Alaafia Universal Health Coverage Fund
The Nigerian population is living without health insurance coverage. A number of healthcare reforms have been implemented, aiming to address the country’s public health challenges. They include:
- National Health Insurance Scheme (NHIS),
- National Immunisation Coverage Scheme (NICS),
- Midwives Service Scheme (MSS)
- Nigerian Pay for Performance scheme (P4P).
The Wellbeing Foundation Africa (WBFA) responded to this challenge by establishing the Alaafia Universal Health Coverage Fund (AUHCF), a community-based health financing initiative in partnership with Hygeia Community Health Care, PharmAccess Foundation, and the Kwara State Government.
Launched in March 2015, the AUHCF provided subsidised health insurance to 3,971 individuals across 9 Local Government Areas in Kwara State over a 10-month pilot phase. These beneficiaries received comprehensive maternal and child health services through a network of 24 healthcare facilities.
OUR APPROACH
In response to this, in the last 10 years of its operations, the WBFA has provided financing and healthcare provision through the Indigent Medical Fund, The Twins and Multiple Birth Program, and the Positive Lifeline Program. Since 2015, we have reviewed our operations to ensure our impact continues to be effective and far-reaching.
Considering that approximately 53.47% of Nigerians live below $1.90 a day, subsidised health insurance can be the difference between life and death for a number of families. Out-of-pocket financing at the point of service in hospitals can cripple families financially for years, resulting in further economic vulnerability and limited access to regular primary healthcare, setting off a cycle of poverty and poor health for generations.
For this reason, WBFA decided to transform and merge our existing health financing schemes to initiate the Alaafia Universal Health Coverage Fund (AUHCF) in partnership with Hygeia Community Health Care (HCHC) – a local health insurance provider -, PharmAccess Foundation and the Kwara State Government. Through the AUHCF, we funded the insurance premiums of 5000 people each year.
The AUHCF served enrolees with an estimated percentage representation at the following levels: infants 35%, under-five children 30%, pregnant women 13%, persons living with HIV/AIDS and/or disability 12%, the elderly 3%, girls (aged 6-13 years) 7%. This was the planned spread across specific low-income communities in Kwara State, north-central Nigeria, in order to ensure that healthcare got to more people who lack the financial and geographical access to healthcare.
WBFA is continuously seeking ways to improve and expand AUHCF, in order to bring the strategy of Universal Health Coverage (UHC), as championed by the World Health Organization and the World Bank, to those in need.
WHO BENEFITTED?
The AUHCF targeted Nigeria’s most vulnerable populations:
876 infants (22%)
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1,039 under-five children (26%)
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869 pregnant women (22%)
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562 adolescent girls (14%)
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424 persons living with HIV/AIDS or disabilities (11%)
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201 elderly individuals (5%)
MEASURABLE OUTCOMES
96% enrolment target achieved
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8,728 healthcare visits recorded in 18 months
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Top diagnoses included: malaria, pregnancy-related care, fever, cough, and hypertension
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Monthly funding: ₦208,333.33 paid by WBFA, totalling ₦2.27 million
Strategic Alignment and Vision
The AUHCF is fully aligned with the World Health Organization’s Universal Health Coverage (UHC) agenda and contributes directly to SDG 3 (Good Health and Wellbeing). It also complements WBFA’s MamaCare360 Antenatal & Postnatal Education Programme, amplifying frontline maternal health education with financial protection. WBFA will continue to advocate for the expansion of the AUHCF, calling for policy support and investment to institutionalise the model across other Nigerian states. By enabling access to affordable, quality healthcare, we’re building resilient health systems and empowering families across generations.