Health
African Leaders Launch New Health Financing Scheme
By Modupe Gbadeyanka
Last weekend, some African Heads of State and Government, Ministers of Health and Finance, business leaders and global partners gathered to launch a new initiative aimed at increasing commitments for health, improving the impact of spending and ensuring the achievement of universal health coverage across Africa’s 55 countries.
With the 2030 Agenda for Sustainable Development just over a decade away, President of Rwanda, Mr Paul Kagame, who doubles as the African Union Chairman, convened the Africa Leadership Meeting: Investing in Health to encourage African governments and global partners to translate commitments into measurable actions, align spending with country and continental priorities, and identify efficiencies that will improve millions of lives across the continent.
“Governments should surely be willing and able to increase domestic investment in healthcare. A good indicator of this is the progress we have made toward securing the financial health of the African Union and mobilising our own resources for joint priorities, such as the Peace Fund. We should be the first ones to contribute to efforts that directly benefit our people,” said President Kagame.
Moussa Faki Mahamat, AU Commission Chair declared, “We set ambitious health targets for 2030: ending epidemics and achieving universal health coverage for all. But the reality is that without substantial increases in domestic investment, and a radical change in the way health is harmonised to domestic and continental priorities, we will soon lose any realistic chance of reaching these objectives. Member States and Africa’s partners must reorient health spending and health systems to target the diseases across the life cycle that have the greatest measurable impact on mortality and human capital development. We have a responsibility to African citizens to increase our investments today and we must not turn our back on them.”
Since the Abuja Declarations in 2000 and 2001, Africa’s progress in improving health outcomes has been significant. Life expectancy has increased by more than a decade, deaths from infectious diseases like malaria have halved in Sub-Saharan Africa, and under 5 mortality rates have seen an increased rate of reduction.
However, enormous challenges remain. More than half of Africa’s population currently lack access to essential health services, and millions die every year from commonly preventable diseases. Meanwhile, only three AU Member States dedicate 5% of GDP to health, as set out in the Abuja declarations. Between 2016-16, 30 Member States increased the percentage of government budget invested in health, while 21 decreased their investment.
The new initiative is the first platform of its kind bringing together governments, business leaders and the global development community, to coordinate efforts and resources for health.
“I am tremendously inspired by this African-led initiative to boost investments in health across Africa,” said Peter Sands, Executive Director of the Global Fund. “To end epidemics, strengthen health systems and deliver universal health coverage, we all have to step up our investments in health.”
The meeting saw public and private sectors, as well as donor governments, pledge up to US$200 million to help end epidemics and bring universal health coverage to all. Higherlife Foundation, the Government of Ireland and Government of France all committed to increased financing of health in Africa, with the Government of Japan tabling universal health coverage as an agenda item at the G20 Osaka Summit later this year, carrying forward commitment to and collaboration on health.
Meanwhile, African leaders urged countries to increase efficiency in their health sectors. The World Health Organization estimates that efficiency improvements could unlock at least 20%, and as much as 40%, of current spending on health, creating significantly better outcomes. More effective tax and revenue collection systems were also discussed, noting that improvements in these areas could have the potential to raise an additional US$200 billion annually.
African leaders and global partners alike noted that the return on investment from increased and improved health financing is remarkable – 9-20 times the level of investment. $30 per person can generate $100bn in economic gains five years later.
Ethiopian President, Sahle-Work Zewde, opined that, ‘Africa needs transformational leadership. We must bring hope and opportunity to our people and offer them full and prosperous lives. Growing our continent will be impossible if we do not put significant investments in health.”
Recent months have seen concerning news which puts decades of progress at risk: measles and malaria cases rising, the rising toll of Ebola, and a rise in vaccine-derived polio outbreaks. Adding to the challenge is the fact that development assistance for health has stagnated since the 2008 financial crisis. While Africa accounts for 24% of the world’s disease burden and for 16% of the global population, it receives just 1% of global health spending.
Dr Seth Berkley, CEO of Gavi, the Vaccine Alliance commented, “Since 2000, more than 293 million children in Africa have been immunised thanks to Gavi support. While we know that governments across the continent face a range of competing, worthy priorities, it’s inspiring to see so many choose to put the health of their population first. Gavi commends the African Union and the Government of Rwanda for their leadership in improving health outcomes for the continent and stands ready to support countries in their efforts towards building sustainable immunisation and health programmes to help ensure no child dies from a preventable disease.”
Bill Gates, Co-Chair, Bill and Melinda Gates Foundation said, “The time to mobilise domestic resources for health is now. The nations of the African Union have set bold, ambitious targets. If governments increase their investments in health, not a decade from now, but immediately, we know it is possible to meet set targets. We can end the epidemics of AIDS, TB, and malaria. We can achieve universal health coverage and grow Africa’s economy in the process.”
Dr. Tedros Adhanom Ghebreyesus, Director-General, World Health Organization commented, “Universal health coverage is not a luxury only rich countries can afford. All countries can make progress with the resources they have. The Addis Ababa Call to Action is a powerful commitment from African Union leaders to increase domestic financing for health, and to hold themselves accountable for that commitment.”
By Adedapo Adesanya
The National Health Insurance Authority (NHIA) says the number of Nigerians enrolled in health insurance has risen to more than 22 million.
The Director-General of NHIA, Mr Kelechi Ohiri, said this resulted from the implementation of the mandatory health insurance, which has gained momentum nationwide.
He said this on Wednesday at the Annual General Meeting of the Nigerian Association of Insurance and Pension Editors (NAIPE) in Lagos.
Mr Ohiri said enrolment had increased to 22.03 million, representing a 35 per cent year-on-year growth, attributing this to stronger collaboration with state social health insurance agencies, ministries, departments and agencies, organised labour, employers, the private sector, and the gradual implementation of the mandatory health insurance provisions of the NHIA Act.
He said that the country had moved beyond policy formulation to delivering measurable improvements in healthcare access, service quality and consumer protection in line with the federal government’s health sector reform agenda.
According to him, Nigeria already has the necessary policies and legislation to achieve Universal Health Coverage, positing that the key challenge was effective implementation.
“The decisive variable is now implementation- consistent, rigorous and accountable execution that converts political commitment into healthcare access for real Nigerians,” he said.
Mr Ohiri said that the transition from the former National Health Insurance Scheme to the NHIA had strengthened regulation, consumer protection, accountability and strategic purchasing, while providing the legal and operational framework for achieving Universal Health Coverage.
He added that improving the experience of enrollees remained central to the Authority’s reform agenda.
According to him, NHIA has strengthened its complaints management system, introduced faster resolution timelines, and intensified compliance monitoring of Health Maintenance Organisations (HMOs) and healthcare providers.
He further added that NHIA had sanctioned facilities that failed to meet the required standards, adding that his organisation had resolved 3,878 complaints, representing an 87 per cent resolution rate, while 95 per cent of the cases were concluded within prescribed timelines.
Mr Ohiri noted that more than N14.2 million had been refunded to enrollees, while non-compliant healthcare facilities had been sanctioned.
He said NHIA had also introduced service standards, including a one-hour treatment commencement target for enrollees requiring urgent care, to improve access to timely and quality healthcare services.
The NHIA boss further disclosed that capitation payments to healthcare providers had been increased by 93 per cent.
He said fee-for-service reimbursements rose by 378 per cent to enable providers to invest more in personnel, equipment and infrastructure.
According to him, 7,592 healthcare facilities have been assessed under the SafeCare quality framework as part of efforts to institutionalise continuous quality improvement across the country.
Mr Ohiri also highlighted interventions targeted at vulnerable groups, including support for more than 48,500 pregnant women, expanded maternal and newborn healthcare services, the Vulnerable Group Fund, and improved access to healthcare for pensioners and retirees.
He said Universal Health Coverage could only be achieved if every Nigerian, regardless of income or location, had access to quality healthcare services.
By Modupe Gbadeyanka
The new one-hour authorisation response time ultimatum policy introduced by the National Health Insurance Authority (NHIA) has received the full backing of SUNU Health Nigeria Limited.
This policy was introduced by the agency to ensure enrollees get prompt approval codes to access care.
Healthcare service providers have been urged to report any Health Maintenance Organisation (HMO) that violates this initiative through an email, with the HMO in copy and a timestamp attached as evidence of the request. They may proceed to offer services to enrollees thereafter.
Speaking at the company’s second-quarter Providers’ Forum for the Lagos-Ogun region in Lagos recently, the chief executive of SUNU Health, Dr Moyosore Olomola, expressed optimism that this policy would improve healthcare delivery in the country, especially for enrollees, who crave quality service.
At the event themed Improving Quality and Access to Care Through Stronger Provider Network, and held at the Nigerian Institute of Medical Research (NIMR) in Yaba, Lagos, Mr Olomola reaffirmed the HMO’s commitment to operating within legal and operational frameworks to guarantee adequate care for enrollees.
“Access to care and quality of care remain key priorities in our healthcare systems. We know quite well that deliberate collaboration, strategic partnerships, and a shared commitment to excellence are required to achieve these priorities.
“A strong provider network is doubtless the backbone of any effective healthcare system. It ensures that our mutual enrollees receive the right care, at the right time, in the right place, and at the right price,” Mr Olomola, represented at the programme by the organisation’s Chief Operating Officer (COO), Dr Faith Nwachi, stated.
He further assured that SUNU Health would strictly adhere to the one-hour authorisation limit, stressing that this aligns seamlessly with one of the organisation’s core values—promptness and its corporate slogan, Humanity is the centre of our initiatives.
In a bid to further improve access and quality of care, SUNU Health also demonstrated its new operational software and Mobile app, aptly named SUNU Legacy.
Also speaking at the event, the NHIA Lagos State Coordinator (Ikeja), Dr Bethuel-Kasimu Abraham, noted that the forum’s expected outcome is to significantly reduce delays in accessing medical care.
Other key expectations include ensuring continuity of care, improving patient outcomes, and strengthening accountability among HMOs.
Addressing specific pain points faced by enrollees, the NHIA Ogun State Coordinator, Mr Dare Adefeso, acknowledged that the agency had received complaints regarding out-of-stock drugs and the discrimination of enrollees by certain providers.
He affirmed that the NHIA is actively addressing these issues, stressing that moving forward, every facility must ensure enrollees are properly catered to regardless of their status, provided they have an active health insurance plan.
Corroborating the long-standing legacy of SUNU Health, the Ogun State Director of the National Orientation Agency (NOA), Mrs Aishat Tiamiyu, shared that her agency is responsible for public information dissemination and has been enrolled with SUNU Health for over 25 years.
Commending the HMO’s stellar service over two decades, she called for the immediate enrollment of new NOA staff into the scheme.
The Providers’ Forum remains one of the strategic channels employed by SUNU Health to consistently engage healthcare providers, understand their operational challenges, introduce new software updates, and solidify partnerships aimed at fostering premium healthcare delivery across Nigeria.
By Aduragbemi Omiyale
The National Agency for Food and Drug Administration and Control (NAFDAC) has announced the recall of a sexual enhancement product known as WAP Sensual Enhancement Capsules.
In a statement on Monday, the Nigerian agency disclosed that the recall is due to “undeclared pharmaceutical ingredients” in the product, whose country of origin is unknown, but is marketed and distributed online in the US through eBay.
It was emphasised that the recall is being “voluntarily” made by the manufacturer, Best Supplements Best Prices Company.
The detection of the undeclared pharmaceutical ingredients was made by the US Food and Drug Administration (FDA).
Laboratory analysis by the US FDA revealed that the product contained undeclared sildenafil, tadalafil, and flibanserin, which were not mentioned on the product label. Such substances may include phosphodiesterase type-5 (PDE-5) inhibitors or related compounds commonly used for the treatment of erectile dysfunction, the statement by NAFDAC stated.
Sildenafil and tadalafil are ingredients in FDA-approved prescription drugs used to treat erectile dysfunction.
It was noted that these undeclared ingredients may interact with nitrates found in some prescription drugs, such as nitroglycerin, and may lower blood pressure to dangerous levels. Consumers with diabetes, high blood pressure, high cholesterol, or heart disease often take nitrates.
Flibanserin is the active ingredient in an FDA-approved prescription drug used to treat low sexual desire in women. Flibanserin can cause drowsiness, sedation, dangerously low blood pressure, and fainting, especially when combined with alcohol.
Consumers have been encouraged to report compromised products (medicines or medical devices) to the nearest NAFDAC office, call 0800-162-3322, or send an email to sf******@********ov.ng.
