Center for Health Market Innovations (CHMI)

Programs

Hygeia Community Health Plan (HCHP)

last updated Apr 4, 2013

Overview

Implementing organization: 
Hygeia Nigeria Limited
Implementation Partner(s): 
PharmAccess Foundation, Health Insurance Fund, Lagos state Government, Kwara state Government
Legal Status: 
Private (not-for-profit)
Year Launched: 
2006
Stage: 
Existing/expansion stage
Income Level of Target Population: 
Bottom 20%, 20-60% (lower to lower-middle)

Funding

Primary Source of Funding: 
Membership/subscription fees
Additional Source(s) of Funding: 
Government, Membership/subscription fees, Other 3rd party (e.g. debt, equity)
Funders: 
Kwara State Government, Netherland Government, World Bank
Technology Purpose: 
Improving Data Management › Data Collection, Improving Data Management › Data Organization/Analysis, Improving Diagnosis and Treatment

Scale

Personnel Employed: 
50-99
Number of Clients Served: 
90,000 people enrolled in the scheme
Number of Facilities Operated/Networked: 
25
Upscaling: 
Between December 2007 and December 2010, the schemes recorded a 122% growth in cumulative number of enrollees (from 30,019 enrollees in December, 2007 to 66,526 enrollees in December, 2010).
Summary: 

The Hygeia Community Health Plan (HCHP) offers health insurance to a total target group of approximately 177,500 people, 67,500 in Lagos and 110,000 in Kwara State. Per July 2010, over 60,000 people were enrolled in the scheme.

Key program components: 

HCHP is implemented on behalf of HIF by PharmAccess and in Nigeria they have contracted Hygeia Nigeria Limited as the local implementing partner. The benefit package provides coverage for the most common medical problems found among the target groups and consists of primary care, limited secondary care and medication, including HIV/AIDS treatment.

Hygeia Nigeria Limited has contracted 21 healthcare providers to deliver healthcare to the enrollees. The provider network is involved in a continuous quality improvement program. Through the quality improvement program, HCHP and PharmAccess support the providers to continuously improve the quality of care.

The insurance is currently available for four groups.

The first target group consists of approximately 40,000 people, market women and their families in Lagos. The women are organized in market associations. They trade a wide variety of products.

The second target group consists of approximately 27,500 people, workers of small business that are part of Computer and Allied Products Dealers Association of Nigeria (CAPDAN) an umbrella organization for small- and medium sized enterprises (SMEs) and their families in Lagos.

The third and fourth target groups consists of approximately 110,000 people, farmers and their families in rural farming community of Shonga and Afon in Kwara State. The main occupation in Shonga and Afon is farming, but households are also involved in other activities such as trading and fishing.

Read more about this program's design and future plans here..

Program history: 

The HCHP was launched in February 2007. The program is funded by The Health Insurance Fund (HIF) with funds from the Dutch Ministry of Foreign Affairs, the World Bank and the Kwara State Government.

Additional Information:

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