NATIONAL HEALTH INSURANCE POLICY AND PROGRAMME AND ACCESS TO HEALTH CARE SERVICE AMONG FEDERAL GOVERNMENT WORKERS IN NIGERIA
Ochala Mark , Department of Public Administration,National Open University of Nigeria, Abuja. Eya Chukwunonso Patrick , Department of Public Health, National Open University of Nigeria, Abuja. Okoronkwo, Patience Nnenna , Department of Public Administration, National Open University of Nigeria, Abuja. Okoliko Emmanuel Ojonugwa , Department of Business Administration, National Open University of Nigeria, Abuja. Musa Zakari , Department of Public Administration, National Open University of Nigeria, Abuja.Abstract
The study examined the effect of National Health Insurance on health care service delivery Among Federal Workers in Nigeria. This mixed research design study investigates the relationships between primary and secondary health care service providers and the provision of essential healthcare services to enrollees in Nigeria. The population of the study encompasses federal governamnt workers with primary and secondary health care facilities across various regions in Nigeria. A sample size of 400 enrollees and 50 health care providers was selected using stratified random sampling techniques. Data were collected through structured interviews and surveys, focusing on the perceptions and experiences of both health care providers and enrollees regarding the provision of affordable health care, testing and diagnostic services, and referral services. The collected data were analyzed using both qualitative and quantitative methods, including thematic analysis and correlation analysis. The findings reveal significant relationships between primary health care service providers and the provision of affordable health care and testing and diagnostic services to enrollees in Nigeria. Moreover, the study identifies a significant relationship between secondary health care service providers and the provision of referral services to enrollees, highlighting the importance of collaboration between primary and secondary healthcare sectors to ensure comprehensive healthcare delivery in Nigeria. These results underscore the need for policy interventions and resource allocation strategies aimed at strengthening primary and secondary healthcare systems to improve access to essential healthcare services for all enrollees in Nigeria. The study recommends that Federal Government through the NHIA should implement policies that aim to increase the affordability of healthcare services for all citizens, especially those in lower socioeconomic strata. This may involve subsidizing healthcare costs, expanding insurance coverage, or introducing targeted assistance programs for vulnerable populations. Additionally, encourage healthcare providers to offer transparent pricing structures and explore innovative payment models, such as sliding-scale fees or income-based discounts, to improve access for individuals with varying financial capacities.
Keywords
National Health, National Health Insurance Policy, National Health Programme, Access to Health Care Service, Among Federal Government Workers In Nigeria
References
Abdi, W. O., Salgedo, W. B., Nebeb, G. T. (2015). Magnitude and determinants of self-referral of patients at a General Hospital, Western Ethiopia. Sci J Clin Med. 2015;4(5):86.
Adesina, D. (2009). The National Health Insurance Scheme. Retrieved October 3rd, 2012
Akpinar, O., ACAR >, H., & Arıca, S. (2021). The effect of health literacy level on the use of primary health services in adult patients. European Health Literacy Journal, 2(2), 5-14. https://doi.org/10.29228/ehlj.51944
Arah, A. S., Abdulhamid, U., Adamu, D., & Musa, Y. S. (2021). Complience with School-based Social Distancing Practices Among Teachers and Head Teachers During Coronavirus Disease 2019 Pandemic in Vocational Enterprises Institutes in Abuja, Nigeria. International Journal on Orange Technologies, 3(2), 11-18.
Christmal, D. C. and Kizito, (2020). Implementation of the National Health Insurance Scheme (NHIS) in Ghana: Lessons for South Africa and Low- and Middle-Income Countries. Dove press Journal of Risk Management and Health Care. Vol.13(1):1879–1904
Czeskleba, A., Holzhausen, Y., & Peters, H. (2020). Clinical reasoning for acute dyspnoea: comparison between final-year medical students from discipline- and competency-based undergraduate programmes. BMC Medical Education, 20(1). https://doi.org/10.1186/s12909-020-02055-y
Dalinjong, P. A., & Laar, A. S. (2012). The national health insurance scheme: perceptions and experiences of health care providers and clients in two districts of Ghana. Health economics review, 2(1), 1-13.
a. fromhttp://www.nigeriandoctor.Com/news.php?extend.
Hussain, M., & Mahmud, I. (2019). pyMannKendall: a python package for non parametric Mann Kendall family of trend tests. Journal of Open Source Software, 4(39), 1556.
Hussein, Y. and Said, H. (2020). Antenatal health care services and degree of clients’ satisfaction in sharkia governorate, egypt. The Egyptian Family Medicine Journal, 4(1), 77-94. https://doi.org/10.21608/efmj.2020.90202
Inyang, U., Bassey, A. E., & Umunnakwe, A. I. (2022). Evidence-Based Policy Evaluation: Focus on Micro-Insurance Operational Policy Among Federal Workers in Nigeria. International Journal of Finance, Insurance and Risk Management, 12(3), 108-124.
Jalalabadi, F., Shultz, K., Sussman, N., Fisher, W., & Reece, E. (2018). Initiating telehealth in a complex organization. Seminars in Plastic Surgery, 32(04), 159-161. https://doi.org/10.1055/s-0038-1672132
Kunina-Habenicht, O., Hautz, W., Knigge, M., Spies, C., & Ahlers, O. (2015). Assessing clinical reasoning (asclire): instrument development and validation. Advances in Health Sciences Education, 20(5), 1205-1224. https://doi.org/10.1007/s10459-015-9596-y
Lévesque, J., Harris, M., & Russell, G. (2013). Patient-centred access to health care: conceptualising access at the interface of health systems and populations. International Journal for Equity in Health, 12(1), 18. https://doi.org/10.1186/1475-9276-12-18
Manzoor, F., Wei, L., Asif, M., Haq, M. Z. U., & Rehman, H. U. (2019). The contribution of sustainable tourism to economic growth and employment in Pakistan. International journal of environmental research and public health, 16(19), 3785.
National Health Insurance Scheme. (2004). NHIS Operational Guideline.
National Health Insurance Scheme. (2019). NHIS Operational Guideline.
Onoka, C. A., Hanson, K. Hanefeld, J. (2014). Towards universal coverage: a policy analysis of the development of the National Health Insurance Scheme Among Federal Workers in Nigeria. Journal of Health Plan Oxford University Press in association with The London School of Hygiene and Tropical Medicine. Vol. 30(9):1105-1117
Sanıl, M., & Eminer, F. (2021). An integrative model of patients’ perceived value of healthcare service quality in North Cyprus. Archives of Public Health, 79(1), 1-16.
Vujicic, M., Buchmueller, T., & Klein, R. (2016). Dental care presents the highest level of financial barriers, compared to other types of health care services. Health Affairs, 35(12), 2176-2182.
Article Statistics
Downloads
Copyright License
Copyright (c) 2024 Ochala Mark, Eya Chukwunonso Patrick, Okoronkwo, Patience Nnenna, Okoliko Emmanuel Ojonugwa, Musa Zakari
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright and Ethics:
- Authors are responsible for obtaining permission to use any copyrighted materials included in their manuscript.
- Authors are also responsible for ensuring that their research was conducted in an ethical manner and in compliance with institutional and national guidelines for the care and use of animals or human subjects.
- By submitting a manuscript to International Journal of Economics Finance & Management Science (IJEFMS), authors agree to transfer copyright to the journal if the manuscript is accepted for publication.