1. Residents shall fill an enrolment form provided by the Commission.
2. The Commission shall verify the eligibility of resident to be on the equity health plan through the data provided by NASSCO.
3. Approved beneficiaries shall be issued an Equity Health Plan identity card by the Commission.
4. Beneficiaries on this Health plan shall be reviewed annually.
1. General consultation with prescribed drugs from accredited Public/Private Primary Health Care Facilities.
2. Health education for prevention of diseases.
▪ Family planning excluding provision of commodities (Safe period, pills, condoms, etc.)
▪ Dental health.
▪ Vitamin A supplementation.
▪ Promotion of essential nutrients for children and pregnant women.
▪ Promotion of personal, domestic and environmental hygiene, etc.
▪ Precautionary measures against COVID 19.
3. Primary Care Surgery
▪ Minor Surgical Procedures: incision & drainage, suturing of lacerations, minor burns, simple abrasions.
▪ Minor wound debridement.
▪ Circumcision of male infants.
▪ Evacuation of impacted faeces.
▪ Relief of urinary retention.
▪ Primary eye care including treatment of:
–Parasitic and allergic ailments.
–Simple contusion, abrasions etc.
4. Primary Care Pediatrics
▪ Child Welfare Services-Growth monitoring, Routine immunization as defined by the NPHCDA, Vitamin A supplementation, Nutritional advice and health education, etc.
▪ Management of uncomplicated malnutrition.
▪ Treatment for Helminthiasis.
▪ Treatment of common childhood illnesses such as malaria, diarrhea disease, schistosomiasis, upper respiratory tract infections and uncomplicated pneumonia.
▪ Treatment of uncomplicated Urinary Tract Infections.
▪ Treatment of Simple otitis media, pharyngitis.
▪ Childhood exanthemas, simple skin diseases/infestations and other viral illnesses such as mumps.
▪ Other febrile illnesses as may be listed from time to time.
▪ Treatment of anemia not requiring blood transfusion.
5. Primary Care Internal Medicine (Adult)
▪ Management of simple infections/infestations such as;
–Respiratory tract infections
–Urinary tract infections
–Primary ear, nose and throat infections
–Enteritis/ typhoid fever
–Skin infections/infestations such as chicken pox and fungal diseases e.g. Tinea versicolor, Malassezia furfur, Tinea capitis etc.
–Emergency management of bites and stings e.g. snakes, scorpions, bees, spiders etc. (Minus serum)
–Other uncomplicated bacteria, fungal, parasitic and viral infections and illnesses.
▪ Management of simple anemia (not requiring blood transfusion)
▪ Screening & referral for diabetes mellitus, hypertension and other chronic diseases.
▪ Treatment of simple arthritis and other minor musculoskeletal diseases.
▪ Routine management of sickle cell disease (excluding hydroxyl urea and Pneumococci immunization and Transcranial Doppler Examination.)
6. HIV/AIDS/Sexual Transmitted Diseases
▪ Voluntary Counseling and Testing (VCT)
7. Primary Care Mental Health Management
▪ Anxiety neurosis
▪ Psychosomatic illnesses
▪ Identification of drug abuse
▪ Other illnesses as may be listed from time to time by NPHCDA.
8. Primary Care Maternal, Neonatal and Child Health (MNCH) Services
▪ Antenatal care
–Routine antenatal clinic
–Routine drugs to cover duration of pregnancy
–Routine urine and blood tests
–Referral services for complicated cases
▪ Postnatal services
–All eligible livebirths up to 6 weeks from date of birth. (Cord care, Eye care, Management of simple neonatal infections)
▪ Delivery services
–Spontaneous Vaginal Delivery by skilled attendant including repair of birth injuries and episiotomy.
–Essential drugs for Emergency Obstetric care (EmOC)
9. Primary Care Emergency Services
▪ Understand the use of simple ABCD protocols and prioritize lifesaving over cause finding.
▪ Airway assessment and use of airway adjuncts.
▪ Use of basic means of airway aspiration and clearance.
▪ Breathing assessment and use of simple equipment to aid and monitor breathing like ambu bags.
▪ Pulse oximetry
▪ Control of bleeding using compression dressing
▪ Assessment of hemodynamic stability
▪ Establishment of intravenous line and venous cut down
▪ Fluid resuscitation
▪ Basic cardiopulmonary resuscitation
▪ Use of early warning signs
▪ Recognition of signs requiring prompt referral particularly in children, pregnant women and the elderly.
▪ Assessment and basic management of the unconscious patient
▪ Suturing of small lacerations where no resuscitation is required.
▪ Immobilization of fractures and cervical spine using splints
10. Basic laboratory investigations
▪ Haemoglobin (Hb) / Packed Cell Volume (PCV)
▪ Stool microscopy
▪ Urine microscopy
▪ Pregnancy Test
▪ Blood Glucose Test
Note: The primary healthcare facility of the enrollee shall pay for bed stay for the first 10 cumulative days of hospitalization while the Commission shall pay for the remaining 10 cumulative days per year in secondary healthcare facilities.
1. Consultation with prescribed drugs from accredited Secondary Health Care facility.
2. Emergencies occurring outside the usual residence or accredited HCP.
3. Admission for maximum of 15 days cumulative per year for medical admission and 20 days cumulative per year for surgical admissions.
4. Treatment and procedures that cannot be handled at primary level, but covered with the BMPHS.
▪ Treatment of complications requiring admission.
▪ Treatment of Severe infections/Infestations-Respiratory infections, Urinary Tract Infections, diarrhoea disease with moderate to severe dehydration, enteric fever, severe malaria, septicemia, meningitis, severe measles.
▪ Management of childhood non-communicable diseases such as Nephritis.
▪ Management of severe anaemia requiring blood transfusion
▪ Management of neonatal Infections-Neonatal sepsis.
▪ Neonatal conditions such as birth asphyxia, neonatal jaundice, management of child from diabetic mothers.
7. Internal medicine (Adult)
▪ Management of moderate to severe infections and infestations.
–Management of severe malaria.
–Management of meningitis, septicemia.
–Management of complicated Respiratory Tract Infections.
–Management of complicated typhoid fever.
▪ Management of non-communicable diseases.
–Management of complicated diabetes and hypertension
–Management of sickle cell disease.
–Treatment of severe musculoskeletal conditions
–Treatment of cardiovascular conditions, renal diseases (such nephritis, nephrotic syndrome), Liver diseases (hepatitis, amoebic liver abscess).
–Management of severe anemia.
▪ Treatment of snake bites (inclusive of serum)
8. Obstetrics and Gynecology
▪ Basic and Comprehensive Emergency Obstetric Care
–Management of preterm/pre-labor Rupture of Membrane (P/PROM)
–Detection and management of hypertensive diseases in pregnancy
–Management of bleeding in pregnancy
–Management of postpartum hemorrhage
–Operative management for ectopic gestation
–Management of intra-uterine fetal death
–Management of puerperal sepsis
–High risk deliveries –1st deliveries, Beyond fourth deliveries, multiple deliveries, mal-positioning / mal-presentation and other complications.
▪ Gynecological Intervention
–Bartholin cystectomy (Marsupialization)
▪ Emergency Laparotomy for any cause
▪ Intestinal Resection & Anastomosis
▪ Hernia repair
▪ Management of Testicular Torsion
▪ Management of Fractures excluding internal fixation
10. Dental care- Simple and surgical tooth extraction
▪ Eye problems, e.g. major trauma, pterygium, glaucoma, cataract extraction and other simple ophthalmological surgical procedures.
▪ Removal of foreign bodies.
▪ Refraction, including provision of spectacles not exceeding N5000.
12. Ear, Nose & Throat (ENT) Clinical Procedures
▪ Ear Syringing
▪ Ear toileting
▪ Antral wash-out
▪ Foreign body removal from ear and nose
▪ Pure tone Audiometry
▪ Foreign body removal under General Anaesthesia (GA)
▪ Nasal Polypectomy
▪ Post-traumatic rehabilitation
▪ Management of palsies within 15 days after initial treatment with a maximum of 5 sessions.
▪ Post-cerebrovascular accident therapy within 15 days with a maximum of 5 sessions.
14. Laboratory/ Diagnostic Radiology investigations
▪ Bilirubin (total and conjugated)
▪ Ketone bodies
▪ Microscopy/culture/sensitivity- urine, blood, stool, sputum, wound, urethral, ear, eye, throat, aspirate, cerebrospinal fluid, endoscopy cervical swab, High vaginal swab.
▪ Occult blood in stool
▪ Skin snip for microfilaria
▪ Acid fast bacillus for Tubercle Bacillus (sputum, blood)
▪ Gram stain
▪ Mantoux test
▪ Blood group/Cross match
▪ Hepatitis B surface antibody screening
▪ Confirmatory test for HIV
▪ Full Blood Count
▪ Platelets/ Reticulocyte count
▪ Platelets concentration
▪ Blood transfusion services for up to 3 pints of blood.
▪ Gene Expert for detection of Mycobacterium Tuberculosis.
▪ Radiology–X-ray of chest, abdomen, skull & extremities, dental X-rays,
▪ Abdominopelvic & obstetric scan
▪ Other Services as may be listed from time to time
15. Ambulatory services