Demand side Financing/ Community-based Health Insurance Scheme

For a health system to improve access and coverage of health services, care needs to be affordable. Universal Healthcare Coverage requires care to be affordable for all, irrespective of each person’s circumstance. The demand-side financing system should also be designed such that individuals and families are protected from catastrophic health expenditure and the risk of falling into poverty as a result of ill-health.

The Oloibiri Health Programme aims to improve the affordability of healthcare through provision of a health financing system. This is to ensure that the people of Ogbia LGA can use health services when they need to, regardless of their ability to pay for the services.

The programme will include the establishment of a community-based health insurance (CBHI) scheme or other financing models. The programme’s health financing scheme for Ogbia LGA will be designed and implemented based on the following principles: 

  • Inclusiveness and subsidization (pro-poor): All residents of Ogbia LGA shall be eligible to benefit from the scheme without prejudice or discrimination. Co-premiums if any will be subsidized for the indigent/poor to ensure that they are not excluded.
  • Pre-payment: Premiums will be paid prior to the need for healthcare services ensuring zero payments at the point of access to health care services by beneficiaries for covered services/benefits.
  • Pooling of resources: The system will be designed such that fragmentation of healthcare revenue pools is eliminated or minimized.
  • Transparency: The scheme will adopt accountability best practices and technology to ensure that its activities, fund management and performance are clear to all stakeholders
  • Output-oriented: The scheme will focus on and incentivize outputs rather than inputs. This will ensure that stakeholders (especially health care providers) satisfy users and meet scheme objectives. It will incentivize health care providers to focus on improving their performance.
  • Sustainability: The scheme will aim for and be designed and operated to ensure that it is self-sustaining in the short, medium and long-term, in terms of revenue generation, risk pooling and purchasing of services.  
  • Innovation: To ensure that the scheme is self-sustaining it will leverage frugal (process, partnership, place, pricing and product) innovation to ensure that scheme goals and objectives are achieved and sustained.

Oloibiri Health Programme

The Oloibiri Health Programme (OHP) is a three-year public health initiative, sponsored by Shell, to improve health and health care delivery for the communities of the Ogbia Local Government Area (LGA) in Oloibiri field, Nigeria. This Public Private People Partnership is championed by Shell as part of Nigeria’s centenary celebrations and is named after Oloibiri community where oil was first discovered in commercial quantities in Nigeria.