Abstract

The National health insurance scheme was established for all employees of government including informal sector employees in Nigeria. The NHIS like other social security measures is expected to help make healthcare accessible and affordable to the people of Delta State as well as improved funding and essential upgrading of facilities in the health sector if well managed and implemented. Against this backdrop the study focused on national health insurance scheme and sustainable health care delivery system in Delta State within the period under review. Data for the study were drawn from direct observation, media commentaries and authentic secondary sources. Data were analyzed through qualitative review of literature on the subject matter. Results indicated that inadequate funding among other factors posed a big challenge to the full implementation of the national health insurance scheme and sustainable health care delivery system in Delta State within the period under review. The study recommended among others that the NHIS should expand the participation of the public facilities, help decrease administrative costs, and set a framework for infrastructural development with a continuous supervision mechanism.