A Preliminary Study on Enrollees Perception and Experiences of National Health Insurance Scheme in Lagos State, Nigeria

Adewale, Babatunde; Adeneye, Adeniyi; Ezeugwu, Smc; Afocha, Ebelechukwu E.; Musa, Adesola Z.; Enwuru, Christian A.; Yisau, J; Raheem, Toyosi; Sulyman, M; Adeiga, Adesina; Olayemi, Olalekan Moses; Mafe, M A; Ujah, I. A. O.

doi:10.9734/ijtdh/2016/27309

Cited by 6 publications

(7 citation statements)

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“…The lack of ambulance in all the facilities to facilitate ease of transportation of referred patients was also a big challenge for effective healthcare and the implementation of Community Based Health Insurance Scheme. This finding agreed with the report of [15,16] who reported that most enrollees were dissatisfied about the National Health Insurance Scheme (NHIS) because of increasing out-of-pocket payment for drugs and diagnostic tests. About 55.7% of Healthcare services most frequently accessed by enrollees under NHIS were treatment and general care, followed by about 8.6% antenatal care.…”

Section: Discussionsupporting

confidence: 90%

State of Health Facilities in Communities Designated for Community-Based Health Insurance Scheme in Nigeria: A Case Study of Kwara and Ogun States

Raheem¹,

Adewale²,

Adeneye³

et al. 2019

IJTDH

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Background: Nigerian Government established National Health Insurance Scheme (NHIS) including Community Based Health Insurance Scheme (CBHIS) to reduce out-of-pocket health expenses of enrollees, strengthen and ensure access to quality healthcare services. The functionality of the schemes however, revolves round health facilities being able to meet the expectation of the enrollees. Study Objectives: The study assessed the adequacy of the designated health facilities in offering quality healthcare services to the enrollees or potential enrollees under the CBHIS, and to identify likely challenges. Study Design: This is part of a larger prospective cross-sectional study that assessed the implementation of the Community-Based Health Insurance Scheme (CBHIS) in selected local government areas of Kwara in the north central and Ogun in the South Western part of Nigeria. Place and Duration of the Study: Health facilities of selected wards from two Local Government Areas in Kwara and Ogun States were assessed between February and May 2015. Methods: Semi-structured questionnaires and health facility assessment checklist were used to assess services rendered, storage of drugs and the vaccines, manpower, training opportunities, available infrastructures and perceived challenges to smooth operation of health facilities designated for CBHIS. Results: A total of twenty designated health facilities were visited and assessed (Seventeen public and three private). Services claimed to be available at the facilities included clinical, nursing, pharmaceutical and laboratory services. The assessment showed inadequacy of some critical human resources for health. Seventeen of the 20 health facilities (85%) had evidence of recent renovation while 3 (15%) had no evidence of renovation. Twelve (60%) had backup supply of electricity from generator or solar panel. Other challenges that could impede quality healthcare service delivery under the CBHIS were identified. Conclusion: The study showed that inadequate personnel, paucity of training opportunities for health workers, poor infrastructures (lack of ambulance services, poor electricity supply and lack of portable water supply) were the main challenges impeding delivery of quality healthcare services to the CBHIS enrollees patronizing the studied facilities.

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Section: Discussionsupporting

confidence: 90%

State of Health Facilities in Communities Designated for Community-Based Health Insurance Scheme in Nigeria: A Case Study of Kwara and Ogun States

Raheem¹,

Adewale²,

Adeneye³

et al. 2019

IJTDH

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“…It is likely that this group of individuals only enrolled because others were doing so or because their employers mandated them to do so. This attitude was also observed by Adewale et al (2016) 9 when they opined that many enrollees had their salary deducted compulsorily irrespective of whether they registered with a healthcare provider or not. The enrollees were not too concerned about the scheme because they probably believe that the NHIS is one of many failed government schemes such as the National Social Insurance Trust Fund (NSITF) and the National Housing Fund (NHF) where the government generated a lot of funding for the schemes but the contributors found it difficult to access the funds set aside for their supposed needs 10 .…”

Section: Discussionsupporting

confidence: 63%

Awareness of the Rights and Responsibilities of the Staff of the Federal Colleges of Education in North Central Nigeria under the National Health Insurance Scheme

Oriolowo¹,

Asarya²,

Olarongbe³

2022

Asian J. Health Sci.

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Background: Awareness of your rights and responsibilities as an enrollee of the National Health Insurance Scheme (NHIS) is key to fully accessing all benefits of the scheme. It also helps when giving a valid assessment of the healthcare services received through the scheme. This study has assessed the level of awareness of the rights and responsibilities of NHIS enrolled staff from the Federal Colleges of Education in North Central Nigeria. Methods: The study was a descriptive cross-sectional investigation in which 165 selected participants completed a self-administered semi-structured questionnaire. The data was collated and analyzed using descriptive statistics, specifically frequency, mean, and percentages. Six research questions were raised and answered. Results: Most (79.15%) of the respondents were fully aware of the NHIS objectives but only a few (43.15%) and (52.40%) were aware of the benefits and their responsibilities as enrollees of the NHIS. Similarly, many (47.88%) were not aware of the procedures used to seek for redress when dissatisfied with the services they received. Additionally, 80.4% believed that their healthcare providers operate in a clean environment and 80.8% felt that the doctors and nurses were friendly and cordial, though 62% claimed to have experienced a long waiting period before doctor/nurse consultations. Finally, 73.5% of the respondents agreed that they were satisfied with the quality of the service rendered by their healthcare providers. Conclusion: This study therefore recommends the proper enlightenment of enrollees in order for them to be aware of all of the provisions of the NHIS. The government should employ more medical personnel, especially doctors, in order to reduce the pressure on the few available as well to enhance the patient consultations by making them faster.

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“…Several studies have evaluated users' satisfaction with public and private health care services in Nigeria (Iliyasu et al, 2010;Iloh et al, 2013;Osiya et al, 2017). However, few studies have evaluated client satisfaction in the context of Nigeria NHIS (Osungbade et al, 2014;Adewale et al, 2016;Daramola et al, 2017), and its determinants (Mohammed et al, 2013). It is essential to consider how policy interventions such as the NHIS have influenced the barriers to health care utilization, which not only included geographical access, but also perceived quality of care and access to information.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Clients’ Perceived Satisfaction and Responsiveness of Outpatient Health Care Services Within the National Health Insurance Scheme at University of Nigeria Teaching Hospital, Enugu State, Nigeria

Nwankwor

Okoronkwo

Enebeli

et al. 2020

ESJ

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Client satisfaction with health service provision within the health insurance schemes are crucial to guide policy and decision making. Further on, the achievement of universal health coverage within the health insurance scheme in Nigeria requires evaluating the extent to which the expectations of those who have utilized health-care services, are met. This study was designed to assess NHIS-enrollees' satisfaction and the responsiveness of outpatient health care services provided under the NHIS at UNTH, Enugu. This cross sectional descriptive study was carried out between July and September 2018. Data on enrollee's satisfaction was collected using the standardized Patient Satisfaction Questionnaire, and data on responsiveness was collected using the questionnaire from a responsiveness survey designed by the WHO. The results show that of the 368 NHIS-enrollees in the survey, 269 (73.1%) were satisfied with the services they received and 190 (51.6%) respondents considered the services to be responsive to their needs, with 'choice of provider' and 'autonomy' ranking the least in domain of service. The factors independently associated with dissatisfaction with the NHIS services at UNTH (at p<0.05) include: having a family size of ≤4, having worked for 10-19 years in the civil service, and having >4 dependents. The factors independently associated were: male gender, rural residence, having attended the UNTH twice or thrice, and having worked in the civil service for <10 years or for 10-20 years. This study concludes that a high proportion of NHIS-enrollees were satisfied with outpatient services within the NHIS; however, NHIS outpatient services were responsive to the needs of only half of the enrollees. It is recommended that poorly performing domains of services are strengthened, especially 'choice of provider' and 'autonomy'; and that factors associated with non-satisfaction and non-responsiveness of outpatient services offered within the NHIS be addressed by orientation, training and local policy solutions.

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A Preliminary Study on Enrollees Perception and Experiences of National Health Insurance Scheme in Lagos State, Nigeria

Cited by 6 publications

References 0 publications

State of Health Facilities in Communities Designated for Community-Based Health Insurance Scheme in Nigeria: A Case Study of Kwara and Ogun States

State of Health Facilities in Communities Designated for Community-Based Health Insurance Scheme in Nigeria: A Case Study of Kwara and Ogun States

Awareness of the Rights and Responsibilities of the Staff of the Federal Colleges of Education in North Central Nigeria under the National Health Insurance Scheme

Assessment of Clients’ Perceived Satisfaction and Responsiveness of Outpatient Health Care Services Within the National Health Insurance Scheme at University of Nigeria Teaching Hospital, Enugu State, Nigeria

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