Akaninyene Patrick Obot
COMMUNITY BASED HEALTH INSURANCE (CBHI)
Community Based Health Insurance (CBHI) Scheme was launched on the 21st August, 2014. This laudable program is an integral part of the drive for Universal Health Coverage in the state and nationwide. The CBHI scheme is currently being piloted in Ukana West Ward 2 in Essien Udim Local Government Area of Akwa Ibom State.
CBHI model is characterized by “Pooling at the Ward Level” with a “Community Trust Fund” at the local government level. The Scheme is managed by community members (selected through an open process) who make up the Board of Trustees (BOT) registered with the Corporate Affairs Commission (CAC) as an entity.
The program is not for profit and provides risk pooling (protection) to cover the cost of health care services. Not for profit health care financing mechanism is based on solidarity (agreement, oneness) between members and democratically accountable to them.
Key functional components of CBHI:
Infrastructure: The program uses PHC Ukana Ikot Ideh for the primary care (first point of care) while secondary care/referral services are provided at the Cottage Hospital, Ukana
Service Delivery: PHC Ukana Ikot Ideh is manned by staff from Essien Udim Local Government Service Commission (LGSC) and the Cottage Hospital Ukana is manned by staff from Akwa Ibom State Hospitals Management Board (HMB)
Management: The CBHI secretariat is managed by the Program Manager and other staff who serves as the administrative and management arms of the scheme and funds
Governance: The Program is governed by CBHI BOT members
Regulation: The program is regulated by the government through National Health Insurance Scheme (NHIS), Akwa Ibom State Ministry of Health (SMOH) and Essien Udim Local Government Area
A community where all citizens have access to affordable quality health care services without suffering any financial hardship
• To provide accessible, sustainable and affordable health care services to people.
• To improve access to health care by eliminating or reducing out-of-pocket payment by clients.
• Engaging community members through social mobilization to share in financing of local health services.
• To advocacy for efficiency in the allocation and improve healthcare financing.
• To make health services more equitable.
Description of the organization’s activities:
The activities of the organization include the following:
Advocacy, medical outreaches, healthcare services, bio-metric data capturing/enrolment, research, resource mobilization, economic empowerment for the members and community development