1. Company Medical Adviser, Nigerian Breweries Plc
Unlocking the Private Health Sector: The Role of Health Insurance in Growing the Demand side By
Dr. Patrick Chukwumah
Company Medical Adviser, Nigerian Breweries Plc

2. Presentation Outline
Our Operating Company
Company Medical Responsibility
Health Insurance – Opportunities created
Health Insurance – Growth Potentials
Challenges

3. NIGERIA : A fascinating melting pot of cultures and people
A land mass of about one million square km
150mln people, largest of Africa
Federal Republic with 36 states
Democratic government
Ethnical diversity: >250 ethnic groups
Religious divide: Muslims (North) and Christians (South)
Abuja: government seat, political center, symbol of national unity
Lagos: mega polis, industrial and cultural center, one of the 10 largest cities in the world

4. Nigerian Breweries Plc
A World-Class Company – employee focused
An operating company of Heineken NV in Nigeria
We are involved in the brewing and sales of beer, non alcoholic malt and soft drinks
Through our 3,500 employees

5. Geographical footprint : Breweries stategically located to enable efficient delivery throughout the country
Nigerian Breweries ( )
Lagos Brewery
Aba Brewery
Kakuri Brewery
Ibadan Brewery
Ama (Enugu) Brewery
Ota Brewery
Kudenda Brewery
Onitsha Brewery
Aba Malting Plant
SALES REGIONS
Lagos business unit
Central business unit
East business unit
West business unit
North business unit
South business unit
Mid-west business unit

6. Nigerian Breweries
People focused
Lagos – 3,244 employees & family
Aba – 1,229 employees & family
Kaduna – 2,491 employees & family
Ibadan – 2,241 employees & family
Enugu – 1,022 employees & family
Ota – 1,299 employees & family
Onitsha – 443 employees & family

7. Company Medical Responsibility
To provide basic healthcare to employees and their dependents, pensioner & spouse.
Scope of Basic Healthcare
Primary, Secondary & Tertiary medical care
Dental care
HIV care – prevention, testing & treatment
Basic Healthcare excludes – cosmetic surgery and treatment of infertility

8. Medical Responsibility :To provide basic health care services to company employees and their families
Waste water treatment plant Lagos
Health insurance for employees and families
Work site clinics in all our breweries
Health surveillance checks
Health promotions /wellness activities
Health Promotions /wellness activities

9. Company Medical History
We have always provided medical services for employees
Hospital Retainerships
Monthly medical allowance to staff
Medical Capitation Scheme
Fee – for - Service

10. Health Insurance – Opportunities Created
Private Health Maintenance Organizations (HMO) introduced
The Medical Capitation Scheme
Defined medical services coverage
Defined population
Defined period of time
In exchange for medical services, premium is paid by the company
Medical services not covered in the scheme, is paid for, by the company on a fee-for-service basis.

11. Health Insurance - Opportunities Created
Price tag for medical services in advance
Budgeting was possible and more accurate
Equity in medical service delivery to all employees became possible
Medical services coverage was for ALL employees
Extended to include spouse and a maximum of five children <25years
Pensioner and spouse

12. Health Insurance - Opportunities created
Hospital utilization data provided a pulse check on the health of our people
Coordination and supervision of provider hospitals/network
Value for money / cost reduction
Can realize Health for ALL, the year post eradication of CHALLENGES

13. The outputs A healthier Workforce Healthier Employee family
A stronger committed team
A sense of relevance for the medical team

14. Health Insurance – Growth Potentials
Awareness – increase / improve
Tailor made medical service suitable to our diverse population
People centric
Right price
A game of numbers and we have the numbers
Private-Public collaboration

15. Challenges
Cost of medical services
The working relationship between HMO and provider hospitals
Appreciation of the “first time right” concept
Knowledge Attitudes and Practices of all stakeholders – people, hospitals & HMO

16. Thank you