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Volume 3 Journal of Nursing Research and Practice Nursing Care Congress 2019
March 11-12, 2019
Nursing and Nursing Care Congress
March 11-12, 2019 Orlando, USA
5th World
Achieving universal health coverage in Nigeria: An analysis of nursing leadership issues, challenges and
opportunities
Godwin Etim Asuquo
Africa Centre for Health Leadership, Nigeria
World Health Assembly (WHA) Resolution 2005 urged countries to develop their health financing systems to “ensure that all people
have access to needed key promotive, preventive, curative and rehabilitative health services of good quality at an affordable cost
without the risk of financial hardship linked to paying for care. The goal is a 100% coverage of population groups and their families
in line with the Goal 3 of the SDGs to “ensure healthy lives and promote well-being for all at all ages” Nigeria’s intervention to achieve
this is the National Health Insurance Scheme which was launched in 2005. Nurses are at the frontline in ensuring that this program
achieves its objectives and targets.
Purpose: Purpose of this study was to review the status of the program vis-à-vis the role and contribution of Nurses towards the
achievement of its goals and objectives. Using the System thinking approach and the Results Chain Model,
Methodology: A qualitative methodology was employed consisting of in-depth interviews of 100 Nurse leaders, 100 Health Care
directors, 50 program managers and 4 focus group discussions for clinical nurse specialists. A desk review was also carried out
focusing on the national health policies, strategic plans and frameworks and implementation plan of the NHIS.
Findings: The review indicates that out of pocket spending was 60%; 7% of the population was covered by pre-payment and risk-
pooling scheme and 2% coverage of vulnerable groups. The morale of the nursing teams was low as a result of interprofessional rivalry
and lopsided decision-making processes based on ethnic and religious considerations. Other findings include inadequate facilities,
basic working tools and equipment, lack of team approach and a retention plan.
Conclusion and Significance: It examined the issues, challenges, opportunities and the way forward in empowering nurses to be
more productive in supporting the program.
Biography
Godwin Etim Asuquo is an international public health leader with about 20 years’ experience in nursing, reproductive health and child rights, governance, HIV/
AIDS/ TB and primary health care program management including health systems strengthening. He has consistently worked in senior leadership positions
delivering impactful results for communities served in Africa including Nigeria, Chad, Senegal, Egypt, Morocco, Ethiopia, Rwanda, South Africa and Tanzania. Tasks
undertaken during these assignments range from policy development, program management, training, research, organizational development, and strengthening
capacity for HIV/AIDS, obstetrical care and human resources for health. He was until June 2018, the Chief of Party/Program Director for Save the Children’s Global
Fund Program in Tanzania. He is currently providing leadership to the Africa Centre for Health Leadership in Nigeria. Previously, he served as Primary Health
Coordinator, Nurse and midwives Educator and a Lecturer in Public Health and Nursing at the University of Maiduguri and Imo State University in Nigeria.
Godwin Etim Asuquo, J Nursing Research and Practice, Volume 3
DOI: 10.4172/2632-251X-C2-005