Nigeria Private Sector Health Assessment - SHOPS project

• Licensed pharmacists are limited in number and inaccessible to rural communities.
• Proprietary patent medicine vendors comprise a major source of contraceptive products--OCs and
condoms—with over 200,000 in country.
• There is lack of adequate regulations and/or enforcement of quality standards around manufacturing
and retails of products (especially generics).
Service Delivery
• Diversified market of providers in the private sector, including full service clinics/hospitals, pharmacy
shops, PMVs, midwife clinics, traditional rural providers, and significant disparity in urban vs. rural
distribution.
• The clinical capacity and range of FP services and methods offered by private providers is varied,
with limited access to training and membership in professional affiliations.
• Lack of streamlined licensing / accreditation of all private sector providers, especially those
functioning within NHIS.
scope of the nigeria private sector health assessment
1. Assess the diversity and distribution of private providers:
• Providers who participate in NHIS/private HMO’s (hospitals, clinics)
• Licensed pharmacists
• Private patent medicine vendors (PMV’s)
• Midwife/nurse clinics
• Community based providers (quasi public)
• Other
PSP-One approach:
Conduct preliminary fact-finding meetings with:
• USAID CAs including SFH, COMPASS, and the ENHASE project
• Ministry of Health and NHIS
• Professional associations such as the Nursing and Midwife Council of Nigeria, Pharmaceutical Society
of Nigeria, Association of General and Private Medical Practitioners of Nigeria (AGPMPN)
2. Identify regulated providers who participate or have the potential to participate in
NHIS, and assess their capacity:
• Business and management skills
• Ability to promote a range of RH/FP and other health services
• Accreditation/monitoring systems for identifying providers for recruitment into HMO networks
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