Health Insurance Agency.According to the circular in Calabar, at the weekend, the directive takes immediate effect.
Okon stated that the policy was meant to ensure that all the civil and public servants had access to affordable, quality, and timely healthcare services, while strengthening the welfare and productivity of the state workforce.
He directed all the civil and public servants to enroll in the scheme and comply with the registration and documentation requirements of the agency.
The circular also introduced a mandatory requirement for officers to attach valid health insurance enrolment cards to official correspondences relating to personnel matters.
“Correspondences concerning promotion, confirmation of appointment, loan applications, study leave, training or sponsorship, transfer or secondment, as well as other personnel-related requests or benefits, would not be processed without the attachment of a valid health insurance enrolment card,” it stated.
To facilitate the enrolment process, the government established enrolment points at the Office of the Head of Service, New Secretariat, Calabar, and the Ministry of Health, Old Secretariat, Calabar.
Okon directed all Heads of Ministries, Departments, and Agencies (MDAs) to ensure that officers under their supervision were duly informed about the circular and made to comply with the enrolment requirement without delay.
He also urged concerned officers to take advantage of the designated enrolment points for guidance and assistance and to complete their enrolment as required.
He further directed all the heads of the MDAs to bring the contents of the circular to the attention of all civil and public servants under their supervision. (NAN)


