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The objectives were:
a) to increase access to improved water supply service in selected States of Nigeria and improve the financial viability of existing water utilities in those States, and
b) to increase the investment planning capacity of participating States.
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This workshop is directed to stimulate the use of OBA in maintaining community-based health insurance schemes in the targeted areas of Nigeria.
This workshop was held in June 2015, organized by the World Bank, GPOBA, PharmAccess and the National Health Insurance Scheme. The workshop covered lessons learned from the GPOBA pilot project and other topics relevant to participating state governments to effectively incorporate into their policies in order to build public support for the universal health coverage, such as:
- targeting and the use of demographics and other metrics to identify the poorest communities for support of equity funds
- evaluation and the data analysis to adjust resource allocation
- legal framework to limit conflicts between state and federal law
- health insurance financing options, including state-level equity funds to reduce dependence on federal government
- benefit packages and the legal minimum requirements
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Photo: Ami Vitale / World Bank
The UN Sustainable Development Goals, looking to 2030, seek to continue the progress made in addressing maternal health, child mortality and disease prevention. Donors have more than doubled their contributions to global health aid since 2000, and major advancements in health technologies and medicines have increased as well. Today, 17,000 fewer children die each day than in 1990, (1) but five million still do not live beyond their fifth birthday every year -- with Sub-Saharan Africa accounting for 80 percent of these deaths. Though the number of women who die during childbirth has decreased by 37 percent since 2000, only half of women in developing countries still do not have access to adequate health care-- with the maternal mortality rate still 14 times higher compared to women in developed countries.
Yet significant obstacles remain—from supply-side constraints such as poor infrastructure and lack of resources to demand-side constraints, including inability to pay, lack of insurance coverage, or lack of access—preventing lifesaving resources from reaching the poor in developing countries who need them most.
Using innovative results-based financing schemes increasing access to affordable, quality health care services, GPRBA has supported reproductive health services in Uganda, Nigeria, Lesotho and Yemen:
- The Uganda Reproductive Health Voucher project implemented in the rural western part of the country, in which GPRBA partnered with KfW to fund a voucher scheme. This program involved users paying a low nominal fee for vouchers to be used for services such as pre– and post-natal care, childbirth attended by a trained medical professional, and screening and treatment of sexually transmitted diseases for couples.
- The Yemen Safe Motherhood Project also provided professional maternal health services in an urban context for pregnant women in the in Yemen was funded in an urban context in the poorest parts of Sanaa, Yemen’sthe capital city.
- GPRBA supported the Pre-Paid Health Scheme Pilot Project in Nigeria to increase access to quality basic health care in poorer parts of the country by implementing a health insurance scheme.
- Lesotho’s New Hospital Public-Private Partnership provides access to quality health services at the state-of-the-art facility Queen ‘Mamohato Hospital in Maseru, along with support to a new national hospital and filter clinics. under a public-private partnership model in Lesotho.
(1) United Nations
Related Source on RBF Health: Health Results Innovative Trust Fund (HRITF)
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News Release No. 2008/10
In Washington:
Cathy Russell, tel. (+1) 202 458 8124 crussell@worldbank.org
Ludi Joseph, tel. (+1-202) 473-7700 ljoseph@ifc.org
In Abuja:
Obadiah Tohomdet, tel. +234-09 314 5269 Otohomdet@worldbank.org
In Johannesburg:
Houtan Bassiri, tel. (+27-11) 731-3179 HBassiri@ifc.org
Abuja, October 30, 2008 – The World Bank, acting as administrator for the Global Partnership on Output-Based Aid (GPOBA), today signed a grant agreement for US$6.02 million with the Health Insurance Fund (HIF), a non-profit organization based in the Netherlands, to establish a community health scheme for low-income families in Lagos, Nigeria. The scheme will provide affordable pre-paid health insurance plans for up to 22,500 beneficiaries.
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25 May, 2010 --- Africa Day, on May 25, is the annual commemoration of the 1963 founding of the Organisation of African Unity (OAU), now called the African Union (AU).
Many things have changed on the continent since 1963, some for the better. In fact, the Office of the Chief Economist for Africa at the World Bank recently published a collection of success stories titled simply, Yes Africa Can. In a recent speech at the Harvard Kennedy School, World Bank MD Ngozi Okonjo-Iweala spoke about many positive indicators for the continent's development and argued that it is time to reposition Africa as a destination for investment, not just aid.
Despite the encouraging success stories, as in other developing parts of the world, many poor people in Africa lack access to basic social and infrastructure services, including energy, health care, information technology and water and sanitation. This lack of access to basic services impacts their quality of life, health, and earning potential. According to the World Health Organization (WHO), 3900 children die every day as a direct result of lack of access to safe water. Further, statistics from the Water and Sanitation Program (WSP), a trust fund partnership administered by the World Bank, show that only 62 percent of Africans have access to safe water and just 60 percent have safe sanitation facilities to use.
The Global Partnership on Output-Based Aid (GPOBA) uses subsidy funding to incentivise service providers to offer their services to low-income households. When an output-based project is designed, the output that will be measured and verified is agreed in advance among the project partners and other stakeholders. In a water project for instance, a service provider would agree to connect a certain number of households and be prepared to show proof of providing consistent service for a specified period. Once the pre-agreed output has been independently verified, the service provider receives payment.
In April 2010, Okonjo-Iweala highlighted OBA as one way to address the critical lack of access to clean water and sanitation services that impacts billions across the globe. In a speech to raise awareness about water and sanitation issues at a Spring Meetings side event. Okonjo-Iweala shared her personal experience of childhood in 1960s Nigeria and having to walk five miles to fetch water.
QUICK FACT: As of September 30, 2009, projects in Africa make up 33 percent of the World Bank Group's OBA portfolio, second only to the Latin America and Caribbean Region (LAC).
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In Nigeria, over 1 million people or 0.8 percent of the population, are covered by health insurance schemes. Many poor people have to pay out-of-pocket for medical care or do without. The National Health Insurance Scheme, introduced in 2004, intended to cover all Nigerians, but many low-income populations are not expected to benefit for many more years. Through this GPOBA project low-income Nigerian families were planned to have access to affordable primary and maternal health care, as well as screening and treatment for HIV/AIDS, malaria, and tuberculosis. The project provided affordable pre-paid health insurance plans for over 13,000 beneficiaries (employees and their families) who belong to the Computer and Allied Products Association (“CAPDAN”) at the Ikeja IT village in Lagos. The services was provided through a network of service providers managed by Hygeia Nigeria Limited, a local private sector health insurance entity.