Some beneficiaries of the Kaduna State Government Health Insurance Scheme have lauded the pro-poor programme, saying it has improved poor and vulnerable households’ access to health services.
The beneficiaries gave the commendation in separate interviews with the News Agency of Nigeria on Wednesday in Soba, Soba Local Government Area (LGA) of the state.
NAN reports that the Kaduna State Contributory Health Management Authority (KADCHMA) has enroled a total of 79,329 poor and vulnerable populations into the scheme to access free basic health care services.
The enrolment, according to the Director-General, KADCHMA, Malam Abubakar Hassan, was under the one per cent consolidated revenue being provided in the state annual budget.
Hassan also said that a total of 50,648 poor and vulnerable population were also enroled under the Basic Health Care Provision Fund, adding that a total of N1.1 billion had also been contributed to cover their healthcare.
The beneficiaries, who commended the state government for the initiative, said that the scheme has significantly reduced poor households’ out-of-pocket expenditure on health services.
One of the beneficiaries, Malam Bala Maishayi, who sells tea and bread along the main street of Soba, described the scheme as the best thing that has happened to him and members of his family.
The 76-year-old man, who said that he has been accessing the service for the past one year, said he no longer spends money on health care because the government has paid for it on his behalf.
“Being an aged man, sometimes I spent as much as N12,000 on drugs alone.
There was this incident when I had to call my younger brother who sent N7,000 for my medical care.
“But since I got enroled into the scheme I have never paid a naira for drugs or any form of examination.
“All I do whenever I feel sick is to walk into the Primary Health Care, Soba and I will be tested and given drugs for free and most times I am attended to between 15 and 20 minutes,” he said.
Another beneficiary, Malam Adulhamidu Sabitu, 65, also expressed joy for being a one of the beneficiaries of the scheme, adding that gesture has given him rest of mind.
“I used to get worried whenever I felt sick because of the amount of money I will need to settle the hospital bills, but now all I need is my enrolment Identification card,” he said.
Also commenting, Hajiya Saratu Yunusa, 50, said she has been accessing the free health care services for about two years now, adding that it was such a relief for her household who struggle to eat.
Yunusa, who said she is hypotensive, told NAN that she spent between N1,500 and N2,000 before her enrolment into the scheme whenever she visits the hospital.
“Now that amount is being spent on other critical needs in the house.
This is a very good programme that addresses the crucial problem of poor households, and I urged the government to sustain it,” she said.
Also speaking, Hajiya Aisha Adda’u, 45, who equally lauded the programme, however complained that sometimes she pays for drugs because the health officials said there were no free drugs.
Sharing a similar experience, Mrs Indo Ibrahim, 40, said that beside the problems of inconsistent supply of drugs, sometimes the attitude of the health workers was very discouraging.
“In fact, because most of the time I am not well cared for by the health workers, I decided to patronize private facilities where I will pay and get the services I need,” she said.
For Malam Yakubu Shawai, Ward Head of Kaware, Soba District, the scheme has improved the health status of his people, particularly women, children, old people, and other vulnerable groups.
Yakubu called on the government to institutionalise social protection interventions to sustain access to household uplifting programmes by the poor and vulnerable.
Also, Mr Hassan Shehu, Secretary, Ward Development Committee, Soba Ward, said that the reduction in health expenditure was significantly helping poor and vulnerable households to access other basic services.
Shehu, who acknowledged the shortage of drugs in the facility, attributed it to the problem with the supply chain from the State Health Supplies Management Agency to health facilities across the state.
He called for the decentralisation of the agencies to enable timely supply of drugs and other health supplies to health facilities to improve quality of service at PHCs. Responding, Officer-In-Charge, PHC Soba, Mr Umar Yahaya, said that more than 1,000 poor and vulnerable people have been enrolled for free basic healthcare in the facility.
Yahay said that of the figure, more than 600 have accessed various health services in the facility, adding that N2.1 million worth of drugs have been supplied to the facility to address the short supply.
NAN reports that a reasonable number of the enrolees in the facility were not accessing the service due to lack of confidence on government programmes.
One of them, Mr Garba Saidu, 50, said he was enroled in January 2021, but has never visited the hospital to access the services, because he was not sure if the services were actually free.
Another enrolee who also did not access the service, Malam Nuhu Muazu, 50, described the scheme as mere “political gimmicks”.
NAN reports that health insurance scheme is a form of social protection programme by governments that cover some or all of the costs of health services within a defined benefit package.
Save the Children International is currently supporting the state government to strengthen its social protection systems under its Expanding Social Protection for Inclusive Development, a UK Foreign, Commonwealth and Development Office funded programme.
The Nigerian Union of Pensioners (NUP) Kaduna State Chapter, on Monday commended the State Government for providing health insurance cover to the more than 16,000 pensioners in the state.
The secretary of the union, Alhaji Alhassan Musa, made the commendation while speaking with the News Agency of Nigeria in Kaduna.
Musa described the development as “very thoughtful”, adding that with the insurance cover, pensioners would no longer spend all their monthly stipends on medical bills.
He explained that under the arrangement, pensioners would be required to pay only three per cent of their monthly pension, while the government covered the remaining 97 per cent of health care costs.
He said that the pensioners health insurance scheme was introduced by the Kaduna State Contributory Health Management Authority (KADCHMA) in collaboration with the Kaduna State Pension Bureau.
“This is a good development for all pensioners in the state and we welcome it with all our hearts as another strategy of taking care of the aged population in the state,” he said.
The secretary said that the union had, however, requested that the pensioners be enroled in secondary health facilities or any health facility of their choice.
“This is because the major ailments of aged people are diabetes, hypertension, arthritis, sight problem, and prostate among others.
“These are illnesses that are better managed at secondary or tertiary health facilities,” he said.
On his part, the Director-General, KADCHMA, Malam Abubakar Hassan, said that the measure would lift the burden of out-of-pocket spending on health from pensioners in the state.
Hassan explained that the initiative was part of KADCHMA effort to reduce out-of-pocket expenditure on health services in line with the goals of the Universal Health Coverage.
He urged the private sector to take advantage of the health insurance scheme and enrol their families to enjoy affordable healthcare services without exposing them to financial risk.
Similarly, the Executive Secretary, Kaduna State Pension Bureau, Prof. Salamatu Isah, said that the insurance scheme would enable pensioners to direct their little income to other basic needs.
“This in the long run, will improve the quality of their lives,” she added.
The Kaduna State Contributory Health Management Authority (KADCHMA) says it has enroled 136,507 poor and vulnerable population and informal sector into its health insurance scheme.
KADCHMA Head of Administration and Finance, Mr Suleiman Mustapha, announced this in Kaduna, at a one-day Roundtable Dialogue on maternal and child health.
The News Agency of Nigeria reports that the dialogue was organised by the Maternal and Child Health-Civil Society (MCH-CS) Partnership with support from Save the Children International.
Mustapha explained that 79,329 poor and vulnerable populations were enroled for free basic health under the one per cent consolidated revenue of the state government.
He added that the state government had so far released N1.1 billion to cover the basic health care services of the poor and vulnerable.
He also said an additional 50,648 poor and vulnerable population were enroled under the Basic Health Care Provision Fund, adding that a total of N1.1 billion had also been contributed to cover their healthcare.
Mustapha said 6,530 residents had been enroled under the informal sector with their contribution amounting to N69.5 million.
The Executive Secretary of the Authority, Mr Abubakar Hassan, explained that KADCHMA was established in February 2018 and commenced provision of health services in June 2020. According to him, the health scheme is part of the state’s human capital development and social protection strategy for all residents.
“The scheme aims to reduce out of pocket spending on healthcare to the barest minimum, thereby reducing poverty arising from catastrophic and impoverishing health spending.
“The contributory health scheme is a social security system for all residents, carefully designed such that the rich, the healthy and the young subsidised the healthcare of the poor, the sick and the old.
“This is consistent with traditional African solidarity and in line with the overarching global agenda of attaining Universal Health Coverage.
” Hassan commended MCH-CS for organising the event, stressing that continued partnership with civil society organisations would strengthen transparency and accountability in service delivery in the health sector.
Earlier, Mrs Dorcas Adeyemi, Chairperson, Maternal and Child Health-Civil Society Partnership (MCH-CS) said that the objective of the dialogue was to share updates on key mandates and programmes of selected health agencies.
Adeyemi added that the meeting was to share understanding on the critical roles of civil society in promoting quality Maternal Newborn and Child Health (MNCH) services and accountability in the state.
“This will help us share areas of collaboration in relation to MNCH advocacy and accountability in Kaduna State,” she said.
Also, Mr Benjamin Maigari, a member of the MCH-CS, said that the group was established in 2008 with 10 pioneer civil society groups as members, working with media to address maternal and health issues.
Maigari said that MCH-CS was the first to advocate for the establishment of the contributory health scheme, saying “I am happy to see that KADCHMA is not only established but waxing stronger”.
Save the Children International (SCI) and the Legislative Advocacy Initiative for Sustainable Development (LISDEL) have enlisted the support of Kaduna State Assembly for increased investment in the health sector toward achieving Universal Health Coverage (UHC).
Mr Farouk Abdulkadir, Advocacy and Campaign Coordinator, SCI, said on Saturday, at a capacity building of the lawmakers in kano, that the support of the lawmakers was key to achieving UHC in Kaduna State.
Abdulkadir explained that the capacity building was to enhance their capacities and deepen their understanding on health financing and UHC in line with the goals of Primary Health Care and health policies.
He added that the engagement would enable the lawmakers to develop a Legislative Health Agenda for the remaining part of 2022 and 2023, that would guide legislative interventions in the state’s health sector.
“The workshop will also enhance the understanding of the lawmakers’ roles in increasing healthcare financial and protection of the poor and vulnerable against health risks,” he said.
Mr Usman Mohammed, Vice President, LISDEL, commended the leadership of the state Assembly for the commitment to contribute their quota in improving access to quality basic healthcare service in the state.
Mohammed said lawmakers were expected to support the needed legislation that would improve the efficiency and effectiveness health insurance scheme being implemented by the Kaduna State Contributory Health Management Authority (KADCHMA).
The Director-General, KADCHMA, Mr Abubakar Hassan, also commended the leadership of the state Assembly for their support to improving the health and wellbeing of the people of the state.
Hassan acknowledged the contribution of the lawmakers to the achievements being recorded in the state’s health insurance scheme.
He pointed out that the poor and vulnerable population, including women, children and persons with disabilities were accessing free basic health care services in health facilities , courtesy of the law passed by the Assembly.
He commended LISDEL, SCI and the state Ministry of Health for supporting the authority to deliver its mandate the best way possible.
On her part, the Commissioner for Health, Dr Amina Mohammed-Baloni, equally expressed joy with the level of attention the lawmakers accord to the health sector.
Mohammed-Baloni, who was represented by the Director of Planning, Research and Statistics, Dr Joseph Sunday, particularly thanked the state assembly for its support during the budgeting process.
The Speaker of the Assembly, Yusuf Zailani, said that the capacity building would improve their knowledge on the workings of the health sector and enable the lawmakers to improve their oversight function.
Zailani, who was represented by the Deputy Speaker, Dr Isaac Auta, reiterated the state Assembly’s continued support to ensure the sector gets the needed financial resources to implement its programmes and projects.
One of the facilitators, Dr Olanrewaju Olayemi, said that the attainment of the UHC largely depends on the availability of financial resources to implement planned programmes and projects.
Mr Obadiah Nkom, Director-General of the Nigeria Mining Cadastre Office, Abuja, has been honoured with an award by the Kaduna State Contributory Health Care Management Agency (KADCHMA).
The award was presented to him on behalf of the agency by the Administrator of the Kafanchan Municipal Authority, Mrs Phoebe Yayi, on Monday in Manchok, Kaura Local Government Area of Kaduna State.
The Director-General of KADCHMA, Malam Abubakar Hassan, said that the award was in recognition of Nkom’s valuable contributions and supports to vulnerable people in the area of basic healthcare.
According to him, Nkom enrolled over 200 people into the state’s health care scheme and paid their annual bill.
He called on other well spirited individuals and organisations to emulate the good gesture by taking advantage of the scheme to help vulnerable people.
“Nkom saw the need to key into the health insurance programme of the state government and assisted the vulnerable people in his community.
“This is a show of good will and it is important that we come here, not just to recognise him but to ensure the recipients get their cards,” he added He noted that the state government had pledged one per cent of its consolidated revenue fund towards ensuring that vulnerable groups were covered under the scheme.
Similarly, Yayi described the award as a welcome development that would further encourage other sons and daughters of the town to support vulnerable persons in accessing healthcare.
Yayi stressed that it was only when people were in good health that they would be able to contribute their quota to nation building.
In accepting the award, Nkom, who was represented by Mr Jerry Adams, said he was delighted to have been found worthy of the award by health agency.
He said he decided to help the less privileged within his community not because he wanted to be rewarded but because it was a good thing to do.
According to him, the recognition will spur him to do more for his people and humanity in general.
Kaduna Maternal Accountability Mechanism (KADMAM), in collaboration with the Contributory Health Management Authority (KADCHMA), has begun scaling up the enrollment of informal and maginalised groups in the state’s contributory health scheme.
The engagement is also in collaboration with Ward Development Committee, supported by Partnership to Engage, Reform and Learn- Engaged Citizens (PERL-EC) and Lafiya Programme.
At a meeting to sensitise groups and associations on Friday in Kaduna, the Co-chair of KADMAM, Mustapha Jumare, said the engagement was to improve on informal sector participation of women and other excluded groups in the contributory health scheme, to reduce out of pocket expenditure.
Jumare, represented by Mr. Isah Gidado, added that the objective was to contribute to an increase in the number of enrollees accessing health care services in the state, especially the normally excluded group.
He said that at KADMAM, they helped awakening people’s awareness on issues of health at various levels of the state through evidence-based advocacy in ensuring that funds meant to carter for health were properly and judiciously used.
“We generate evidence from Ministry of Finance, Planning, and Budget Comission and KADCHMA, then we use the information to advocate to government on what is lacking in the services,” he said.
Jumare called on the public to enroll in the contributory health scheme, noting that it was affordable, flexible and covered wide range of ailments.
Also, the State Team Lead of PERL-EC, Mr. Abel Adejo, said the meeting was prompted by the small number of people who were registering on the scheme, in spite of its affordability and flexibility.
He said they would unravel the reasons and bottlenecks behind the low registration and ensure remediation by sensitising groups and associations, by informing and convincing their members on the benefits of the scheme.
Adejo lamented that registration of the informal sector in the scheme was below 1,000 in spite of their large number in the state.
He said at PERL-EC, they worked in ensuring that services of such kinds not provided in communities were available and barriers of accessing them were addressed, for more people to register.
Also, the Director-General of KADCHMA, Malam Abubakar Hassan, lamented that the informal sector’s enrollments in the scheme were poor.
He said bringing in stakeholders in the engagement was to ensure support to the process of upscaling the informal sector’s enrollment by understanding the challenges identified as reasons behind the poor enrollment.
Hassan said the engagement with the stakeholders would reemphasise the importance of the concept and beyond that, to test what had been done so far in the last two years.
He further said they would leverage on the strengths and capacities of the stakeholders to woo the private sector and individuals into the scheme.
“At the end we want to re-echo the reason why we gather the stakeholders here and their contributions towards the enrollment process of the informal sector into the scheme.
“We want to ensure that as they leave the meeting, they leave as ambassadors of the scheme in Kaduna and beyond that, being able to educate and convince the people on the benefits of the scheme.
” Hassan explained that KADCHMA, as an institution in the state, was established to bring ease in provision and accessing health facilities across all the wards in the state.
He said, accessing the scheme costs N10, 650 per individual for one year, which they were working on modalities of installment payments to span within two months for a year subscribtion of the service.
“At certain point within someone’s contributions where one pays 60 to 75 per cent, one will begin to access the service, knowing fully that within two months, one finishes paying subscription money,” Hassan said.
“Also a maximum of six members of a household can benefit from the scheme at the rate of N57,990.” He disclosed that their moves in ensuring flexibility in mode of payment for subscribing to the service would be a minimum of N200 into ones contributory wallet.
Speaking on behalf of the Association of Women in Trade and Agriculture, the state Coordinator, Hajiya Hadiza Abdulaziz, said convincing market women on the scheme would be uneasy, however the benefits and advantage.
She, however, pledged to create massive awareness to them and to painstakingly educate them on the benefits of the scheme which would translate massively into reducing their financial expenses on health.
The News Agency of Nigeria reports that in attendance at the engagement were members of physically challenged groups, association of artisans, small and medium scale entrepreneurs, association of commercial motorcyclists, among others.
The Kaduna State Ministry of Health has expressed concern over poor attendance
of antenatal clinics by pregnant women in the state.
Dr Sunday Joseph, the Director of Planning and Research, Reproductive, Maternal Newborn and Child Health (RMNCAH), expressed the government’s concern during a townhall meeting in Kaduna on Thursday.
The town hall meeting was organised by the Open Government Partnership on Health for four local government areas of the state.
Joseph also said that the rate of child delivery in health facilities was poor, as many women prefer to have their babies at home.
He added that “even when some pregnant women attend antenatal clinics, only few go back to health facilities for delivery.
” He, therefore, urged pregnant women to desist from home deliveries, adding that it could lead to complications which could result to death of the infant or the mother.
He said data from four local government areas of — Kajuru, Chikun, Soba and Kubau showed poor attendance of antenatal visit and birth deliveries from women.
He added that “from the second quarter data in kajuru, antenatal visit was 19 per cent and skilled birth deliveries is 44 per cent, while in Kubau, antenatal visit was 39 per cent and skilled birth deliveries was 44 per cent, and post natal visit, 25 per cent.
“In Chikun, antenatal visit, 20 per cent, while skilled birth deliveries; 29 per cent and Soba, 29 per cent of child deliveries and 33 per cent of antenatal attendance.
’’ He urged stakeholders to educate women on the importance of attending antenatal and deliveries to avoid complications.
He also encouraged women to embrace child spacing for a healthier mother and child.
In another contribution during the townhall meeting, Mr Jonathan Joseph of the state’s contributory health scheme (KADCHMA), advised residents to key into the scheme to improve their health status.
He said the scheme is a way of contributing funds for the payment of healthcare services by all residents of the state.
“The scheme will cover for healthcare services rendered to beneficiaries at their selected facilities.
“Individual premium for health insurance at the agency costs N10,650 annually, while the family premium costs N57,000 annually,” he said.
Mrs Jane Obiora, the Co-Chairperson of Open Government Partnership on Health and Education, said residents should participate in government activities, take ownership and monitor government projects.
Mrs Hadiza Jafar, who spoke on behalf of women, attributed their challenges to bad roads, the lack of health personnel and insecurity.
She said “with the present insecurity around, women cannot go to health facilities at night.
“Some of us have bad roads and we cannot travel because some of our bridges are broken and even if we try to go at night, there are no health workers in the facilities mostly at night.
“We appeal government to get more health personnel or health posts to improve the wellbeing of women.
The Kaduna State Contributory Health Management Authority (KADCHMA) on Friday called on the state government to make enrollment of health insurance schemes compulsory for intending couples.
The Director-General of the authority, Mr Abubakar Hassan, made the call in an interview with the News Agency of Nigeria (NAN) on the sidelines of a two-day meeting with a media group in Zaria.
Hassan told NAN that the measure, if enforced through a legal framework, would significantly reduce out of pocket expenditure on healthcare for the couples.
He explained that the current practice was for intending couples to present a clean bill of health before their marriage would be contracted either in the Church, Mosque, or Registry.
”This should be extended to cover enrolment for health insurance as an integrated approach to reduce out-of-pocket expenditure on health services for couples,” he said.
He said that the amount spent on pre-wedding medical tests could be used to enrol for the scheme for a year.
The DG said that it would cost a couple who did not enrol in the insurance scheme between N150,000 to N250,000 a year, from beginning of pregnancy to delivery.
He said that the cost would be more if the delivery was through a caesarian section but would cost the man and the wife less than 22,000 a year if enrolled into KADCHMA health insurance scheme.
“Once married, it is expected that the wife would get pregnant and when she gets pregnant, her body will go through some changes and eventually in and out of hospitals.
“In the long run, the husband will incur a lot of expenses taking the wife in and out of hospital.
“But enrolment into the insurance scheme will significantly reduce out of pocket expenditure in line with the goals of the Universal Health Coverage for couples,” he said.
Hassan called on faith-based organisations, Civil Society Organisation, to support the move which encourages healthy living, reduces out-of-pocket spending on health services and keeps the couple financially secure.
He said that partnering with the media was strategic to achieving the mandate of KADCHMA, stressing that the media remains a critical tool for information dissemination and social mobilisation.
NAN reports that the two-day media roundtable with members of the State Media Working Group (SMWG) was organised by KADCHMA with support from Save the Children international.
The objective of the media roundtable is to review KADCHMA’s communication strategy, key messages, and media plan for media sensitisation to increase enrolment into State health insurance scheme
It is also organised to increase the understanding and knowledge of media partners on the activities of KADCHMA, Basic Health Care Provision Fund and healthcare financing.
The meeting is also to strengthen partnership for a robust reportage of the health sector as it affects health financing in Kaduna State.
Source Credit: NAN
The Kaduna State Contributory Health Management Authority (KADCHMA) has identified and enrolled additional 8,810 vulnerable persons into the state’s contributory health scheme.
The Director-General, KADCHMA, Mr Aliyu Saidu, said that the identification and enrollment exercise cut across 17 local government areas of the state.
“We will complete the remaining three local governments soon so that all the vulnerable persons in the state can enjoy the scheme.
“Earlier this year, the authority had identified and enrolled 1,243 vulnerable persons in three pilot local government areas, that is, Igabi, Sanga and Kubau,” he said.
Saidu said that the exercise recorded huge success, with the assistance of stakeholders in the state.
He commended council chairmen, traditional title holders and other relevant stakeholders for contributing immensely to the success of the exercise by creating an enabling environment in their various areas.
The director-general said that the authority was looking forward to more assistance and collaboration with them as it would soon cover the remaining three local government areas.
He also appealed to residents of the state to enroll into the scheme to enhance good health care delivery.
Edited By: Chidinma Agu and
Source: NAN‘Wale Sadeeq
The Kaduna State Government on Friday launched the distribution of identity cards to the poorest of the poor, which would give them free access to healthcare under the state’s Contributory Health Management Authority.
The cards distribution are in three pilot local government areas of Sanga, Igabi and Kabau.
While in Sanga Local Government Area, Mr Aliyu Saidu, the Director-General, Kaduna State Contributory Health Management Authority (KADCHMA), said that the selection of Igabi, Kubau and Sanga local councils followed a survey conducted in the state in February.
He added that the inauguration of the scheme were being done simultaneously across the three pilot local government areas.
Represented by the Publicity and Communications Officer of the authority, Mr Jonathan Joseph, saidu said that “the beneficiaries will have access to free medical care in their various Primary Health Care Centres till death.”
The KADCHMA boss said “the cards are not transferable; over 700 poor people are to benefit from the scheme in Sanga Local Government Area alone.”
On how the government planned to sustain the initiative, he said that the state government would set aside one per cent of its yearly budget for the programme.
The Chairman of Sanga, Mr Charles Danladi, represented by the Majority Leader of the legislative council, Farouk Danzomo, commended the state governor for keeping his promise of providing quality healthcare to the most vulnerable in the state.
The News Agency of Nigeria reports that the free healthcare access to the vulnerable is expected to be scaled up to cover the 23 local government areas of the state, with each having at least 1000 beneficiaries.
Edited By: Oluyinka Fadare/Hadiza Mohammed-Aliyu (NAN)