Medicine, Health & Food
Received: 02 Aug 2018 , Published: 07 August 2018
Views: 62 , Download: 39
|1||MARVEL OSALUGWE EHIOSUN|
This research was aimed at finding out the perception and awareness of service providers and clients toward financial sustainability of the National Health Insurance Scheme in the Edo South Senatorial District of Edo state. A descriptive study was adopted in this research and the study populations were clients and service providers accessing NHIS services in NHIS clinics within Oredo, Orhionmwon and Ikpoba-okha Local Government Area, whom were selected using a judgmental non-probability sampling method. The results from this study showed significant statistical difference (p<0.05) in responses to NHIS reduction of healthcare financing burden as most of the respondents strongly agreed that NHIS reduces healthcare financing burden. There was also significant statistical difference (p<0.05) in perception of clients and service providers on the NHIS efficiency in providing healthcare services as most of the respondent strongly agreed that NHIS is efficient in providing healthcare services. Results also showed significant statistical difference (p<0.05) in level of satisfaction by clients and service providers as most of the respondents were very satisfied with NHIS services. There was significant statistical difference (p<0.05) in response of respondents to preference of NHIS over the cash for service system in which most respondents prefers NHIS over cash for service system. There was significant statistical difference (p<0.05) in perception of clients and service providers on the financial sustainability of NHIS as most of the respondent strongly agreed that NHIS is financially sustainable. The result also shows that a significant number of respondents are unsatisfied with the NHIS services despite that they still want the scheme to be sustained. One of the recommendations made is that Registration should be made compulsory so as to ensure sufficient pooling of resource, spreading of risk and minimization of cost. This should solve the problem of drug insufficiency and availability.
- World health organization. Community based Health Insurance Schemes in Developing Countries: facts, problems and perspectives: discussion paper Number1, 2003.
- McPake B. User charges for health services in developing countries. Social Science and Medecine. 1993; vol.36, no.11, pp. 1397-1405.
- Atim C. Contribution of mutual health organizations to financing, delivery, and access to health care. Maryland: Abt Associates, Partnerships for health reform, Technical report no.18, 1998.
- World Development Report. World development indicators: country: Nigeria. Retrieved November 10, 2007, from http://www.worldbank.org/website/external/countries/africaext/nigeriaextn
- World Health Organization. Global tuberculosis report 2015. Available from: http://apps.who.int/iris/bitstream/10665/191102/1/9789241565059_eng.pdf?ua=1. Accessed: October 2015.
- Criel B, Van Dormael M. Mutual Health Organizations in Africa and social health insurance systems: will European History repeat itself ? Tropical Medicine and International Health. 1999;vol.4, no.3, pp.155-159.
- Kelly and Quijada. An Evaluation of National Health Insurance Program in Ghana, Presented at the Global Development Network (GDN) Dissemination Workshop at Pretoria, South Africa. 2001.
- Ghana Health Service. Ghana Health Service Annual Report.KARA print, Accra. 2008.
- Taro, Yamane. Elementary Sampling Theory, Englewood Cliffs, NJ: Prentice – Hall, 1967.
- Kayode OO, Taiwo AO, Abidemi Oludoyi. Users’ Satisfaction with Services Provided Under National Health Insurance Scheme in South Western Nigeria.Int J Trop Ds And Health. 2014; 4(5):595-607.
- Shafiu M, Sambo NM, Nasir U, Dong H. Understanding Client Satisfaction with National Health Insurance Scheme in Nigeria: factors and Enrollees’ experiences” Health Re Policy System, 9:20 www.publichealthinafrica.org 15/10/2011
- Iloh GUP, Ofoedu JN, Njoku PU, Odu FU, Ifedigbo CV, Iwuamanam KD. Evaluation of patients’ satisfaction with quality of care provided at the National Health Insurance Scheme clinic of a tertiary hospital in South- Eastern Nigeria. Nigerian Journal of Clinical Practice, Oct-Dec 2012; Vol 15(4).
- Onyedibe KI, Goyit MG, Nnadi NE. An evaluation of the national health insurance scheme (NHIS) in Jos, a north-central Nigerian city. Global Advanced Research Journal of Microbiology. 2012; Vol. 1(1); 3-9.
- Blanchet NJ, Fink G, Osei-Akoto I. The effect of Ghana's National Health Insurance Scheme on health care utilisation. Ghana Med J. 2012;46(2):76-84.