Nigeria

Overview

Country/Region	Nigeria
Solution	Health Insurance
Program Operator	Kaduna State Contributory Health Managament Authority (Kadchma)
Program type	Kaduna State Health Insurance / ‘KADCHMA scheme’
Implemented since	2023
Implementing Partner(s)	ILO
Supporting Partner(s)	2M Corp
Version
Functionalities used	Beneficiary enrollment, Claims management
Coverage	To be implemented in Kaduna State
Number of beneficiaries	400.000 enrolees, potentially 1 Mio
Number of users
Number of health facilities	534
Last update	February 2025

Health scheme implemented since	2018
Name of openIMIS focal point	Rashida Buba
Total number of health scheme employees	63
Total number of employees using openIMIS	75,000
Total number of employees not trained on openIMIS
Number of health insurance products managed by the health scheme and using openIMIS

Number of households covered	75000

Number of households covered	75000
Average size of a household	6 people
Household contribution amount	3% of salary for the civil servants and 57990 Naira for people paying out of pocket
Individual contribution	10,650 naira
Average amount paid for a claim

Version

Version

Has anything been modified (customization)

Preauthorization: A pre request issuance for the issuance of authorization to access care in secondary/tertiary Health Facilities
Auto generation of Insuree Number and claim ID
A custom percentage income for formal sector
Custom Reports
Cleaning, transforming and migration Data from the existing system to openIMIS
Grievance Module
Employer Portal
Accreditation and Quality Assurance: A module that manages the process of admitting health facilities to the scheme while ensuring the set standards for being a part of the scheme are adhered to over time.
Auto generation to Health Facility codes
Insuree image capture from the device

What standards are used to code services, items, diagnosis and products