Level of awareness, and factors associated with willingness to participate in the National Health Insurance Scheme among traders in Abakaliki main market, Ebonyi State, Nigeria

Acceptance of the proposed social health insurance among government-owned company employees in Northwest Ethiopia: implications for starting social health insurance implementation

“…In this study, participants who ever heard about SHI were 1.69 times more likely to accept SHI than those who never heard about SHI. Our result was in line with these of study's findings in Ebonyi State, Nigeria 30.3% of the respondents agreed to have the scheme were heard about national health insurance (NHI), and in Osun State Nigeria, 28.9% of participants WTP were heard and aware of the NHI [37,43]. Furthermore, it is related to a study done in Vietnam; almost all respondents (91.8%) WTP for SHI were heard about SHI scheme [30] and in Wolayita Sodo, Ethiopia individuals who heard about HI scheme were 2.5 times more likely to willing to pay compared to those who have never heard of HI scheme [36].…”

“…The possible reason might be a difference in medical bill cost coverage by employer organizations. The study was comprised mostly male respondents (57.8%) to accept SHI and the result was similar to studies done at St. Paul's Hospital Millennium Medical College, Addis Ababa, that 54% of study participants were males [38] and in Nigeria 58% participants were male [43]. However, our multivariable logistic regression analysis did not show religion, respondents' monthly salary, income, age, family size, marital status and educational status as a predictor variable.…”

Bridging the Information Gap to Keep Educators Healthy: Health Insurance Awareness and Actions by Private School Employees in Nigeria

“…Therefore, an e cient national health insurance model is required in Nigeria to attain UHC to ensure total access to quality healthcare without the risk of impoverishment. Projections by Azuogu et al (11) highlight that about a hundred million people globally are pushed into poverty due to out-of-pocket expenditures for healthcare services, causing millions of people not to seek healthcare in hospitals since they cannot afford it. Makinde et al (12) claim that limited funding, lack of leadership support, inadequate capacity-building opportunities and equipment are the major problems in Nigeria's health system.…”

“…Previous studies on the NHIS record a low level of awareness, unfavorable perception, and minimal enrollment level (18) (19) (20). Azuogu et al (11) attribute the low participation of individuals in the informal sector to the limited and irregular income and uncertain employment status. Paez et al (3) further surmise that many people fail to realize the underlying reason that health insurance serves as a hedge against high medical costs.…”

Evaluation of Enrollees’ Perspectives on the Operations of the National Health Insurance Scheme in Nigeria

“…However, the services have been bedeviled with long waiting times, persistent out-of-pocket expenditures for out-of-stock medicines and supplies, corruption in the management of the scheme, poor attitudes of service providers, and inefficiencies at health care facilities, among others (Edeh & Udoikah 2015). Enrollees have been severally reported to express significant dissatisfaction with the scope, quality and management of services they receive under the NHIS, with some calling for the outright scrapping of the scheme (Edeh & Udoikah 2015;Eboh 2008;Azuogu, et al 2016;Dutta & Charles 2013). Widespread discontent with the NHIS among consumers of healthcare seem to be justified considering that as of 2012, seven years after the commencement of the scheme, only an estimated 3% of the population of Nigeria had been covered by the scheme (Federal Government of Nigeria 1999).…”