BackgroundHealth insurance schemes have been widely introduced during this last decade in many African countries, which have strived for improvements in health service provision and the promotion of health care utilization. Client satisfaction with health service provision during the implementation of health insurance schemes has often been neglected since numerous activities take place concurrently. The satisfaction of enrollees and its influencing factors have been providing evidence which have assisted in policy and decision making. Our objective is to determine the enrollee's satisfaction with health service provision under a health insurance scheme and the factors which influence the satisfaction.MethodsThis retrospective, cross-sectional survey took place between May and September 2008. Two hundred and eighty (280) enrollees insured for more than one year in Zaria-Nigeria were recruited using two stage sampling. Enrollee's satisfaction was categorized into more satisfied and less satisfied based on positive responses obtained. Satisfaction, general knowledge and awareness of contribution were each aggregated and assessed as composite measure. Logistic regression analysis was used to analyze factors that influenced the satisfaction of enrollees.ResultsA high satisfaction rate with the health insurance scheme was observed (42.1%). Marital status (p < .05), general knowledge (p < .001) and awareness of contributions (p < .05) positively influenced clients' satisfaction. Length of employment, salary income, hospital visits and duration of enrolment slightly influenced satisfaction.ConclusionsThis study highlighted the potential effects of general health insurance knowledge and awareness of contributions by end-users (beneficiaries) of such new program on client satisfaction which have significant importance. The findings provided evidence which have assisted the amendment and re-prioritization of the medium term strategic plan of operations for the scheme. Future planning efforts could consider the client satisfaction and the factors which influenced it regularly.

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Background: Household expenditure on health is increasingly becoming a major source of health care financing in Nigeria. Recognizing the limitations of this pattern of financing health care, the government has introduced a social health insurance scheme policy that has provided for government meeting the health care costs of children. However, there is a dearth of information on the pattern and costs of under-five illnesses at community level. This study therefore sought to determine the magnitude and causes of illnesses among under-fives, sources of healthcare and out of pocket expenditure among children under-five in Layin Zomo, a semi-urban area of Northern Nigeria

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The study assessed the factors influencing nutritional status of children less than five years in Biye village in rural Nigeria. The study was a cross sectional descriptive study: 119 caregivers and mothers were interviewed. A structured questionnaire was used to collect data using multi-stage sampling. Anthropometric measurements of children were also taken. Data analysis was done using SPSS version 17.0. Respondents age ranged from 11-50 years, mean age of 26 (± 11.7); 79.8% had Quranic education; and 50.4% were not gainfully employed. Two-thirds (68.9%) were polygamous, and 64.7% had 1-3 children. Less than 1% of children were exclusively breast fed. From anthropometric data obtained, 62.2% were stunted, 12.6% wasted, and 48.7% underweight. A statistically significant relationship exists between family size and children's nutritional status. The prevalence of malnutrition was high with poor child feeding practices. Thus, healthcare providers should carry out community-wide health education on the need to promote appropriate infant feeding practices and nutritional status.

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