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BRIEF ON THE MINISTRY

The Ogun State Health Insurance Agency was created on 27th of May, 2019 after the successful passage of the Health Insurance Bill by the Ogun State House of Assembly which the state Governor signed into Law No: 039/2018. It is a success story that started as a Unit under Ogun State Primary Health Care Board with the official flag-off of the State Community-Based Health Insurance Scheme by the State Governor in April 2014, and later transformed into Department of Health Insurance under the State Ministry of Health with the official scale up in July 2016. This path to Universal Health Coverage (UHC) is aimed at building a healthier and more equitable society as millions of our citizens are being driven into abject poverty because they have to fund health care services from their own pockets. It is one very fundamental concept; a strong social equalizer and the utmost demonstration of fairness, especially in this world of social inequalities in levels of income and health care access.
The vision of Ogun State Health Insurance Agency is to see every resident of the State, whether rich or poor; young or adult; children or elderly; male or female; employed or unemployed; healthy or ill; pregnant or not, have access to affordable quality health care without any exposure to financial hardship, through their individual and collective participation in this Scheme which protects citizens against high cost of health care by pooling health risks and resources in the spirit of social solidarity

ADDRESS:
BLOCK D, NEW SECRETARIAT,

POSTAL ADDRESS:

PHONE: 08033424804

POLITICAL HEAD

ADMINISTRATION HEAD

Dr Dosunmu Afolabi Oladimeji

EMAIL:

foleydosunmu@yahoo.co.uk

afolabidosunmu@gmail.com

Departments

(i) Health Insurance (Operations)
(ii) Administration & Supplies
(iii) Planning, Research & Statistics
(iv) Finance & Accounts.

DEPARTMENTS

HEALTH INSURANCE DEPARTMENT

Director:

Dr Adebayo Sarat A.

PHONE:

08139646770

EMAIL:

taikenny2014@gmail.com

Duties

  1.  Regulates the implementation of Ogun State Health Insurance Scheme
  2.  Sets quality standards for care providers
  3. Accredit care providers and technical facilitators
  4. Develops standard protocols for use by health care providers
  5. Continuous assessment of health care providers on the Agency’s Scheme
  6. Determines the scheme’s benefit package
  7. Recommends financial institutions for the scheme
  8. Prepares fund disbursement to respective stakeholders, for example, capitation payment to health care providers
  9. Processes claims for fee-for-service healthcare
  10. Collaborates with key stakeholders including development partners and organized private sector
  11. Conduct advocacy, sensitization social mobilization as a marketing strategy for the scheme
  12. Registration and Enrolment of beneficiaries on to the Agency’s schemes
  13. Production of identification cards for the enrolees on the Agency’s schemes
  14. Demand creation by continuous awareness programmes to the citizens of the State on the various schemes in the Agency
  15. Management of third party administrators (TPAs) like the Civil Society Organisation (CSOs), Faith Based Organisations (FBOs), Health Care Providers e.t.cin terms of how well they are performing and attending to the challenges they might have.

DEPARTMENT OF ADMINISTRATION& SUPPLIES

Director:

Adewale Adedokun

PHONE: 08033941275

EMAIL: princedeywhalley@gmail.com

Duties

A) General Administration
• Ensuring safety of lives and facilities of the Agency
• Maintenance of Agency’s premises
• General Staff Welfare and Motivation
• Matters affecting NYSC

B) Personnel and Establishment
• Processing of matters affecting appointment and other allied matters
• Processing of matters affecting retirement and pensions
• Maintenance of discipline
• Maintenance of supplies and data base
• Handling of Manpower cum budgetary issues
• Supervision of both open and confidential registry
• Processing of Staff promotion
• Preparation of Staff Nominal Roll

(C) Procurement & Supplies
• Processing of matters affecting procurement
• Maintaining proper records of assets of the Agency
• Processing of the Authority to Incur Expenditure (AIE)

DEPARTMENT OF PLANNING RESEARCH AND STATISTICS

Director:

Dr Akinremi Amos O.

PHONE: 08035438024

EMAIL: amosolusayo@yahoo.co.uk

Duties

(A) Budget and Planning Unit
• Development of long/medium and short-term plans and annual budgets for the efficient performance of the Agency
• Development of proposal for special projects, and drafting of memos
• Identification and development of training needs of staff
• Create and maintain a database of suppliers and contractors of the Agency’s requirement
• Secretariat of the Agency’s Tenders Board
• Identification of investment opportunities for the scheme’s funds
• Development and publication of the scheme’s operational guidelines

(B) Research and Library Services Unit
• Research into areas of interest of the agency with the aim of building a viable data bank for reference purposes (e.g. baseline assessment of civil servants’ preferences to social health insurance, determination of demand for health insurance from the informal sector, patient satisfaction survey, etc.)
• Provision of library services
• Development of study questionnaires
• Collection, collation, analysis, interpretation and publication of information for policy making
• Determination of proportion of civil servants in each grade level to estimate premium across levels

(C) Statistics Information and Communications Technology Unit
• Provision of computer software for data analysis
• Establishment and maintenance of the Agency’s electronic database
• Computerise the activities of the Agency for an efficient management information system
• Collecting user requirements and initiating ideas for software development
• Recommendation of information system gadgets and services
• Sales of statistical publication
• Actuarial studies to determine premium, government subsidies, and disbursement plan
• Maintenance of civil servant database to capture new recruitment and salary increment against remitted fund to the pool

(D) Monitoring and Evaluation Unit
• Production and coordination of data requirements in respect of the Agency’s technical aids / external assistance
• Monitoring of activities in respect of set targets of the Agency and carrying out effective monitoring and evaluation / appraisal of projects as at when due
• Impact assessment of projects / programmes of the Agency using the relevant indicators
• Preparation and publication of monthly, quarterly and yearly reports of the Agency’s programmes and projects
• Development of key performance indicators (KPIs)

DEPARTMENT OF FINANCE & ACCOUNTS

Director:

Currently not in place

PHONE: NIL

EMAIL: NIL

Duties

• Accounting for Government Revenue
• Ensuring prudent management of Government Expenditure
• Management of Public Debts
• Investment and Asset Management
• Budget and Budgetary Control
• Internal Financial Control
• Payment of Capitation to Healthcare Providers
• Payment of claims as fee-for-service to Health Care Providers
• Payment to Third Party Administrators for services rendered

OTHER INFORMATION

(i) Formal Sector Health Insurance Scheme: This is a programme that aimed at continuously providing health insurance coverage for the state civil servants and their dependants as well as expanding the coverage to workers at organised private sector. The plan is to scientifically arrive at an affordable and adequate percentage of workers’ salaries that can be deducted directly from their salaries as health insurance premium to cover the cost of the scheme’s benefit package in the spirit of equity and universal health coverage. The proposal is to also have state government contributing a counterpart percentage of workers’ salaries from government’s revenues into the health insurance pool of fund to serve as subsidies and equity fund as health remains one of the most basic social services any government or organisation can provide for its people.
(ii) BHCPF (Basic Health Care Provision Fund Scheme): This is a federal government supported programme that has one of its components as health insurance provision for the vulnerable groups such as pregnant women, under-5 children, elderly, and the indigents. However, the state government is expected to meet certain criteria to partake of this opportunity. The proposal is to write an expression of interest letter on the letter head paper of His Excellency duly signed and forwarded to the federal government to indicate the state’s commitment to the programme. In addition, the state government is expected to sign with federal government a Memorandum of Understanding that outlines the rights and responsibilities for participating in the BHCPF as well as make available a counterpart fund of 100-million naira to run the programme at the state level. The release of this fund will have a positive effect on health care delivery system in the state, particularly in the remote areas as it would be useful in reviving primary health centres.
(iii) Informal Sector Health Insurance Scheme: This is a form of community-based health insurance scheme with the aim of covering every other citizen of the state that are not provided for in the above two schemes. This is very crucial at achieving universal health coverage in the state as majority belongs to this sector. The plan is to quickly start with the above two schemes and make use of lessons learnt when extending the health insurance coverage to the informal sector in a short period from now.

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