• Health Care Policy PPI
• State Health Authority
• Drugs Manufacture & Acquisitions Programme
• Health Centres’/Doctors Surgery PPI
• Retirement Homes
• Promotion of Healthy Living Habits
A healthy population is a productive one. The low level and quality of public health care in the country has dramatically affected the nation’s productivity, the scourge of malaria, HIV and other contractible diseases and viruses have lead to a loss of millions of man hours per year. The Institute aims to develop a comprehensive and integrated health care policy document to be adapted on a pilot scheme within a village and or town at a local government level: concentrating on the development of a network of doctors surgeries, antenatal and post natal centres (Mothering Centres) to cater for mothers who are one of the most vulnerable groups at risk.
Free health for all up to age 16 and for pensioners are laudable goals but practically impossible to achieve by a nation still grappling with numerous developmental problems and meagre resources. The UK government has budgeted £104bn to health and £161bn for social protection, whilst £95bn is revenue from National Insurance Contributions http://budget2007.treasury.gov.uk/page_09.htm The Total Budget for The Federal Republic of Nigeria 2007 is N2.3 Trillion; just under $18bn “Nigerian Budget 2007” http://www.fmf.gov.ng/fileupload/2007Budget.pdf
The nation is also losing revenue in excess of 600,000 barrels per day totalling N570 billion due to the disruptions in The Niger Delta. At approximately 25% of the National Budget. This is a National Calamity that needs urgent, priority attention. Much of this lost revenue could be used to help improve the provision of health in the country.
The Institute will be instigating reports into the practical implementation of Local, State, National and or private health insurance schemes that could be compulsory/voluntary. Private Health delivery systems where groups of GPs collaborate together developing surgeries and practices that will be funded partly via salary, insurance payouts and private contribution. This network to be developed in liaison with international aid organisations such UN, UNICEF, WHO etc and worldwide medical institutes and other private health insurance schemes. Exchange schemes should be encouraged and developed so that our doctors can learn the very best in delivery methods and medicines to pass this knowledge on.
States will be encouraged to develop specialist health centre to be funded via PPI state and private entities with cooperation from international medical institutes and organisations
Feasibility Report to Develop a State Health Authority on a PPP basis
We envisage systems that will see the development of general hospitals in each of the States local Governments. These can be built largely by private funding; there must therefore be incentive for the developer. The developers could be insurance providers or other interested investors or service providers, where the State government allows them to build, own and operate and the state government could make payments based on the quality and quantity of health provided by each hospital.
Each hospital will be required to have at least one specialist unit to be sponsored by major research organisations, pharmaceutical companies or other philanthropist. The centres will be centres of excellence and a ground for local and international research in the areas of specialisation, i.e. aids, heart disease, bowel cancer, eye disease, respiratory ailments and neurology.
Each general Hospital will have an A&E, Ante and Post Natal department, radiology, Operating theatres, Anaesthetics, Diagnosis, GU clinic etc as standard. It is hoped that Nigerian GP’s, hospital managers, nurses and specialists in the Diaspora who have had access to working in modern hospitals with the latest technologies and access to well tested techniques will assist in developing these hospitals and
This Health System will be bolstered by a network of GP’s that will relate to towns and villages within the local community, who will serve as referral points for more serious cases. The GP centres should also have a midwifery, and family planning section to assist new mothers and mothers to be.
All centres to be linked by computer networks ensuring that the health of the community can be accurately monitored. This will assist in assessing data that will ensure that pharmaceutical needs can be realistically assessed.
Feasibility Report to Develop State Health Insurance Scheme on PPP basis
The Health System must be executed along with an insurance scheme. This will be offered as free health to encourage registration. The data company through a team of data collectors will pan out, local govt to local govt after a publicised marketing and enlightenment program. They will use palm top computers fitted with imprint devise and digital cameras. The people will register onto this secure database that will be downloaded back at base or via wireless link.
Once registered the person will be required to make regular monthly premiums to cover him and his immediate family; who all have to be registered. Monthly premiums must be made at a bank and the applicant will be required to open a bank account and to maintain it to ensure that he can meet their monthly premiums.
The elderly and underage will be covered too. The cover will consist of a minimum level of health care which will be offered provided the premiums are met. In effect the health is only free at point of use provided one is registered. This database which will be a popular one can be used to gain an accurate population count the characteristics and to gage their health needs. It can also be used to gather data about citizen’s earnings to ensure that local rates and taxes are paid. This may also be a prerequisite to entitlement. In effect this will assist the state in generating more revenue and gather the data necessary to best serve their citizens.
The entrepreneur will generate revenue from maintaining the data base, network and a charge on the registration fee, there is also the prospect of a percentage of the premiums collected. This programme will assist the state in providing the much needed health service, that is offered in the UK as free health although we all make NI contributions that contribute significantly to enabling the state to meet the annul health budget. Should this work in one state there is no doubt that other states will follow. All that is needed is a few local authorities in Nigeria to be a test bed or pilot schemes to fine tune the programme.
Assess existing hospitals with, health care for relatives in Nigeria, pay premiums for cover for relatives in Nigeria List of local hospitals. The premium funds should be managed and invested in a portfolio of assets, stocks, shares and bonds. Proper policies should be developed to exclude pre existing circumstances and ailments that will cripple the funds, assessment must be done prior to take up of policy to test for HIV, smokers and heavy drinkers will be excluded or pay significantly higher rates.
GPS system to locate residential & work address also useful for credit referencing