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Easy Access Digital Solution for Lagos Insurance Scheme Unveiled for Global Fund Leadership in Lagos

On Thursday 25th October the leadership team of The Global Fund visited Subol Hospital in Lagos to witness a demonstration of a technology platform that will make access to the State-wide insurance scheme by residents, especially those of underprivileged households, much easier. It is part of a Proof of Concept trial for the Lagos State Health Insurance Scheme (LSHS) being run in partnership by PharmAccess and Carepay in collaboration with the Lagos State Ministry of Health.

  • Nov 01, 2018

The trial is part of the ongoing work by PharmAccess to improve access to healthcare in Africa through mobile and technological innovation. The technology, based on the ‘CarePay’ ICT platform, is a mobile solution for scheme administration, which serves as a digital health exchange that would connect the three important stakeholders in healthcare: payers, healthcare providers and the users.

The LSHS is a state-wide health insurance initiative targeted to ensure that all residents of the state have access to quality, affordable healthcare services. The scheme covers treatment of common adult and childhood ailments, maternal and child services, preventive healthcare services, selected non-communicable diseases and surgeries.

The live demo included a walk-through of the enrollment process using the agent registration app on a mobile phone. Simulation and activation of new enrollment and the access to care pathway was demonstrated. This showed how a new enrollee can access care immediately after enrolment, with claims being submitted electronically in real time. The claims management pathway showed how the system provides real time data.

The Global Fund team in attendance included Mr Peter Sands, Executive Director; Mr Mark Edington, Head of Grant Management; Dr Ibrahim Faria, Country Portfolio Manager; Mr Adam Garner, State Fund Manager. A team from Lagos State Ministry of Health (LSMOH) led by Dr Zamba and Dr. Ladeji in charge of HIV/TB Grant also joined the demo.

The team were received by Dr Abiodun Afolabi, the Consultant Family Physician, who stood in for the MD of Subol Hospital. Also present at the Hospital were five families participating in the proof of concept who were invited to be a part of the live demo.