This policy brief provides an overview of how health service purchasing functions in the Formal Sector Social Health Insurance Programme (FSSHIP) under the National Health Insurance scheme (NHIS) in Nigeria, which is designed to cover employees of the public sector and the organised private sector. It examines the Health Maintenance Organisations (HMOs) as purchasers and their relationship with three key groups; the NHIS another (higher) layer of purchaser, healthcare providers and citizens.
The brief compares the actual purchasing practices under the programme with the ideal purchasing actions to identify gaps and associated influencing factors. Finally it makes policy recommendations for what needs to be done to improve strategic purchasing under this mechanism in Nigeria.
Etiaba, E.; Onwujekwe, O.; Ogochukwu, I.; Uzochukwu, B. Strategic purchasing for Universal Health Coverage: The Nigerian Formal Sector Social Health Insurance Programme. (2016) 4 pp.