Implementing Health Policy in Nigeria
The Basic Health Care Provision Fund as a Catalyst for Achieving Universal Health Coverage
Bibliographic Data
| ID | 7744156 |
|---|---|
| Authors | Julia Ngozi Chukwuma (0000-0002-4553-7536, corresponding author) |
| Year | 2023 |
| Volume | 54 |
| Issue | 6 |
| Pages | 1480-1503 |
| Publication date | 2023-11-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Development and Change (JOURNAL) |
| Journal identifiers | ISSN: 0012-155X • E-ISSN: 1467-7660 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/dech.12808 |
| OpenAlex | W4390698709 |
| Language | EN |
| Citations received | 4 |
| References cited | 57 |
In 2014, Nigeria adopted a new law for its healthcare system, which mandated the establishment of a novel health‐financing mechanism, the Basic Health Care Provision Fund (BHCPF). The BHCPF was created to provide sustainable funding with a view to fast‐tracking Universal Health Coverage (UHC) and improving health outcomes in Nigeria. This article places Nigeria's UHC reform process in the broader context of social policy implementation in Africa to illustrate the extent to which interactions between different agents, contextual factors such as Nigeria's federal character, as well as changing conceptualizations of social policy at a global level, shape views on how best to implement UHC. The article is based on the careful examination of three different versions of implementation guidelines for the BHCPF combined with qualitative data collected during fieldwork. It argues that there is a discrepancy between the Nigerian government rhetoric of putting into place a system that improves access to healthcare and the actual practice of implementing UHC via the BHCPF. In reality, a range of controversies surround the ongoing operationalization of the BHCPF, contributing to the perpetuation of a social policy environment that allows poor health outcomes and significant health inequities in Nigeria to persist
Business · Context (archaeology) · Economic growth · Economics · Government (linguistics) · Health care · Operationalization · Political science · Public relations · Right to health · Social determinants of health · Social policy · Global Health Care Issues · Global Maternal and Child Health · Healthcare Systems and Reforms · Law · Public Administration · Health Policy
The possibility of politics
The Welfare State in crisis
The Takeover of Social Policy by Financialization
The Lancet Global Health Commission on financing primary health care
What is the private sector? Understanding private provision in the health systems of low-income and middle-income countries
Moving towards universal health coverage
Moving towards universal health coverage
Welfare Regimes and Economic Development
Towards A Social Investment Welfare State?Ideas, Policies and Challenges
Return to a Wider Vision of Social Policy
Poverty as Ideology
Interrogating the World Bank’s role in global health knowledge production, governance, and finance
Strengthening the health workforce and rolling out universal health coverage
The political economy of universal health coverage
Social protection and poverty
Preferences of healthcare providers for capitation payment in Kenya
Towards universal coverage
Financial sustainability versus access and quality in a challenged health system
Beyond the social protection paradigm
Never let a pandemic go to waste
Mapping social policy development in sub-Saharan Africa
The Origins of Primary Health Care and Selective Primary Health Care
Universal Health Coverage
The (Golden) Age of the Welfare State
Resisting the Imperial Order and Building an Alternative Future in Medicine and Public Health
Fragmentation by design
Growth of health maintenance organisations in Nigeria and the potential for a role in promoting universal coverage efforts
Health for all? Pasts, presents and futures of aspirations for universal healthcare
Neoliberalism Redux
Direct Taxation and State-Society Relations in Lagos, Nigeria
Variegated neoliberalization
| Unique citing works | 4 |
|---|---|
| Citations per year | 2 |
| Citation span | 2024 - 2026 (3) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 4 |