In a significant stride toward achieving Universal Health Coverage (UHC), the Lagos State Government has launched the Ilera N’ Tiwa Cooperative and Multipurpose Society Ltd, an initiative of the Lagos State Health Management Agency (LASHMA) to ensure financial inclusion for residents of Lagos under the Ilera Eko scheme, particularly in the informal sector.
This groundbreaking initiative, introduced under the Agency’s Ilera Eko Cooperative and Multipurpose Society (IECMS), promises to revolutionise healthcare accessibility and attainment of Universal Health Coverage (UHC).
Speaking at the flag-off ceremony of the cooperative initiative, the Board Chairman of LASHMA, Dr. Bayo Adedewe explained that the cooperative is a strategic response to challenges such as low purchasing power, lapsed health insurance policies, and limited access to quality healthcare. “By allowing members to pay premiums flexibly while providing economic benefits like loans and discounted food supplies, the initiative aims to alleviate financial barriers to healthcare and foster a wellness-oriented culture”, he said.
He described the cooperative as a “child of necessity”, noting that the initiative aligns with the Lagos State Health Scheme (LSHS) Law and the National Health Insurance Authority (NHIA) Act, mandating social health insurance for all residents. “The cooperative prioritises health while integrating social and economic benefits. It will provide a platform for financial support, entrepreneurship, and lifestyle improvement for members”, he emphasised.
Dr. Adedewe further noted that the cooperative’s slogan, “Health First”, reflects its commitment to making healthcare affordable, accessible, and sustainable. He encouraged Lagosians to embrace the initiative, which he believes is a model for voluntary enrollment in health schemes without enforcement. He expressed confidence that the programme would help Lagos achieve its UHC goals, providing a replicable model for other states.
Permanent Secretary of LASHMA, Dr. Emmanuella Zamba highlighted the innovative nature of the cooperative, particularly its focus on financial inclusion. “Many in the informal sector lack bank accounts, making health insurance enrollment difficult”, she explained.
The cooperative, she added, addresses this gap by facilitating installment payments through partnerships with microfinance banks and offering additional benefits like wellness programmes and cheaper food options.
Dr. Zamba expressed optimism that the initiative would bring the informal sector into the health insurance fold, making it easier for them to access quality healthcare.
In a detailed presentation, LASHMA’s Head of Business Development, Mr. Rotimi Olatunji, identified critical issues that prompted the cooperative’s creation, including solvency challenges, benefit expansion, and attrition in enrollment. He outlined the cooperative’s purpose: providing flexible premiums, wealth creation opportunities, and compliance with mandatory health insurance laws. He also announced the formation of independent steering and advisory committees to oversee operations and create awareness among potential members.
Representatives from key Ministries lent their support to the initiative. Permanent Secretary of the Ministry of Commerce, Cooperatives, Trade, and Investment, Dr. Olugbemi Aina, lauded the programme as a model for economic empowerment. “This initiative will improve lives and set a standard for other states to emulate,” said Mrs. Ayotunde Abiodun, who represented Dr. Aina.
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