Providing healthcare services to the vulnerable groups

A project by Ukana West 2 Community Based Health Initiative (CBHI)

The project will not only ensure that the VGs access quality healthcare but also empower them economically through different skill acquisition programs
The project “Providing healthcare services to the Vulnerable Groups (VGs)” will provide realistic, non-gender specific access quality and affordable healthcare services at the health facility, Ikot Ideh and secondary services at Cottage Hospital, Ukana throughout the year. The project specifically target three thousand (3000) vulnerable lives in each local government area of Akwa Ibom State (Physically challenged, orphans 0-18 years, PLHIV, pregnant women, elderly >60 years and widows) that are deemed at risk of a high mortality rate, morbidity rate and will provide a non-gender specific approach that is focused on creating health insurance, health education awareness, health screening, counselling, treatment, supportive services in a collaborative manner and life enhancement program.
The health intervention will provide routine medical checkup, medical and health counselling, treatment of uncomplicated malaria, HIV counselling, testing and treatment, treatment of common and minor ailments, laboratory tests, general consultation and curative care, maternal and child health, follow up services to clients; the health intervention will also pave way for secondary services to be provided at Cottage Hospital, Ukana such as :- treatment of severe malaria, minor surgeries including post operation care, maternal care including ultra sound and relevant laboratory investigations, caesarean section, management of eclampsia, puerperal sepsis and post-partum hemorrhage. There will also be medical consultation services with visiting doctors from the University of Uyo Teaching Hospital, Community Health Department on weekly basis and physiotherapist services that will serve a wide range of low income clients, ranging from infants to the elderly.
In the counseling and treatment work, the goal will be on the overarching goal of the UN 2030 SDG 3 (i.e to ensure healthy lives and promote wellbeing for all at all ages in 2030) which involves the demonstration of multi-level interventions through collaborative local partnership with community and international donors who work to reduce the mortality and morbidity rate among the rural dwellers mostly the vulnerable groups.
Community Based Health Insurance (CBHI) Scheme was launched on the 21st August, 2014. The laudable program is an integral part of the drive for Universal Health Coverage in the state and nationwide. The CBHI scheme is currently being piloted in Ukana West Ward 2, Essien Udim Local Government Area of Akwa Ibom State. CBHI model is characterized by “Pooling at the Ward Level” with a “Community Trust Fund” at the local government level. The Scheme is managed by community members (selected through an open process) who make up the Board of Trustees (BOT) registered with the Corporate Affairs Commission (CAC) as an entity.
The program is not for profit and provides risk pooling (protection) to cover the cost of health care services. Not for profit health care financing mechanism is based on solidarity (agreement, oneness) between members and democratically accountable to them. Ukana West 2 Community Based Health Initiative (CBHI) collaborated with USAID sponsored Management Science for Health (MSH) for technical support at the take-off of the program in 2014 before contract expiration in early March, 2016. Presently CBHI collaborates with Essien Udim Local Government Area Council, Akwa Ibom State Ministry of Health and National Health Insurance Scheme (NHIS) for monitoring, supervision and accountability. We also collaborate with Local Government Service Commission for deployment of nurses and community health workers to the facility, University of Uyo Teaching Hospital for weekly doctor’s consultation visit and National Youths Service Corps (NYSC) for the deployment of corp members such as doctors, nurses, laboratory scientists, pharmacists etc.
Nigeria carries about 10% of the global disease burden and its health indicators has largely remained below its local and internationally set benchmark. A high proportion (over 65%) of health cost is met from Out of Pocket (OOP) payment, with the fact that 58.5% to 60% of the population live on less than two dollars a day. Inequalities in health also exist within rural and urban settings, and among different income groups, with worse health indices in rural areas and among low income earners. These systematic health sector weaknesses disproportionately impact the informal sector of the population which carries the greatest burden of disease and has the least access to health resources.
In general, low income persons and families tend to be uninsured and underserved by the medical community. The vulnerable groups mostly tend to be reluctant to approach health care providers due to lack of funds and the nation’s economic meltdown. Some of them may be reluctant to seek care until an emergency arises, due to concerns about challenges of stigmatization.
These low income populations are far more likely to be affected by controllable conditions such as STIs, obesity, diabetes, high blood pressure, and high cholesterol. Those with inadequate health coverage are more likely to have complications from manageable health conditions.
CBHI is therefore a veritable tool to ensuring wider coverage, increased ownership and entrenching the culture of health insurance in the Nigerian public. It is driven by the strong desire to ensure that effective and affordable healthcare is accessible to every person in the state, as it will relief the people of the financial burden associated with health seeking activities, particularly at the point of care. Low cost health care that is located in the community is essential to reducing the long-term effects of these conditions. Additional services to reach out and educate the residents of the neighborhood about good health habits and the availability of health insurance in the primary health centre distinguishes the health facility, Ikot Ideh from others in the state. Simple primary care interventions and education from trusted healthcare providers can significantly reduce the complications of these and other conditions.
CBHI is the only pilot health insurance program in Akwa Ibom State. Akwa Ibom State has a population of 4, 333, 819 million based on the 2009 population projections by UNICEF. Eighty five percent (85%) of the population live in the rural areas and are not insured nor due they visit health facilities for medical services due to cost of fees for services. It is worth noting that, almost two-thirds of the residents of this neighborhood have annual incomes of less than 80 percent of the area median of $51.14 and make up of mostly subsistence farmers. Estimated 15 percent of the population is over age 65, and approximately one-third of these rely on charity. The remainder of the residents is low income earners, low skill jobs that are often part-time, intermittent, or otherwise do not provide health insurance plans. This creates a tremendous need for free primary healthcare throughout the neighborhood. This project therefore seeks to verify, select and register three thousand (3000) vulnerable lives per the thirty one Local Government Area of Akwa Ibom State into the health insurance program. The premium per head is three thousand naira (N3000 or $8.38) per year. Expanding the health coverage to this group would improve health, lengthen lives, reduce disability, help control communicable diseases, and raise productivity.
To ensure that the vulnerable groups have equal access to quality healthcare services from qualified medical personnel in the health facility
Projected Objectives:
1. The project intends to increase access to quality and affordable healthcare services at the health facilities by 40%
2. Reduction in the mortality and morbidity rate among our vulnerable groups by 60%
3. Strengthen the health system through building the capacity of the health service providers, availability of medical personnel and drugs in the Primary Health Centres
4. Reduction in the prevalence of HIV/AIDS and stigmatization against people living with HIV/AIDS by 40%
5. To achieve an increase of childhood immunizations – such that all neighborhood children will be up to date on their immunization schedule by the end of the year by 50%
6. To empower the vulnerable groups with complementary interventions, such as parenting skills, health education and income generating skills.

About the Organization /Team

Community Based Health Insurance (CBHI) Scheme was launched on the 21st August, 2014. This laudable program is an integral part of the drive for Universal Health Coverage in the state and nationwide. The program is not for profit and provides risk pooling (protection) to cover the cost of health care services. The Scheme is supervised by community members (selected through an open process) who make up the Board of Trustees (BOT) made up of seven community leaders members
Management: The CBHI secretariat is managed by the Program Manager and other staff who serves as the administrative and management arm
Project CategoryCampaigner
Realated SDGs
3 Good Health & Well-Being