This research brief provides an overview of how health services are purchased for the citizens in Enugu State within the public integrated health system. The study involved an exploration of the relationship between the State Ministry of Health as the central purchaser of health services and the national government, citizens and public healthcare providers. The brief compares actual purchasing practices with ideal purchasing scenarios and provides recommendations on how strategic purchasing could be used to improve health system performance.
Within the public integrated health system, the purchaser is the State Ministry of Health (MoH). Services are funded through budgetary allocations to the MoH from the state government, and are delivered by public providers of primary and secondary care to the general population. The MoH decides what health services to provide and how to provide them.
Ogochukwu, I.; Onwujekwe, O.; Etiaba, E.; Ozochukwu, B. Strategic purchasing for Universal Health Coverage: The public integrated health system in Enugu State, Nigeria. (2016) 4 pp.