...Health info at your doorstep

Re-Positioning NHIS for Accessible Healthcare Delivery in Nigeria

The National Health Insurance Scheme (NHIS) introduced by the Federal Government in 2005 for the purpose of ensuring universal access to qualitative healthcare services for the citizenry has performed abysmally below expectations, and therefore needs to be re-positioned in order for it to deliver on its mandate. PharmaTimes takes a historical and performance assessment of the scheme so far, and seeks to proffer solutions for a more workable system that the country really deserves.

In the last 12 years that the scheme began operation, a greater percentage of the Nigerian population have not benefitted from its services and yet its future appears to be hanging on the balance as a result of numerous controversies trailing its operations.

For instance, in March this year, the Senate set up an ad hoc committee to investigate allegations bordering on financial and administrative abuses levelled against the executive secretary of NHIS, Prof. Usman Yusuf by a member of the upper chamber of the national assembly, Senator Garba Marafa, representing Zamfara Central Senatorial District.

Similarly, in June this year, the House of Representative Committee on Healthcare Services, held a 2-day public hearing to ascertain the compliance rate of Health Maintenance Organisations (HMOs) to the NHIS contributions and utilisation of funds by the healthcare providers as well as inhumane treatments meted out to enrolees.

At the opening of the public hearing, the minister of health, Prof. Isaac Adewole, had said that the continued existence of HMOs in the operations of NHIS was no longer necessary following the alleged mismanagement of funds to the tune of N351billion paid to them for effective and efficient healthcare delivery in the country.

Also in his submission at the public hearing, the executive secretary of NHIS had said that only 1.7 per cent of the Nigerian population had been covered by the HNIS in the last 12 years, alleging that the HMOs were sabotaging the scheme by withholding payments to healthcare providers even when they have collected funds from NHIS.

He also alleged that HMOs were involved in what he called padding, just as he disclosed that his administration had uncovered about 23,000 ghost enrolees and however, promised to review the operations of the scheme to make it work for the public.

 Objectives of the NHIS in Nigeria

 At inception in 2005, the NHIS was set up to achieve the following objectives:

To ensure that every Nigerian has access to good health care services, protect families from financial hardship of huge medical bills, and to limit the rise in the cost of healthcare services, ensure equitable distribution of healthcare costs among different income groups, and to maintain high standards of healthcare delivery services within the scheme.

Others include, ensuring efficiency in healthcare services, to improve and harness private sector participation in the provision of healthcare services, ensure equitable distribution of health facilities within the Federation, ensure appropriate patronage of all levels of healthcare and to ensure availability of funds to the health sector for improved services.

The scheme from available statistics is far from meeting an appreciable level of these set objectives and at the last count Nigeria, ranks among the least on the list of countries around the world with good compliance rate in universal health coverage.

Challenges

A number of factors have combined to slow progress in the efforts by authorities in the NHIS to deliver on their mandate. The major factor is lack of political will by authorities in the scheme to plug the loopholes that gave rise to the kind of monumental fraud allegedly perpetrated by the HMOs in the last 12 years.

There is also the challenge of low level of penetration of the scheme across the different interest groups in the country. Specifically, the informal sector which accounts for the greatest percentage of the Nigerian population has not been captured in the scheme.

Irregular payments to participating health care providers by HMOs continue to impact negatively on the enthusiasm of providers and quality of care enrolees receive from them.

The participation of states and local governments is very low when compared with what obtains in other African countries like Kenya, Ghana and Rwanda, among others. State and local governments are closer to the rural dwellers that constitute a significant percentage of the vulnerable group and must be carried along.

Stakeholders in the health sector have also criticised the template being adopted by NHIS in the execution of the exercise. For instance, the President of the Pharmaceutical Society of Nigeria (PSN), Pharm. Ahmed Yakasai, believes that the challenges confronting NHIS in making progress with the scheme is fundamentally at two levels which he described as indiscriminate capitation of facilities and the employment of unlawful payment mechanisms.

In a recent interview with a national newspaper, the PSN boss said that in the ideal situation, the norm in social health insurance and managed care is to capitate primary providers which includes general practice doctors/clinics or nurses/midwives who own nursing and maternity homes.

The primary provider, he noted, is perceived as the gatekeeper in the scheme. “In Nigeria, however, what we see is a capitation of general and tertiary hospitals which are secondary and tertiary facilities. What you therefore get is that these secondary and tertiary facilities utilise NHIS funds as free booty.”

What must be done

A review of the NHIS operations and if possible, a reassessment of the enabling statutes for purposes of effecting some amendments is necessary in order to guarantee the scheme’s overall efficiency.

For instance, the legal instrument that established NHIS posits that health insurance is voluntary and such a stance may slow down the progress of the scheme because of its obvious limitations.

Countries that have made remarkable progress with NHIS around the world adopted the mandatory option and Nigeria stands to benefit more with a popular and tested programme than engaging in experimentation. Therefore, before the expansion of the scheme is vigorously pursued to get the country to an appreciable universal coverage height, this issue should be revisited.

Beyond that, priority attention must be given to enlightenment and persuasion of Nigerians to embrace the scheme. Despite being in operation for 12 years, millions of Nigerians especially in the informal sector know little or nothing about the scheme. To this end, the new leadership in NHIS should seek ways to deploying every available medium to create awareness about the activities of NHIS.

More importantly, authorities in NHIS should expedite action in reviewing the operations of the scheme along the line of accountability and effective control of resources. The strategy of re-accrediting all the HMOs reportedly being considered by the incumbent administration is commendable and should be sustained.

It is also important to engage state and local governments in order to fast track the expansion of the NHIS to every part of the country. In this regard Nigeria should borrow a leaf from Rwanda that has achieved over 90 per cent coverage despite facing intractable wars.

According to the Lancet, a global medical journal, Rwandan community based health insurance programme had within the first decade of its introduction, covered more than 90 per cent of the population and reduced out-of-pocket spending for health from 28 per cent to 12 per cent of total health expenditure, and increased service use to 1.8 per cent per year.

The journal explained that in achieving that feat Rwandan authorities engaged in a wealth categorisation programme which was originally developed as a basic community target scheme but was later modified to enrol the most vulnerable citizens into the national protection programmes.

The programme was then adapted to enable communities to assess the socio economic status of each citizen to provide a more progressive tiered premium collection system that includes full subsidies for members of the two poorest sub-categories.

In addition, a household cooperative savings mechanism which was developed by one rural district, has spread throughout Rwanda, with several districts reporting that up to 40 per cent of premiums are being fully pre-paid 3 months before the start of the next financial year.

It is on record in Rwanda that districts that engage the programme have reduced administrative costs and increased participation in decision making by village residents.

Conclusion

The operations of the NHIS in Nigeria as presently constituted requires re-tooling to urgently fast track the quest to bequeath a legacy of accessible good health care delivery to the citizenry.

And for a country that ranks 187th out of 190 countries – only ahead of Democratic Republic of Congo, Central African Republic and Myanmar according to the World Health Organisation’s ranking of the world health systems, the options available are not too many in getting the country out of the avoidable global attention.

Therefore, there is the need for an urgent repositioning of the scheme in order to safeguard the health of Nigerians. Beyond that, it is high time policy makers in the health sector began to look inwards with a view to adapting home grown mechanism that will invigorate the activities of NHIS and ensure wider penetration of the scheme to the remotest part of the country.

 

 

Comment Here

246 Comments

  • I was wondering if you ever thought of changing the structure of your site?
    Its very well written; I love what youve got to say.
    But maybe you could a little more in the way of content so people could connect with it better.

    Youve got an awful lot of text for only having 1 or 2 pictures.
    Maybe you could space it out better?

  • Sweet blog! I found it while browsing on Yahoo News. Do you have any tips on how to get listed in Yahoo News?
    I’ve been trying for a while but I never seem to get there!
    Thanks

  • I?аАТ’аЂа†ll right away seize your rss feed as I can at in finding your email subscription link or newsletter service. Do you have any? Please let me realize in order that I may just subscribe. Thanks.

  • Please forgive my English.It as really a great and helpful piece of information. I am glad that you shared this useful info with us. Please stay us informed like this. Thanks for sharing.

  • Undeniably believe that that you said. Your favourite justification appeared to be at the
    web the simplest factor to remember of. I say to you, I certainly get irked even as other folks consider issues
    that they plainly do not understand about.
    You managed to hit the nail upon the top as neatly as
    defined out the entire thing without having side effect , folks
    can take a signal. Will probably be back to get more. Thank you

  • My programmer is trying to persuade me to move to .net from PHP.
    I have always disliked the idea because of the expenses.

    But he’s tryiong none the less. I’ve been using WordPress on a
    number of websites for about a year and am worried
    about switching to another platform. I have heard very good things about blogengine.net.
    Is there a way I can import all my wordpress posts into it?

    Any kind of help would be really appreciated!

  • Wonderful site you have here but I was wondering if you knew of any
    discussion boards that cover the same topics discussed here?
    I’d really like to be a part of group where I can get suggestions
    from other knowledgeable people that share the same interest.
    If you have any recommendations, please let me know. Appreciate
    it!

  • I’m gone to inform my little brother, that he should also pay a
    visit this webpage on regular basis to get updated from
    most recent reports.

  • Hi! I know this is kind of off-topic however I
    needed to ask. Does building a well-established blog such as yours require
    a large amount of work? I’m brand new to operating a blog but I do write in my diary
    on a daily basis. I’d like to start a blog so I
    will be able to share my personal experience and
    thoughts online. Please let me know if you have any suggestions or tips for new aspiring bloggers.

    Thankyou!

  • Wow, awesome blog layout! How long have you been blogging for? you make blogging look easy. The overall look of your website is fantastic, as well as the content!. Thanks For Your article about &.

  • Good day! This is kind of off topic but I need some guidance from an established
    blog. Is it difficult to set up your own blog? I’m not very techincal but I can figure things out pretty
    fast. I’m thinking about setting up my own but I’m not sure where to begin. Do you have any tips or
    suggestions? Thank you

  • I’m impressed, I have to admit. Seldom do I come across a blog that’s
    both educative and entertaining, and without a doubt, you have hit
    the nail on the head. The problem is something which not enough men and women are speaking intelligently about.
    I am very happy that I came across this in my hunt for something concerning this.

  • It’s difficult to find knowledgeable people on this subject, however, you sound
    like you know what you’re talking about! Thanks

  • Hello There. I found your blog using msn. This is an extremely well written article.
    I will be sure to bookmark it and come back to read more of your useful info.

    Thanks for the post. I’ll definitely return.

  • Hi, i think that i saw you visited my weblog so i got here to return the desire?.I am
    trying to find things to improve my website!I guess its
    adequate to make use of a few of your concepts!!

  • Hey! This is my first visit to your blog! We are a collection of volunteers and starting a new initiative in a community in the
    same niche. Your blog provided us valuable information to work on. You have done a outstanding job!

  • Asking questions are truly good thing if you are not understanding something completely,
    however this article presents pleasant understanding even.

  • Heya i am for the primary time here. I came across this board and I find
    It really useful & it helped me out much. I hope to offer something again and help others like you
    helped me.

  • Hmm it seems like your site ate my first comment (it was
    super long) so I guess I’ll just sum it up what I had written and say, I’m thoroughly enjoying your blog.

    I too am an aspiring blog blogger but I’m still new to the whole thing.

    Do you have any points for rookie blog writers?
    I’d really appreciate it.

  • Fantastic goods from you, man. I’ve understand your stuff previous to and you’re just too magnificent.
    I actually like what you have acquired here, really like what you’re
    saying and the way in which you say it. You make it enjoyable
    and you still care for to keep it smart. I can’t
    wait to read far more from you. This is really a terrific site.

  • I think everything wrote was very reasonable.

    However, what about this? what if you added a little information? I
    am not saying your information isn’t solid, but what
    if you added a title that grabbed a person’s attention? I mean Re-Positioning NHIS for
    Accessible Healthcare Delivery in Nigeria – PharmaTimes is
    a little vanilla. You should peek at Yahoo’s home page and
    see how they create article headlines to get people to open the
    links. You might try adding a video or a related picture or two to grab readers interested about what you’ve written.
    Just my opinion, it might make your posts a little livelier.

  • Unquestionably believe that which you said. Your favorite
    reason seemed to be on the web the easiest thing to be aware of.

    I say to you, I certainly get annoyed while people think about worries
    that they just don’t know about. You managed to hit the nail upon the top and also defined out the
    whole thing without having side effect , people can take a signal.
    Will probably be back to get more. Thanks

  • Pretty section of content. I just stumbled upon your weblog
    and in accession capital to assert that I get in fact enjoyed account your blog posts.
    Any way I will be subscribing to your feeds and even I achievement you access consistently rapidly.

  • Hello there! Quick question that’s completely off topic.
    Do you know how to make your site mobile friendly?
    My website looks weird when viewing from my iphone 4.

    I’m trying to find a theme or plugin that might be able to correct
    this issue. If you have any recommendations, please
    share. Thanks!

  • I’d like to thank you for the efforts you’ve put in writing this blog.
    I really hope to see the same high-grade content by you in the future as well.
    In truth, your creative writing abilities has motivated me to get my very
    own blog now 😉

  • Attractive component of content. I simply stumbled upon your web site and in accession capital to claim that I acquire in fact enjoyed
    account your weblog posts. Anyway I’ll be subscribing on your augment and even I success you access constantly fast.

  • Thank you for another excellent post. The place else
    may just anybody get that type of information in such an ideal approach of
    writing? I’ve a presentation next week, and I’m on the look for such information.

  • I was very pleased to find this website. I want to to thank you for ones time due
    to this wonderful read!! I definitely loved every little bit of it and i also have you book-marked to see new stuff in your website.

  • Hey there! This is my first visit to your blog! We are
    a group of volunteers and starting a new project in a community in the same niche.
    Your blog provided us beneficial information to work on. You have
    done a marvellous job!

  • It’s in point of fact a great and helpful piece of info.
    I am happy that you simply shared this useful information with us.
    Please stay us up to date like this. Thanks for sharing.

  • A person essentially help to make critically posts I would state.
    This is the very first time I frequented your web page and up to now?
    I surprised with the research you made to create this actual submit
    incredible. Magnificent process!

  • Your style is unique in comparison to other folks I’ve read stuff from.
    Thanks for posting when you have the opportunity, Guess I’ll just book mark this
    blog.

  • What i do not understood is in truth how you are not really
    much more smartly-preferred than you might be now. You are very intelligent.
    You realize therefore significantly in terms of this topic,
    made me individually imagine it from so many various angles.
    Its like men and women are not fascinated except it is something to do with Girl
    gaga! Your own stuffs great. All the time maintain it up!

  • When I originally commented I clicked the “Notify me when new comments are added”
    checkbox and now each time a comment is added
    I get three emails with the same comment. Is there
    any way you can remove people from that service?
    Cheers!

  • Does your site have a contact page? I’m having problems locating it but, I’d like to shoot you an e-mail.
    I’ve got some suggestions for your blog you might be interested in hearing.
    Either way, great website and I look forward to seeing it grow over time.

  • My brother suggested I might like this website. He was entirely right. This post truly made my day. You cann at imagine just how much time I had spent for this information! Thanks!

  • I do not even know how I ended up here, but I thought this post was great.
    I don’t know who you are but certainly you are going to a famous blogger if you
    aren’t already 😉 Cheers!

  • Unquestionably consider that which you said. Your favorite reason appeared to be at the internet the simplest factor to
    remember of. I say to you, I certainly get annoyed while other
    people think about issues that they plainly do not recognise about.
    You managed to hit the nail upon the highest as well as outlined out the whole
    thing without having side effect , other people can take a signal.

    Will likely be again to get more. Thank you

  • Hello There. I discovered your blog the use of msn. That
    is an extremely smartly written article. I will make sure to bookmark it and come
    back to learn more of your helpful information. Thanks for the post.
    I’ll certainly comeback.

  • Do you have a spam issue on this website; I also am a blogger, and I was wondering your situation; many of us have created some nice procedures and we are looking to trade
    solutions with other folks, why not shoot me an e-mail if interested.

  • You’ve made some decent points there. I looked on the web to find out
    more about the issue and found most individuals will go along with your views on this site.

  • First of all I would like to say awesome blog!
    I had a quick question in which I’d like to ask if you do not mind.

    I was interested to find out how you center yourself and clear your thoughts before writing.
    I have had a hard time clearing my thoughts in getting my thoughts out
    there. I do take pleasure in writing but it just seems like the first 10 to 15 minutes are
    generally lost just trying to figure out how to begin. Any
    ideas or tips? Cheers!

  • Greetings from Ohio! I’m bored to death at work so I decided to check out your blog
    on my iphone during lunch break. I really like the information you provide here and can’t wait to take a look when I get home.
    I’m amazed at how fast your blog loaded on my phone ..
    I’m not even using WIFI, just 3G .. Anyways, very good
    blog!

  • Hmm is anyone else having problems with the images on this blog loading?
    I’m trying to figure out if its a problem on my end or if it’s the blog.
    Any suggestions would be greatly appreciated.

  • Heya i’m for the primary time here. I came across this board and I find It really
    useful & it helped me out a lot. I hope to present something back and aid others such as you helped me.

  • magnificent put up, very informative. I ponder why the opposite experts of this sector
    do not realize this. You must proceed your writing.
    I am confident, you have a great readers’ base already!

  • Thank you a lot for sharing this with all of us you actually know what you’re talking approximately!

    Bookmarked. Please also visit my web site =). We could have a link alternate
    agreement among us

  • Amazing! This blog looks exactly like my old one!
    It’s on a completely different topic but it has pretty
    much the same layout and design. Superb choice of colors!

  • Hmm it seems like your blog ate my first comment (it was super long) so I guess I’ll just sum it up what I had
    written and say, I’m thoroughly enjoying your blog.
    I as well am an aspiring blog blogger but I’m still new to everything.
    Do you have any tips for rookie blog writers? I’d
    really appreciate it.

  • I am really enjoying the theme/design of your site.
    Do you ever run into any internet browser compatibility problems?
    A small number of my blog audience have complained about my website not working correctly in Explorer but looks great in Chrome.
    Do you have any solutions to help fix this problem?

  • I am glad for commenting to let you understand what a superb discovery my wife’s girl enjoyed reading your site. She figured out several pieces, with the inclusion of what it’s like to possess a wonderful teaching mood to let folks very easily understand certain advanced subject matter. You undoubtedly surpassed my desires. Thank you for showing such helpful, dependable, educational and even cool tips on this topic to Mary.

  • wonderful issues altogether, you simply gained a new reader.
    What may you suggest in regards to your put up that you just made a few days in the past?
    Any certain?

  • Woman of Alien Great perform you have got done, this great site is admittedly great with great facts. Time is God as strategy for trying to keep anything from taking place directly.

  • Do you mind if I quote a couple of your posts as long as I provide credit
    and sources back to your site? My blog is in the exact
    same area of interest as yours and my visitors would genuinely benefit from some of the information you provide here.
    Please let me know if this okay with you.
    Cheers!

  • Terrific work! That is the kind of information that should
    be shared across the web. Shame on the seek engines for now
    not positioning this put up higher! Come on over and seek advice
    from my website . Thanks =)

  • of course like your web-site however you have to take a look
    at the spelling on quite a few of your posts.

    Many of them are rife with spelling issues and I to find it very troublesome to inform the
    reality then again I will certainly come back again.

  • My brother recommended I might like this blog.
    He was entirely right. This post actually made my day.
    You cann’t imagine just how much time I had spent for this information! Thanks!

  • Howdy just wanted to give you a quick heads up. The text in your article
    seem to be running off the screen in Ie. I’m not sure if this is a format issue or something
    to do with browser compatibility but I figured I’d post to let you know.
    The design look great though! Hope you get the
    problem fixed soon. Thanks

  • Fantastic items from you, man. I have take note your stuff prior to and you’re simply too magnificent.
    I actually like what you’ve bought here, certainly like what you’re stating and the
    way in which by which you assert it. You’re making
    it enjoyable and you still care for to keep it smart.
    I can’t wait to read much more from you. That is actually a great site.

  • Heya i am for the first time here. I came across this board and I find It truly useful & it
    helped me out a lot. I hope to give something back and help others like
    you helped me.

  • I like the valuable info you provide in your articles.

    I’ll bookmark your blog and check again here frequently.
    I am quite certain I will learn lots of new stuff right
    here! Good luck for the next!

  • After looking at a handful of the blog articles on your blog,
    I truly like your technique of writing a blog. I saved as a favorite it to my
    bookmark website list and will be checking back in the near future.
    Take a look at my website too and let me know how you feel.

  • I precisely desired to appreciate you yet again. I am not sure what I would have accomplished in the absence of these tips shown by you regarding that area of interest. Completely was a very depressing dilemma for me personally, however , encountering a new professional form you handled the issue forced me to jump with contentment. Now i am thankful for your service and even trust you really know what a great job you are always putting in training the rest through your webpage. I am certain you have never met any of us.

  • Hi would you mind letting me know which web host you’re using?
    I’ve loaded your blog in 3 completely different web browsers and I must
    say this blog loads a lot quicker then most. Can you suggest a
    good web hosting provider at a fair price? Many thanks, I appreciate it!

  • I don’t even understand how I finished up here, but I thought this
    post used to be good. I do not understand who you might be
    but certainly you’re going to a well-known blogger in case you aren’t already.
    Cheers!

  • It’s perfect time to make some plans for the future and it is time to
    be happy. I have read this post and if I could I desire to suggest you some interesting things or advice.

    Maybe you could write next articles referring to this article.
    I wish to read more things about it!

  • Do you mind if I quote a couple of your posts as long as I provide credit and sources back
    to your blog? My website is in the exact same niche as yours and my visitors
    would really benefit from a lot of the information you provide here.

    Please let me know if this alright with you. Regards!

  • Greate article. Keep writing such kind of info on your
    page. Im really impressed by your site.
    Hey there, You’ve performed a fantastic job.
    I will certainly digg it and individually recommend to my friends.
    I’m confident they’ll be benefited from this web site.

  • Amazing blog! Is your theme custom made or did you download it from somewhere?

    A design like yours with a few simple tweeks
    would really make my blog stand out. Please let me know where you got your design. Thanks

  • Definitely believe that which you stated. Your favorite justification appeared to be on the
    internet the simplest thing to be aware of. I say to you,
    I certainly get annoyed while people think about worries that they just do not know
    about. You managed to hit the nail upon the top as well as defined out the whole thing without having
    side-effects , people can take a signal. Will probably be back to get more.
    Thanks

  • Thanks for another informative blog. Where else could
    I get that kind of information written in such an ideal method?
    I’ve a challenge that I am just now working on, and I’ve been at the glance out for such information.

  • Hey I am so thrilled I found your webpage, I really found you by error,
    while I was looking on Askjeeve for something
    else, Anyhow I am here now and would just like to say kudos for a marvelous
    post and a all round entertaining blog (I also
    love the theme/design), I don’t have time to read through it all at the
    minute but I have saved it and also added in your RSS feeds, so
    when I have time I will be back to read a lot more, Please do keep up the
    superb jo.

  • My husband and i were very joyful when John managed to carry out his homework using the ideas he came across through the web pages. It’s not at all simplistic just to find yourself making a gift of key points that people today might have been making money from. And now we see we have the writer to thank for that. The main explanations you’ve made, the easy site navigation, the friendships you can make it easier to instill – it is all overwhelming, and it is aiding our son and our family reason why this issue is awesome, and that’s quite important. Many thanks for everything!

  • Great items from you, man. I’ve take into accout your
    stuff prior to and you are just too wonderful.
    I actually like what you’ve got here, certainly like what you’re saying and
    the way wherein you say it. You are making it entertaining and you
    still take care of to stay it wise. I cant wait to read much more from you.
    This is actually a great site.

  • Howdy I am so glad I found your web site, I really found you by accident, while I was looking on Aol for something
    else, Nonetheless I am here now and would just like to say
    thanks a lot for a marvelous post and a all round thrilling blog
    (I also love the theme/design), I don’t have time to
    go through it all at the moment but I have bookmarked it and also added your RSS feeds, so when I
    have time I will be back to read much more, Please do keep up the superb work.

  • I need to to thank you for this good read!! I certainly enjoyed every
    little bit of it. I’ve got you book-marked to check out new things you post…

  • We’re a group of volunteers and opening a new scheme in our community.
    Your site offered us with valuable info to work on. You have done an impressive job and our whole community will be thankful
    to you.

  • I like the helpful info you provide in your articles.

    I will bookmark your blog and check again here regularly.
    I’m quite sure I’ll learn plenty of new stuff right here!
    Best of luck for the next!

  • Hi my family member! I wish to say that this article is amazing, nice written and come with approximately all important infos.
    I’d like to peer extra posts like this .

  • Appreciating the commitment you put into your site
    and in depth information you offer. It’s nice to come across a blog every once in a while that isn’t the same outdated rehashed information. Wonderful read!
    I’ve bookmarked your site and I’m including your RSS feeds to my Google account.

  • May I just say what a relief to find an individual who genuinely understands what they
    are talking about on the internet. You actually know
    how to bring an issue to light and make it important.
    A lot more people need to read this and understand this side of your
    story. It’s surprising you are not more popular because you certainly have the gift.

  • I am extremely impressed with your writing skills as well as with the layout
    on your blog. Is this a paid theme or did you modify it yourself?
    Either way keep up the nice quality writing,
    it is rare to see a nice blog like this one nowadays.

  • When I initially commented I clicked the “Notify me when new comments are added” checkbox and
    now each time a comment is added I get several emails with the same comment.
    Is there any way you can remove people from that service?
    Cheers!

  • This is very interesting, You’re a very skilled blogger.
    I’ve joined your rss feed and look forward to
    seeking more of your excellent post. Also, I’ve shared your website in my social networks!

  • Oh my goodness! Awesome article dude! Thank you, However I am encountering issues with
    your RSS. I don’t understand why I am unable to subscribe to it.
    Is there anyone else getting similar RSS issues?
    Anyone who knows the answer will you kindly respond?

    Thanks!!

  • Hello there! Do you use Twitter? I’d like to follow
    you if that would be ok. I’m undoubtedly enjoying your blog and look
    forward to new updates.

  • I do accept as true with all the concepts you have presented in your post.
    They’re really convincing and can certainly work. Nonetheless, the posts are too short for starters.
    Could you please extend them a bit from next
    time? Thanks for the post.

  • I needed to thank you for this excellent read!! I definitely enjoyed every little bit of it.
    I have got you saved as a favorite to check out new
    things you post…

  • You really make it appear so easy along with your presentation however I find this matter to be really one thing that I feel
    I would never understand. It kind of feels too complex and very vast for me.
    I’m having a look forward to your next publish, I will attempt to get the grasp of it!

  • I am really enjoying the theme/design of your site. Do you ever run into any internet browser compatibility problems?
    A couple of my blog readers have complained about my blog not operating correctly in Explorer but looks great in Opera.
    Do you have any tips to help fix this problem?

  • Hi there! I could have sworn I’ve been to this blog before but
    after checking through some of the post I realized it’s new
    to me. Anyhow, I’m definitely delighted I found it and I’ll be book-marking and checking back often!

  • Hey there just wanted to give you a quick heads up. The words in your article seem to be running off
    the screen in Internet explorer. I’m not sure if this is
    a format issue or something to do with web browser compatibility but I thought I’d post to let you know.
    The layout look great though! Hope you get the issue resolved
    soon. Cheers

  • Thank you for the good writeup. It in fact was once a leisure account it.
    Glance complex to more brought agreeable from you! However, how could
    we be in contact?

  • Hello there, I discovered your blog by way of Google while looking for a comparable subject, your web site came up, it looks good.
    I’ve bookmarked it in my google bookmarks.

    Hello there, simply turned into alert to your weblog via
    Google, and located that it’s really informative.
    I’m going to be careful for brussels. I will appreciate should
    you proceed this in future. Lots of folks will probably
    be benefited from your writing. Cheers!

  • Thank you for the good writeup. It in truth was once
    a amusement account it. Glance complex to
    far introduced agreeable from you! By the way, how could we keep in touch?

  • Pretty great post. I simply stumbled upon your
    blog and wished to mention that I’ve truly enjoyed browsing your blog
    posts. In any case I will be subscribing to your rss feed and
    I hope you write again very soon!

  • I know this if off topic but I’m looking into starting my own weblog and was wondering what all is needed to get set up?
    I’m assuming having a blog like yours would cost a pretty penny?
    I’m not very internet savvy so I’m not 100% certain. Any recommendations or advice would be
    greatly appreciated. Many thanks

  • Thanks for the marvelous posting! I actually enjoyed reading it, you could be a great author.I
    will remember to bookmark your blog and will often come back
    later in life. I want to encourage you to definitely continue your
    great job, have a nice afternoon!

  • Hey I am so thrilled I found your website, I really found you by error, while I
    was browsing on Askjeeve for something else, Regardless I am here now and would just like
    to say many thanks for a fantastic post and a all round exciting blog (I also
    love the theme/design), I don’t have time to read it all at the moment but I
    have saved it and also added in your RSS feeds,
    so when I have time I will be back to read a great
    deal more, Please do keep up the excellent work.

  • Hi there just wanted to give you a quick heads up. The text in your content seem to be running off the screen in Opera.
    I’m not sure if this is a format issue or something to
    do with browser compatibility but I thought I’d post to let you know.
    The design and style look great though! Hope you get
    the issue resolved soon. Kudos

  • Hmm is anyone else encountering problems with the pictures on this blog loading?
    I’m trying to determine if its a problem on my end or
    if it’s the blog. Any feed-back would be greatly appreciated.

  • I do consider all of the ideas you have introduced on your post.

    They are really convincing and will certainly work. Still, the posts are very short for starters.
    May just you please lengthen them a little from next time?
    Thanks for the post.

  • You actually make it appear so easy together with your presentation however I in finding
    this matter to be really one thing which I think I would never understand.
    It seems too complicated and extremely wide for me.
    I am looking forward in your subsequent post, I’ll attempt to get the hang of it!

  • My spouse and I stumbled over here coming from a different website and thought I might as well check things out.
    I like what I see so i am just following you. Look forward
    to going over your web page again.

  • Please let me know if you’re looking for a author for your weblog.
    You have some really great articles and I believe I would be a good asset.
    If you ever want to take some of the load off, I’d love to write some content for your blog in exchange for a link back to mine.

    Please blast me an e-mail if interested. Kudos!

  • great submit, very informative. I wonder why the other experts of this sector do not notice
    this. You must proceed your writing. I’m sure, you
    have a great readers’ base already!

  • Do you mind if I quote a couple of your articles as
    long as I provide credit and sources back to your weblog?

    My blog is in the exact same area of interest as yours and my visitors would definitely benefit
    from some of the information you present here.
    Please let me know if this ok with you. Thank
    you!

  • Someone essentially assist to make severely posts
    I might state. That is the first time I frequented your website page and up to now?
    I amazed with the analysis you made to make this particular post extraordinary.
    Magnificent activity!

  • Greetings! This is my first visit to your blog! We are a team of volunteers and starting a new
    project in a community in the same niche.
    Your blog provided us useful information to work on. You
    have done a extraordinary job!

  • you are really a excellent webmaster. The web site
    loading speed is amazing. It kind of feels that you’re doing
    any unique trick. Moreover, The contents are masterwork.
    you’ve performed a fantastic activity in this matter!

  • Thanks for your marvelous posting! I certainly enjoyed reading it,
    you can be a great author. I will make sure to bookmark your blog and definitely will come back down the road.
    I want to encourage yourself to continue your great work,
    have a nice afternoon!

  • I think this is one of the most vital information for me. And i’m glad reading your article.
    But wanna remark on some general things, The site style is great, the articles is really excellent :
    D. Good job, cheers

Leave a Reply

Your email address will not be published.