Cancer control funding in Nigeria: A case for universal health coverage. (June 2022)

• Record Type: Journal Article
• Authors: Ndoh, Kingsley; Ahmed, Aliko; Yates, Robert; Adewole, Isaac; Bagudu-Shinkafi, Zainab; Odedina, Folakemi; Alawode, Gafar; Alabi, Samuel
• Is Part Of: Journal of cancer policy. Volume 32(2022)
• Publication Date: 2022-06
• Subjects: Cancer control funding -- Health financing -- Universal health coverage for cancer -- Nigeria cancer policy -- Nigeria cancer control; Cancer -- Government policy -- Periodicals; Cancer -- Patients -- Services for -- Periodicals; Medical Oncology -- Periodicals; Public Health -- Periodicals; Cancer; Periodicals; 362.196994
• DOI: 10.1016/j.jcpo.2022.100335
• Languages: English
• ISSNs: 2213-5383

Abstract

Abstract: Nigeria's health spending per capita remains relatively low, with an out-of-pocket expenditure on health estimated at three-quarters of the nation's health expenditure in 2018. A large percentage of the population cannot afford—and have limited access to—cancer treatment services. Our study was aimed at analyzing all cancer funding-related policies from 2010 to 2020. We used qualitative methods to contextualize the challenges of funding cancer control, and recommend steps in policy implementation needed to achieve universal health coverage (UHC) for cancer care in Nigeria. We found that cancer control is grossly underfunded, with a glaring lack of political will identified by most participants as the root cause of underfunding. Recommendations by the participants included mandatory enrollment in health insurance schemes, encouraging public-private partnerships and advocacy for increased taxation to democratize access to treatment. Additionally, channeling a portion of tax revenues from tobacco sales to cancer will reduce catastrophic health spending and move Nigeria closer toward achieving UHC for cancer. Highlights: Nigeria has one of the worst out-of-pocket expenditure on health as a percentage of current health expenditure in Africa. Policies geared towards universal health coverage over the past 10 years are mostly duplicated without clarity in implementation. Mandatory enrollment of Nigerians to public health insurance schemes was strongly recommended by interview participants. Public-private partnerships is one way to help increase access to cancer treatment services at affordable rates. Progressive and sustained taxes on products such as tobacco is one way to increase the financial pool.