Overview

The document is the Strategic Plan (2020-2030) of the National Health Insurance Scheme (NHIS) of the Federal Republic of Nigeria. It outlines a comprehensive roadmap to achieve universal health coverage (UHC) by ensuring financial access to quality healthcare for all Nigerians. The plan begins with background context, highlighting Nigeria's health challenges including high out-of-pocket spending (70% of total health expenditure), low health insurance coverage (less than 5% of the population), and poor health outcomes such as high maternal and child mortality. It describes the political economy of UHC, health system governance, and service delivery structures. A situation analysis covers health care financing, spending, service coverage, physical and financial access, and governance decentralization. SWOT analyses are provided for leadership, service delivery, financing, human resources, and health information systems. The strategic framework defines the vision (universal access to quality healthcare), mission (provide financial risk protection), core values (accountability, equity, transparency), and guiding principles. The plan is structured around eight priority areas: 1) Organizational capacity and culture (staff development, performance management, infrastructure), 2) Communication and marketing (public awareness, stakeholder engagement), 3) Resource mobilization and pooling (increase funding sources, expand coverage, improve risk pooling), 4) Strategic purchasing (efficient provider payment mechanisms, cost control), 5) Accountability and transparency (anti-corruption measures, governance reforms), 6) Partnership and stakeholder coordination (collaboration with states, private sector, development partners), 7) Integrated ICT (digital platform for enrollment, claims, and management), and 8) Operations research and innovation (evidence-based policy). Each priority includes strategic direction and implementation action plans with specific activities, timelines, and responsible entities. The plan emphasizes decentralization, leveraging technology, and strengthening monitoring and evaluation. It projects increasing coverage from less than 5% to 30% by 2023 and 90% by 2030, with targeted interventions for informal sector, rural populations, and vulnerable groups. The document includes tables, figures, acronyms, and acknowledgements.

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