Stakeholders of the Kano state Contributory Health Scheme have described the scheme as a huge success as the fund hit N1.3billion naira with over 350,000 enrolles in the state.
The commendations were given at a stakeholders meeting on the performance of the scheme held at the government house in Kano state north western Nigeria.
Governor of the state, Dr. Umar Ganduje said the scheme was aimed at ensuring that the poor have access to good medical services to enable them contribute meaningfully to the development of the nation.
“The intervention is for the poor to have access to good medical services at low cost because if there is no strong health system, there can never be a developed nation.”
“According to information gathered each time we meet at the governor’s forum, Kano is rated the best in terms of the implementation of the scheme amongst the 20 states that have so far implemented the scheme across the federation.”
He said after collecting federal allocation, the state government contributes N100,000 every month to the fund of the scheme to ensure that services are rendered at subsidized rate for the less privileged.
The Executive Secretary of the Scheme, Dr, Halima Mijinyawa said the scheme to date has “over N1.3 billion with more than 350,000 enrolles making it the best in the country with sustainable fundamentals.”
Permanent Secretary, Kano state Ministry of Health Dr. Usman Bala said the event was organized not only to show case achievement but to see where gaps exist and improve on them.
Zonal Coordinator of National Health Insurance Scheme, Bala Ndabawa said during quality assurance monitoring visits to facilities in Kano, the agency noticed improvement in facility upgrades, service provision and job creation but harped on provision of 24 hours services by the accredited hospitals including out of stock syndrome of prescribed drugs.
Representative of the Clinton Health Initiative, Bala Shehu commended the scheme while urging the government to always provide cash backing to ensure universal coverage of health in the state.
Representative of MNCH2 in Kano state alluded that Kano remains the only state in the federation that the scheme has fully started while suggesting for “pensioners to be further subsidized as their monthly Pension is too meager.“
“With political commitment, the scheme is a perfect way to reducing many health challenges including maternal and child death in the state and indeed the entire country,” he emphasized.
The coordinator of Primary Health Centers in the state said the scheme has led to a lot of upgrade and renovation of health facilities at primary healthcare centres across the state which currently has over 70,000 enrollees.
Dr. Adeule Adegboye who spoke on behalf of accredited private hospitals under the scheme said the Kano experience is worthy of emulation by other states because it has grossly “enhanced healthcare delivery in the state through research, shared knowledge as well as funding for scientific and technological upgrade.”
The Chairman of the Nigeria Labour Congress, Comrade Ado Minjibir said after fourteen months of the commencement of the scheme, workers in the state have the course to smile as they contribute a little to get maximum and standard health care services.
One of the beneficiaries of the fund, Abubakar Mohammed testified that he was challenged to pay N500,000 in an orthopedic hospital for operation on the wife who was involved in an accident, an amount he could not pay but with the scheme, the procedure was carried out successfully with little amount of money.
Hajia Tasidi on her part said all the payments usually made at the hospital where she enrolled were according to guidelines of scheme. She however appealed for services to be rendered for 24 hours in the hospital and issue of out of stock of some prescribed drugs should be looked into including negative attitudes of health workers.
Governor Ganduje said the areas of challenge which include negative attitude of health workers, limited hours of service and out of stock syndrome of drugs will be addressed with strict measures as well as introduction of competition for the best behaved hospitals with incentives.