Momwe mungakwaniritsire chithandizo chamankhwala padziko lonse lapansi, kuchepetsa kukhetsa kwaubongo, ndi Oloriegbe | The Guardian Nigeria News

Dr. Ibrahim Yahya Olerigby ndi wapampando wa Senate Health Committee. Poyankhulana ndi CHUKWUMA MUANYA, amalankhula za zoyesayesa zowonetsetsa kuti anthu onse aku Nigeria azitha kupeza chithandizo chamankhwala (UHC) ku Nigeria.

Kodi mukuwona bwanji mtundu wa Delta kuti mukwaniritse chithandizo chamankhwala padziko lonse lapansi?
Ndikuganiza kuti ndi wanzeru. Pali maphunziro oti muphunzire kuwonjezera kuchuluka kwa ntchito. Zachidziwikire, monga munthu wazachipatala, ndakhala ndi mwayi woganizira zosankha ngati izi. Zomwe zimabwera m’maganizo mwanga ndi zomwe ndidaziwona ku Cambodia, m’chaka cha 2006, koma izi zidayendetsedwa ndi opereka, zomwe amazitcha kutulutsa ndi kutumiza kunja. Kotero, ndi chinthu chofanana. Zomwe mukuwona apa ndikuti boma likuyesetsa kupereka chithandizo chamankhwala kwa anthu ake, makamaka omwe ndi ovuta kufika kapena omwe alibe mwayi wopeza chithandizo chamankhwala. Iwo amadziwa kuti dongosolo la boma silingathe kupereka zimenezo, choncho akupezerapo mwayi pa mabungwe apadera. Boma ndilo eni ake omwe ali ndi malowa ndikutsimikizira ma depositi komanso kuwapangira mwayi wamabizinesi powapatsa inshuwaransi.

Zovuta zazikulu zomwe ndikuwona kumeneko, ngati ziyenera kukhala mtawuni, pakhala kutsutsa kwa mabungwe, chifukwa zikutanthauza kuti akupereka zithandizo zomwe kuli madotolo ndi anamwino komanso onse azaumoyo omwe adasankhidwa ndi boma ndipo iwo adzawachotsa m’malo awa. Koma ngati apereka ndalamazo ku mabungwe abizinesi, sangasunge antchitowo kapena ogwila ntchitowo sangafune kuwasunga pansi pamikhalidwe ya mabungwe aboma chifukwa cha penshoni ndi zinthu zina. Koma ndi chinthu chomwe chingathe kutsatiridwa m’madera omwe ndi ovuta kufika kapena osasangalatsa kwa ogwira ntchito m’boma nthawi zonse, ndipo pochita zimenezi mumafika pazovuta kwambiri ndikutha kuwabweretsa kuzinthu zofunikira zachipatala.

DSCHC idati idafika pa 25 peresenti ya anthu m’boma komanso kuti National Health Insurance Authority (NHIA), yomwe kale inali National Health Insurance Scheme (NIHS) idalephera kufikira anthu opitilira asanu mwa anthu aku Nigeria. Kodi pali mapulani otengera mtundu wa DSCHC padziko lonse lapansi?
Sikuti izi zokha zidagunda 25 peresenti. Zomwe akunena ndikuti ntchito zonse za inshuwaransi yazaumoyo za boma zafika mpaka pano, kuphatikiza gawo lokhazikika komanso losakhazikika, pomwe munthu amalipira N7000 ndikulipiridwa. Pali mayiko ambiri omwe adalowamo. Zomwe tikuyenera kumvetsetsa za NHIS ndikuti zinali zosankha. Ndicho chifukwa chake tinasintha lamulo kuti likhale lokakamiza.

Zimangogwira ntchito ku federal; Kaya muli m’boma kapena m’mabungwe achitetezo monga apolisi, asitikali ndi mabungwe ena achitetezo. Pamene ndinayamba, panalibe chothandizira ngakhale wogwira ntchitoyo. Cholinga chinali kungolimbikitsa kugula; Bungwe la ogwira nawo ntchito linakana kulandidwa ndalama kumalipiro awo monga gawo la zopereka zawo. Koma patapita nthawi, mabonasi azachipatala omwe amalipidwa adasinthidwa kukhala premium. Tsopano zasinthidwa kukhala zopereka za ogwira ntchito ndi owalemba ntchito. Choncho, ichi chinali chimodzi mwa zifukwa zomwe munthu sakanakhoza kupitirira asanu peresenti yonse. Koma ndi zomwe tachita tsopano, kupanga inshuwaransi yaumoyo kukhala yovomerezeka kwa aliyense wokhala ku Nigeria, zikutanthauza kuti aliyense, kaya ndinu boma, federal, private kapena wogwira ntchito m’boma, muyenera kulembetsa. Ngati simuli m’gulu la izi, ndipo muli m’gulu lovomerezeka; Inunso muyenera kuzipeza izo. Lamulo lamakonoli, litagwiritsiridwa ntchito moyenera, likanafikira kufikira kulikonse.

Koma ndi zomwe Delta ndi mayiko ena akunena, agwidwa tsopano. Chifukwa chake, pomwe tili ndi NHIA monga wowongolera, boma lizikhazikitsa. Pamene tinanena kuti ndizovomerezeka, zimatanthawuza zofunikira, chifukwa tilinso ndi zomwe timazitcha zowonjezera zomwe zingakhalepobe, ndipo ndizobisika. Maziko ndikuti muli ndi chithandizo chamankhwala chofunikira, chomwe chimatanthauzidwa ndi chiwongolero chowonetsera koma sizikutanthauza kuti simungathe kulipira ndalama zowonjezera zowonjezera.

Pulogalamuyi imati yathana ndi vuto la kuchepa kwa ubongo, chifukwa madotolo ambiri amasungidwa ndipo sangapite kunja chifukwa amalandila chithandizo chabwino. Kodi boma m’chitaganya litengera chitsanzo?
Chitsanzochi sichingathetse vuto la ubongo chifukwa chakuti vutoli ndilokhazikika. Malipiro kwa ogwira ntchito yazaumoyo ali mkati mwa kayendetsedwe ka boma, ndipo sangathe kuwonjezera malipiro a madokotala, anamwino ndi ena ogwira ntchito zachipatala kuposa zomwe zakhazikitsidwa ndi National Wages and Salaries Commission. Ndilo lamulo la kaphatikizidwe ndi zofuna ndi zachuma. Zofunazo ndizokwera kwambiri padziko lonse lapansi ndi malipiro abwino ndipo pano sitingathe kukwaniritsa zofunikirazi, kotero kuti zoperekazo zidzakhala zochepa. Padzakhala kukhetsa mpaka titafika pamlingo.

Dongosolo la DSCHC silingathetse vuto la kukhetsa muubongo. Zomwe zingathetsere, monga ndanenera, ndi zinthu ziwiri: tiyenera kulipira malipiro okwanira pa ntchito yomwe yachitika, ndiko kuti, siziyenera kudalira kokha pazotulutsa zanu, koma zomwe mumapereka. Zomwe ndikunena ndizakuti ali, komwe amasamukira, chifukwa ogwira ntchito zachipatala amalipidwa bwino poyerekeza ndi malo ano. Ndiye pano ogwira ntchito yazaumoyo ayenera kulipidwa bwino monga momwe mumamvera aphunzitsi aku yunivesite akufuna malipiro awo mwachinsinsi.

Zomwe DSCHC yachita ndikuchepetsa kukhetsa kwa ubongo, osati kuzichotsa, chifukwa amapeza chitsimikizo cha malipiro awo. Momwe amanenera kuti amapita kwa milungu ingapo kuti athandizidwe pazachipatala pamitsinje ndi madera ovuta kufikako, ndipo amatuluka. Izi zikutanthauza kuti amalipira ogwira ntchito yazaumoyo ndalama zochulukirapo kuposa zomwe amapeza pantchito zaboma nthawi zonse. Choncho, ngati boma likhoza kulipira malipiro oyenera, lidzasunga anthu ambiri.

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