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Krisston Senter

on 4 April 2014

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Transcript of Nigeria

How healthy is the population?
Population of Nigeria: 153 million

What is the infant morality rate?
86 per 1000 live births
What is the average life expectancy?
54 years
Life expectancy in Nigeria 17th lowest globally. Punch website. http://www.punchng.com/news/life-expectancy-in-nigeria-17th-lowest-globally-report/. Accessed March 21, 2014.
World Health Organization.
WHO country cooperation strategy Nigeria.
Brazzaville, Republic of Congo; 2009.
Map Nigeria. http://www.infoplease.com/atlas/country/nigeria.html. Accessed April 2, 2014.
Pacific Prime. http://www.pacificprime.com/country/africa/nigeria-health-insurance-pacific-prime/
Joint Learning Network. http://www.jointlearningnetwork.org/content/national-health-insurance-system. , Accessed March 30, 2014.

Image by Tom Mooring
How is health care financed?
Nigeria Health Care system
Government Provided Health Insurance
In 1999 Act 35 was passed creating the National Health Insurance Scheme (NHIS)
Financing of Health Care
What are the primary health concerns?
High incidence of poverty
difficult to get health care to people in rural areas
Deaths in children- but a concern
for all
Malaria (24%)
Pneumonia (20%)
Diarrhea (16%)
Measles (6%)
HIV/ AIDS (5%)
A high percent of patients do not have antenatal care
74% of deaths at birth is due to inadequate care
Unsanitary drinking water
How is health care provided?
Pharmacist Training
University of Benin offered a Bachelor of Pharmacy since 1970, phased out in 2008
Began offering a 6 year Pharm. D program in 2001
Disease states and modern treatments, as well as traditional medicine are studied
Doctor Training
Entrance is highly competitive
Must score well on the Senior Certificate Exam, as well as in physics, biology, english, and chemistry
Bachelor of Medicine and Bachelor of Surgery (6 years)
Internship (1 year)
Community service (1 year)
Residence eligibility
Income of Pharmacists
Average salary is 777,984-1,131,610 naira ($4,730.92-$6,881.32) per year
Average salary of U.S. pharmacist is $116,670 per year
Average income of Nigerian middle class (23%) is 75,000-100,000 naira ($480-$645) per month or 900,000-1,200,000 naira ($5,820-$7,740) per year
As of today around 5 million (~3%) enrolled in NHIS
Coverage for NHIS began in 2005
Practicing Pharmacy
Pharmaceutical Society of Nigeria code of ethics
Electronic health information systems installed at Lagos in 2011
Pharmacists endure very little oversight by the government
Pharmacists open to more regulation
Heavy Criticism of NHIS
Traditional Medicine Bill
Passed in 2010
Established a committee to set standards and guidelines for the practice of traditional medicine
Passed to ensure the safety of the public
Primary Source of funding of NHIS is employer contributions
Secondary source of funding is government revenues - 26%
As of 2011 3.7% GDP was spent on health care
Largest source of health care financing is household out of pocket expenses which make up 56% of all expenditure.
$128 per capita per year spent on health care
Doctor of Pharmacy. Wikipedia. http://en.wikipedia.org/wiki/Doctor_of_Pharmacy#Nigeria. Updated April 2, 2014. Accessed March 28, 2014.
Medical School. Wikipedia. http://en.wikipedia.org/wiki/ Medical_school#Nigeria. Updated March 25, 2014. Accessed March 28, 2014.
Lagos University Teaching Hospital Job: Vacancies for Admin Officers, Nurses, Pharmacists and Librarian. Latest Nigerian Jobs. http://latestnigerianjobs.com/lagos-university-teaching-hospital-job-vacancies-for-admin-officers-nurses-pharmacists-and-librarian/. Published June 9, 2010. Accessed March 31, 2014.
Pharmacist: Salary. US News. http://money.usnews.com/careers/best-jobs/pharmacist/salary. Accessed March 31, 2014.
Chukwudi NH. Future dimensions in pharmacy practice for developing countries: a Nigerian perspective.
Novel Science International Journal of Pharmaceutical Science.
2012;1(9-10):647-650. http://www.academia.edu/3130662/Future_dimensions_in_pharmacy_practice_for_developing_countries_a_Nigerian_perspective. Accessed March 31, 2014.
Robertson C, Ndebele N, Mhango Y. A survey of the Nigerian middle class. Fastest Billion. http://www.fastestbillion.com/res/Research/Survey_Nigerian_middle_class-260911.pdf. Published September 26, 2011. Accessed April 1, 2014.
Where Does the Population Go to Get Health Care?
45% rely on private hospitals/facilities
25% rely on federal government hospitals
13% use state government hospitals
10% use pharmacies/drug stores
3% use local government hospitals
NHIS Service Delivery System
NHIS accredits service providers and HMOs
6,000 primary care providers
1,000 ancillary care providers
600 secondary/tertiary care providers
Tertiary providers (central government facilities) offer the highest level of healthcare
Secondary providers (state government facilities) offer some specialized health services
Primary providers (local government facilities) offer most basic health services
NHIS Programs
Formal sector - includes federal, state, and local governments, companies with more than 10 employees, organized private sector, police officers, military personnel
Benefits package is predetermined
Self-employed - must join with 500 other members of the same occupation to form a User Group
Benefits package is determined by stakeholders through consensus building
Rural Dwellers - must join with 500 other members of the same community to form user group
Benefits package is determined by stakeholders through consensus building
Cayla Hartman, Josh Burton,
Krisston Senter, and Brian Lopez
Full transcript