An Assessment of the Level of Implementation and Impact of the National Health Insurance Scheme (NHIS) on the Health Care System in Yobe State, North-Eastern Nigeria
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 5
Abstract
Background: Over the decades, Health Insurance Schemes have gained popularityas an acceptable solution to health care financing. The objective of this study was to assess the level of implementation and impact of the National Health Insurance Scheme on the health care system in Yobe State, North-Eastern Nigeria. Methods: This was a descriptive cross-sectional study conducted from October 2008 to March 2009, in which stratified random sampling was used to select respondents among enrolees of NHIS, health care providers and health administrators(staff of NHIS, Health Maintenance Organizations (HMOs) and Yobe State Ministry of Health). Structured, specializedself-administered questionnaireswere used to obtain information on level of funding, quality and adequacy of health manpower, facilities/equipment for health care delivery, level of supervision and monitoring, enrolees’ acceptability of the scheme and how beneficial it has been to the people since its introduction.Data was analysed using SPSS version 22. Results: Out of 100 questionnaires distributed, 96 were completed and returned, giving an overall response rate of 96%. Majority of the enrolees were males (n=49, 77%) of age group 30-39 years (n=43, 68%), received health care services at public facilities (n=51, 80%), and with a family size of 5 or more (n=50, 78%). About 60% (n=38) of the enrolees had benefitted from the scheme for one year or more, commonly received malaria treatment (n=42, 66%) and felt they had benefitted (n=60, 94%) maximally (n=50, 78%) from the scheme. About 78% (n=50) felt the scheme has had a “very good” impact on their health status, evidenced by improvement in their health status (n=60, 94%) and the health care system (n=40, 62%) compared to the preNHIS period. Majority (80%, 12/15) of the health care providers and administrators were located in urban areas, had been working/associated with the scheme for 12 months or more (63%, 20/32), and felt that the funding level of the scheme was adequate. Majority (75%, 24/32) felt that the introduction of NHIS has increased demand/access to health care services, improved the health care system (63%, 20/32), and positively affected the health care indices (75%, 24/32). Conclusion: The introduction of NHIS has improved enrolees’ demand/access to qualitative health care services. Majority of enrolees were satisfied with the services received and felt that they had benefitted maximally from the NHIS, evidenced by improvement in their health status and the overall health care system in Yobe state.
Authors and Affiliations
Surajudeen Abiola Abdulrahman, Maarufat Olaide Olaosebikan
Keywords
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- EP ID EP598175
- DOI 10.9790/0853-1605116067.
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