Healthcare Delivery Targets and the National Health Insurance Scheme Limitations in Nigeria
Alex E. Asakitikpi

Abstract
Health reforms that target universal coverage have intensified in Nigeria since the dawn of the 21st century, and the National Health Insurance Scheme, in particular, has been hailed as the panacea for, and appropriate framework in achieving the desired health for all by 2015. Few weeks after the target goal however, the reality is bleak and the task of reaching the goal more daunting than ever. A historical analysis of health care delivery in Nigeria is made and explanations for the difficulties in meeting health targets are discussed, pointing to weak governance, economic challenges, and socio-cultural contexts as important interacting factors slowing down the process. The paper concludes by outlining some important emerging possibilities for strengthening the health system, including the liberalization of the health sector, enhancing public-private partnership, and suggestions for improving the national health insurance scheme by recognizing key socio-cultural factors for inclusion in achieving health targets.

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