COMMUNIQUE ISSUED AT THE END OF A ONE DAY NATIONAL STRATEGIC STAKEHOLDERS ENGAGEMENT FOR ENROLLEES OF THE NATIONAL HEALTH INSURANCE SCHEME (NHIS) HELD AT CHIDA HOTELS, UTAKO, ABUJA ON SEPTEMBER 4, 2019.
The National Health Insurance Scheme (I HIS) organized a one day Strategic Stakeholders Engagement for enrollees with the main objectives of unveiling the new-result oriented NHIS landscape, sensitizing enrollees on the modus operandi the Formal Sector Programmes, identifying critical challenges in accessing care by enrollees, clarifying grey areas in the implementation of the Formal Sector Programme, suggesting ways and means of addressing the barriers. The engagement, which had 92 participants from across 77 Ministries, Departments and &genies (MDAs) received presentations and had discussions on the Changing NI IIS Landscape and Enrollees as Critical Stakeholders in the NHIS. The participants had Group work on the challenges of enrollees in relation to (i) Health Care Providers (HCPs), (ii) Health Maintenance Organizations (HMOs), (Hi) Employers (iv) NHIS.
The critical challenges identified by the participants included lack of adequate knowledge of rights and responsibilities by enrolees, Non mandatory nature of health insurance under the current Act, old drug and price lists, out-of-stock syndrome, lack of synergy between HCPs and HMOs, long waiting time to access healthcare, lack of sensitization of Desk Officers, delay in issuance of authorization codes by I IMOs, non-release of enrolee register to IICPs, poor monitoring of I ICPs and I IMOs by NHIS, ineffective communication channels among stakeholders, non-issuance of ID cards, irregular payment of capitation and fee-for-service by NHIS and HMOs, inadequate support of Desk Officers by the MDAs and NHIS, non-re-accreditation of HCPs by NHIS.
The Stakeholders resolved as follows:
The stakeholders' engagement concluded with a commendation to the Management of the NI IIS for holding the programme and stressed the need for such regular interaction with stakeholders. The expectation is that these resolutions shall be implemented in the spirit of the result oriented NHIS.
Signed for the COMMUNIQUE COMMITTEE:
Mr. Olufemi Akingbade
General Manager/Zonal Coordinator, Lagos Zone, NHIS
Dr. Alkali Umar
Director Public Health, Planning & Research, National Assembly