As many countries continue to progress towards the achievement of UHC goals, sustainable mechanisms for financing healthcare, improvements in human resources for health management and budget processes for health as well as strengthening systems for health accounts have been identified as crucial.
The Global Fund’s Catalytic Health System Investment Programme for prioritised states in Nigeria including Kaduna, Imo and Oyo clearly identifies a number of key interventions to strengthen health systems in the focus states. A landscape assessment was conducted in the focus states to determine if the priority interventions previously identified in the profiles remain relevant.
Project Goal
To improve access to, and utilization of quality primary health care services and the reduction of out-of-pocket payments with an emphasis on pregnant women, children, and those living in poverty.
Objectives
- These interventions include amongst others:
- Strengthen public financial management (PFM) capacity of the Ministries of Health in Kaduna, Imo and Oyo to develop, execute, and advocate for realistic and evidence-based spending on health in line with international best practices;
- Conduct necessary actuarial analysis and roll out/support state health insurance schemes; and,
- Strengthen human resources for health including assessing the health labour market in the focus states.
Related Activities
- Conducted a baseline assessment to generate evidence to guide scheme design
- Review of the bill establishing the scheme to ensure alignment with best practices
- Design of key components of the health insurance scheme including resource mobilization, pooling, purchasing, and performance management;
- Design of mechanisms for the definition, and identification of vulnerable and target populations;
- Support establishment of the Agency responsible for managing the scheme
- Development of a Monitoring and Evaluation plan for the scheme.