EVALUATING A HEALTH INSURANCE SCHEME IN A HOSPITAL SETTING: PROPOSING AN ALTERNATIVE TO OUT-OF-POCKET PAYMENTS IN NIGERIA.

Background: Mental health care in Nigeria relies heavily on out-of-pocket payments, creating financial barriers that hinder access. A pilot scheme linked to the National Health Insurance Authority (NHIA) Group, the Individual and Family Social Health Insurance Program (GIFSHIP) was initiated to alleviate these challenges.

Objective: The study sought to assess the NHIA scheme's effectiveness in reducing costs, enhancing clinical outcomes, and improving patient satisfaction relative to traditional payment methods in mental health care, while also evaluating the feasibility of a pilot individual GIFSHIP.