Practical Approaches for Strengthening Informal Sector Participation in Financial Risk Protection Schemes

This brief documents the successful approaches that can be used to achieve and sustain high enrollment rates in the informal sector to facilitate replication across other states in Nigeria. To support enrollment the Local Health System Sustainability (LHSS) project collaborates with the National Health Insurance Authority (NHIA), State Health Insurance Agencies (SHIAs), Civil Society Organizations (CSOs), and Health Maintenance Organizations (HMOs) in selected LHSS and partner-supported states (Lagos, Kano, Zamfara, Plateau and Nasarawa). These states are implementing strategies or have demonstrated the potential to enroll substantial informal sector populations in health insurance schemes.