Lagos State Elira Echo Scheme – Kuunika Kwachiyambi kwa Kulimbitsa Kupereka Utumiki mu Zaumoyo [blog] – Inshuwaransi

Kuyambira kukhazikitsidwa kwa National Health System Law mpaka kuwongolera kwake ndi Lamulo la National Health Insurance Authority, Nigeria Kupambana kwakukulu kwachitika kuti akwaniritse chithandizo chaumoyo padziko lonse lapansi (UHC). Choyamikirikanso n’chakuti kupeza chithandizo chamankhwala padziko lonse si chinthu chofunika kwambiri m’boma chifukwa mayiko apitirizabe kusunga malamulowo popanga mapulani a inshuwaransi yazaumoyo. Kuchokera Januware 2022Mayiko 35 ndi FCT asayina madongosolo a Social Health Insurance kukhala malamulo, ndi mayiko ngati Delta, kadunaNdipo the KanoPlateau, Oyo, Yobe, and Lagos Kupita patsogolo kwakukulu kwachitika pakulembetsa mamembala.

ku Lagos State, Lagos State Health Administration Agency (LASHMA), yomwe idakhazikitsidwa mu 2015, imagwira ntchito ya Elera Echo Scheme yomwe idapangidwa kuti ipereke mwayi wopeza chithandizo chamankhwala choyenera, chapamwamba komanso chofananira, pomwe imapereka chitetezo chandalama kumtengo wamankhwala kwa onse okhala ku Lagos State.

Kupititsa patsogolo dongosolo la Elera Eco

Dongosolo lolimba laumoyo ndilofunika ku bungwe lililonse lomwe liyenera kupeza chithandizo chamankhwala padziko lonse lapansi chifukwa ndikofunikira kupereka chithandizo chapamwamba, chofanana komanso chofunikira kwambiri chaumoyo. Ndalama zothandizira zaumoyo ndizofunikira kwambiri m’dongosolo lino, chifukwa zimatsimikizira kuti ndalama zokwanira zilipo ndipo zimaperekedwa kuti zipereke chithandizo chamankhwala chapamwamba, chotsika mtengo komanso chofanana kwa anthu. Izi zimatsimikizira lingaliro la chithandizo chaumoyo padziko lonse lapansi, chomwe chimatsimikizira kuti anthu onse amalandira chithandizo chamankhwala chomwe amafunikira popanda kuzunzika kwachuma kuwalipirira.

Patsogolo pa mapulani okhazikitsa dongosolo la Elera Echo, mu 2020, Malingaliro a kampani Health Systems Consulting Ltd. (HSCL), kampani yowunikira zaumoyo ndi chitukuko, mogwirizana ndi NOI Polls, mothandizidwa ndi LASHMA ndi Health Facility Follow-up and Accreditation Agency (HEFAMAA), kuwunika koyambira koyambira kwamtundu wake kuti apereke deta yofunikira kuti ifalitsidwe bwino.

Cholinga chonse cha kafukufukuyu chinali “kupereka Lagos State Health Insurance System ndi chithunzi chenicheni cha momwe zinthu zilili kumayambiriro kwa ndondomekoyi ndikupereka chizindikiro chomwe angayese momwe akuyendera pakapita nthawi”. Tolulube OykanmiMtsogoleri wa Gulu la State, HSCL, Lagos. HSCL ikukhazikitsa Strategic Procurement for Family Planning, Thanzi la amayi ndi obadwa kumene (SP4FP-MNCH) Mothandizidwa ndi Bill ndi Melinda Gates Foundationkuthandiza boma la inshuwaransi yazaumoyo ku Lagos State.

Njira yosadziwika bwino

Pakuwunika kwamtunduwu, kupita kwanu kumalo osungira deta ndi njira yabwino, koma mliri wa COVID-19 wofunika kutalikirana ndi kutsekeka kwa dziko, wapangitsa kuti njirayi ikhale yosatheka. HSCL ndi anzawo adatengera, osayang’aniridwa, njira yosonkhanitsira deta yakutali – kuyankhulana patelefoni. Kufufuza pogwiritsa ntchito zidziwitso zomwe zasonkhanitsidwa kudzera m’mafunso a patelefoni ndizofunikira kwambiri pazambiri zonse zomwe zilipo kale ndipo, nthawi zina, zomwe zimalambalaridwa kuchokera ku zokambirana za maso ndi maso.

Njira yofufuzira yosakanikirana inagwiritsidwa ntchito ndi deta yochuluka komanso yabwino yomwe inasonkhanitsidwa kuti iwunike. Mndandanda wa zipatala za 2,398 zomwe zimakhala ndi zipatala za boma, zachinsinsi, zapulaimale, zachiwiri ndi zapamwamba zidalembedwa mothandizidwa ndi HEFAMAA. Omwe adafunsidwa omwe adafunsidwa pazipatazi anali oyang’anira azachipatala akuluakulu, owongolera azachipatala, malo omwe amayang’anira, wachiwiri kwa oyang’anira malo, ndi oyang’anira malo (pamene pakufunika). Zipatala za 2,206 zidalumikizidwa ndipo pazifukwa kuyambira pakufunsidwa kosakwanira mpaka manambala obwereza, zoyankhulana zonse za 1,256 zidamalizidwa. Ndondomeko yoyankhulirana patelefoni inanena kuti chipatala chilichonse chomwe chatchulidwa chidayesedwa kasanu ndi kamodzi kuti akafunse mafunso asanatchulidwe kuti sanachite bwino.

Chidule cha zotsatira

Zolinga zenizeni za kuunika kwa chipatala chinali kudziwa momwe kagawidwe ka zipatala zamitundu yosiyanasiyana m’boma, kuchuluka kwa kupezeka kwautumiki, kuchuluka kwa kukonzekera kwa ntchito za boma komanso kukonzekera kwautumiki ku zipatala, komanso kuthekera kwawo kuwapatsa. . Ntchito Zapamwamba ku Lagos State Health Scheme (LSHS).

Zida zinayesedwa pogwiritsa ntchito njira zotsatirazi – Human Resources for Health; Kupezeka kwa zida zoyambira, zida zoyambira zamankhwala, chithandizo chaumoyo m’zipatala, zida zamankhwala ndi katundu; chivundikiro cha inshuwaransi yazaumoyo; machitidwe oyendetsera ndalama; chiweruzo chachipatala; ndi kuyankha ku COVID-19. Zotsatirazi zinapereka chidziwitso chozama pazochitika zachipatala m’boma.

Anamwino ndiwo anali azaumoyo ambiri m’zipatala, kutsatiridwa kwambiri ndi azamba. Malo ambiri anali ndi magetsi, magwero a madzi, komanso malo ogona odwala. Komabe, pa avareji, kupezeka kwa mabedi ogonera ndi mabedi owonera kunali pafupifupi asanu ndi awiri okha pa malo aliwonse.

Malo ambiri amakhala ndi mankhwala ofunikira, maantibayotiki ndi omwe amapezeka kwambiri m’malo awa. Malo ambiri amapereka matenda kapena chithandizo cha malungo, HIV ndi chifuwa chachikulu. Kuphatikiza apo, ntchito zakulera zinalipo. Malo ambiri omwe adayesedwa anali ndi zida zodzitetezera (PPEs) komanso ogwira ntchito ophunzitsidwa ndi IPC, komabe, ambiri analibe chipinda chodzipatula kapena wodi.

Ambiri mwa ogwira ntchito yazaumoyo omwe adafunsidwa anali ndi udindo woyang’anira ma accounting a m’chipatala. Komabe, ochepera 50% adagwiritsa ntchito chida chowongolera ndalama.

Inshuwaransi yaumoyo m’boma la Lagos inali yochepera 50%, kumbali zonse zoperekera komanso zofunikira. Pafupifupi 34.5% ya zipatala zimapereka inshuwaransi yazaumoyo ndipo olembetsa anali otsika kwambiri m’malo aboma / aboma.

thanzi loyamba Centers (PHCs) ali ndi malo apamwamba kwambiri okhala ndi Clinical Governance Committee. Ngakhale kuti 9% yokha ya zipatala zomwe zafunsidwa zimagawana malipoti awo a mwezi uliwonse.

Gulu la polojekiti ya HSCL likukhulupirira kuti chachikulu chomwe adaphunzira ndi chakuti malo ena omwe adawunikiridwa adatsegula mokwanira kuti awapatse chithunzi chenicheni cha momwe zinthu zilili m’malo awo. Komabe, anali ndi nkhawa kuti zipatala zambiri sizinalembetsedwe ndi LSHS ndipo sizinapereke mtundu uliwonse wa inshuwaransi yazaumoyo. “Ichi ndi phunziro lofunika kwambiri lomwe limalankhula za inshuwaransi yazaumoyo m’boma ndipo lingathe kudziwitsa bungwe kuti lidziwe kuti likufunika kufalikira,” adatero Oyekanmi.

Lipoti lotsimikizira ndi kukhazikitsa

Bungwe la HSCL lidachita msonkhano ndi ogwira nawo ntchito ochokera m’mabungwe aboma ndi mabungwe omwe si aboma kuti atsimikizire lipotilo Seputembara 1, 2022. kuyankhula kumsonkhano, Dr. CyranoMkulu woyang’anira ntchito, Lashma, anati: “Lipotilo linatisonyeza kumene kuli malowo ndi luso lawo, linatipatsanso chithunzi cha mavuto amene tikuyembekezera kuti tidzakumane nawo ndipo zimenezi zimatithandiza pokonzekera njira zosiyanasiyana zochitira zinthuzo.”

Zotsatira zinakambidwa ndikutsimikiziridwa, ndipo tsiku lotsatira, Seputembara 2, 2022Othandizana nawo komanso okhudzidwa adasonkhana kuti aone kukhazikitsidwa kwa lipotili. Pamwambo wotsegulira nawonso Dr Abiola EduExecutive Secretary, HEFAMAA, Dr Emanuela ZampaGeneral Manager wa Lashma Dr Ibrahim Mustafa MustafaMlembi Wamuyaya, Bungwe la Lagos State Primary Health Care Board ndi Pulofesa Akin AbayomiHigh Commissioner for Health, Lagos State.

M’chiwonetsero chomwe Dr Oluwatosin KoladeHSCL, Mtsogoleri wa Technical Affairs, anati: “Kuvomerezeka kwa malo a zaumoyo n’kofunika kwambiri kuti pakhale zotsatira zenizeni pa chithandizo chamankhwala. Lipotili lachita ntchito yaikulu polemba deta yomwe ingathandize boma kupereka ntchito zabwino.” Iye adaonjeza kuti lipotilo likhala ngati chida cholimbikitsira boma chomwe boma lingagwiritse ntchito pozindikira omwe ali pachiwopsezo akamalankhula ndi maofesiwa. Zidzathandizanso boma kuti lizitsatira zotsatira za ndalama zake pazaumoyo, zomwe zachitika pakalipano, komanso ndondomeko zomwe ziyenera kukhazikitsidwa kuti zikwaniritse cholinga chonse cha umoyo wa boma.

Kukhazikitsa Lipoti la Lagos State Sanitary Facility Assessment Report, Professor Abyumi Adawonetsa chisangalalo chake ndi ntchitoyi chifukwa “ikuwonetsa kuti tili ofunitsitsa komanso tikufuna kukwaniritsa miyezo yofunikira kuti tithandizire zaumoyo padziko lonse lapansi. Lagos Pamene tikukhazikitsa ndondomeko ya inshuwaransi yaumoyo ya boma yokhazikitsidwa bwino. “Anawonjezeranso kuti adapereka malingaliro enieni omwe angagwiritsidwe ntchito ngati njira yopititsira patsogolo ntchito zaumoyo kwa anthu a Lagos State.

Masitepe otsatira

Ngakhale zotsatira zake zonse zinali zoyamikirika, Boma la Lagos liyenera kuganiziranso kumvetsera mwachidwi zina zomwe zafotokozedwa:

Yang’anani pakulemba antchito azaumoyo ambiri monga asayansi aku labotale, ogwira ntchito za umoyo m’madera (CHEWs) ndi azamankhwala.

Perekani njira zina zoperekera mphamvu zamagetsi kuzinthu zopanda magetsi ndikuwongolera mwayi wopeza madzi, ukhondo ndi ntchito zaukhondo (WASH).

Limbikitsani kuyesetsa kuti zida zodziwira matenda zizipezeka m’maofesi aboma.

Kulimbikitsa inshuwaransi yaumoyo ya boma kulimbikitsa anthu kuti alembetse, ndi malo oti alowe nawo mu Elera Eco Scheme.

Khazikitsani ndondomeko zamalamulo zoyendetsera zipatala zonse m’boma kuti zitsimikizidwe kuti zikufanana pakupereka chithandizo chabwino komanso malipoti a data pamagulu onse.

limbikitsa Zipatala zambiri zapadera kuti zikwaniritse njira zowonjezerera kuchuluka kwa zipatala mu dongosolo la Ile-Era-Eko.

Kuwunikaku kudayamba mu 2020 ndikutha mu 2021, ndipo gulu la HSCL likukhulupirira kuti zotsatira zina zitha kukhala bwino. Komabe, zotsatira za kuunika koyambira kumeneku zipitiriza kukhala ngati malo ounikira mtsogolo omwe gulu la polojekiti likufuna kuti zichitike zaka ziwiri zilizonse.

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