Some health experts on
Sunday in Lagos called on government at all levels to develop strategies to enrol the informal sector across the country in the National Health Insurance Scheme (NHIS).
The experts made the call when they spoke with newsmen on the sidelines of a five-day workshop on healthcare financing.
The workshop was organised by the United States Agency for International Development (USAID) Funded Health Finance and Governance (HFG) Project Nigeria in collaboration with the Federal Ministry of Health (FMoH).
Other partners who collaborated are NHIS and the National Primary Health Care Development Agency.
The experts noted that the informal sector, including artisans, market women, constituted about 60 to 70 per cent of the economy’s workforce.
A Health Financing Officer in the Lagos State Ministry of Health, Dr Bukola Ayinla,said that getting those in the informal sector into an organised setting was a huge challenge.
“It is easy for countries like the U.K. to capture everybody and bring them under health insurance because they have a database and records of every resident in the country.
“For Nigeria, it is quite difficult because a large number of people who make up the informal sector are still outside the tax net; these include the artisans, market women and commercial motorcyclists otherwise called “Okada’ riders etc.
“It is difficult to get them into an organised setting because such people are afraid of taxation from the government,’’ she said.
According to Ayinla, people in the informal sector cannot be left behind if the country is to achieve Universal Healthcare Coverage (UHC).
She noted that the informal sector also contributed to the health indices of the country.
“If we want our maternal mortality to reduce, if we want our infant mortality to get better, these are the people we really need to reach out to.
“For the organised private sector, some of them have their employers paying for their healthcare services.
“We know that if we do not take care of these people, they will bring down whatever improvement that has been made in the formal sector,’’ Ayinla said.
Another participant, Dr Inyang Asibong, the Commissioner for Health, Cross River State, said there was need for a lot of advocacy and stakeholders’ engagement to achieve health insurance for all.
Asibong said: “Whenever you want to take money from people, no matter how small, it is going to be an issue even if it is for their benefit.
“We have a problem of preventive culture in the country; people prefer to pay for health services when they are ill no matter how expensive, rather than paying little when they are not ill.
“But we need to do a lot of advocacy, explanations and stakeholders’ engagement on why we need to get health insurance kick-started.’’
Mr Lekie Dumnu of Rivers State House of Assembly, and a participant in the workshop, said there was need for collaborative efforts between the government and individuals.
Dumnu, a legislator in the Rivers, said that such collaborative efforts would help to achieve health insurance for many Nigerians.
“This workshop has taught us teamwork and it has also revealed that healthcare financing is a process towards achieving UHC.