Awareness and Perception of Resident Doctors towards National Health Insurance Scheme in a Tertiary Hospital

Authors

  • Nzube Anthony Ilochonwu Department of Preventive Dentistry,Faculty of Dentistry, College of Health Sciences, University of Port Harcourt, P.M.B. 5323 Choba, Rivers State, Nigeria. https://orcid.org/0000-0002-3511-6375
  • Michael A. Adedigba Department of Preventive and Community Dentistry, Obafemi Awolowo University Ile-Ife, Osun State.

DOI:

https://doi.org/10.60787/tnhj.v17i2.292

Keywords:

Health insurance, Perception, Awareness, Doctors

Abstract

Objective: The study aimed to assess the awareness and perception of resident doctors in a tertiary hospital concerning the National Health Insurance Scheme in Nigeria.

Methods: Cross-sectional descriptive study of Junior Residents employed at Obafemi Awolowo University Teaching Hospital Ile-Ife. Participants were selected by purposive sampling technique and a self-completed questionnaire employed to collect data. Data comprised demographics, questions on knowledge, utilization and perception/attitude towards National Health Insurance Scheme. The analysis was done with SPSS v20; descriptive as well as inferential statistics were recorded association determined at 0.05 level of significance.

Results: The study had 92% (69/75) response rate, males significantly more than female respondents (P=0.000). More than 80% of respondents had adequate basic knowledge about the Scheme. Approximately half of the study participants knew about the Scheme’s inception and only 29.0% knew when participants can access the benefits after registration and 72.5% of the respondents were registered with the Scheme. The majority (78.3% and 71%) of respondents felt the Scheme is capable of reducing the burdens of health bills and exerting significant impact on the health of users respectively. Also, 78.3% of respondents wanted the Scheme to continue.

Conclusion: The resident doctors demonstrated optimal basic knowledge about the NHIS but there is need to update their knowledge especially as regards the benefits of the Scheme. Their perception concerning the Scheme is good and encouraging but they expressed concern about under-performance and non-availability of necessary drugs/services. 

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References

Grossman M. On the concept of health capital and the demand for health. J Polit Econ 1972;80(2):223–55.

Collins SR, Davis K, Doty MM, Kriss JL, Holmgren AL. Gaps in health insurance: an all-American problem findings from the commonwealth fund biennial health insurance survey. Commonwealth Fund. 2006; 14.

World Development Report: Investing in health. World Bank: Washington. 1993.

Kutzin J. Health insurance for the formal sector in Africa. WHO Geneva. 1997.

Asheim GB, Emblem AW, Nilssen T. Deductibles in health insurance: Pay or pain? Int J Health Care Finance Econ 2003;3(4):253–66.

NHIS Operational Guidelines. Abuja Nigeria. 2005. Available at http://www.nhis.gov.ng. [Accessed 24/06/2016].

Owoeye O, Olaiya S. Effect of health insurance on the demand for health care in Oyo State Nigeria. Available from https://www.utwente.nl/igs/research/conferences/2012. Accessed 23/06/2016.

Chukwu O. Minister of Health of Nigeria during the Ministerial Briefing on the ministry’s scorecard and reports for the year 2012 – 2013 in Abuja. 2013.

Otuyemi OD. Orthodontics in Nigeria: Journey so far and challenges ahead. J Orthod 2001;28(1):90–2.

Sanusi RA, Awe AT. An assessment of awareness level of National Health

Insurance Scheme (NHIS) among healthcare consumers in Oyo State, Nigeria. The Soc Sci 2009;4(2):143–8.

Onuekwusi N, Okpala CO. Awareness and perception of the National Health

Insurance Scheme (NHIS) among Nigeria healthcare professions. Journal of College of Medicine 1998;3(2):97–9.

Collins SR, White C, Kriss JL. Whither employer-based health insurance? The current and future role of US companies in the provision and financing of health insurance. Commonwealth Fund; 2007.

O'Brien E. Employers' benefits from workers' health insurance. Milbank Q 2003;81(1):5–43.

Diop F, Yazbeck A, Bitran R. The impact of alternative cost recovery schemes on access and equity in Niger. Health Policy Plan 1995;10(3):223–240.

Waters HR. Measuring the impact of health insurance with a correction for selection bias—a case study of Ecuador. Health Econ 1999;8(5):473–83.

Sanusi, RA, Awe AT. Perception of National Health Insurance Scheme (NHIS) Healthcare consumers in Oyo State, Nigeria. Pakistan Journal of Social Sciences 2009;6(1):48–53.

Agba MS. Perceived impact of the national health insurance schemes (NHIS) among registered staff in federal polytechnic, Idah, Kogi state Nigeria. Studies in Sociology of Science 2010;1(1):44–9.

Okaro AO, Ohagwu CC, Njoku J. Awareness and perception of National Health Insurance Scheme (NHIS) among radiographers in south east Nigeria. American Journal of Scientific Research 2010;8:18–25. ISSN 1450-223X. Available from http://www.eurojournals.com/ajsr.htm. Accessed 10/07/2016.

Olugbenga-Bello AI, Adebimpe WO. Knowledge and Attitude of Civil Servants in Osun State South Western Nigeria Towards the National Health Insurance. Niger J Clin Pract 2010;13(4):421–6.

Setswe G, Muyanga S, Witthuhn J, Nyasulu P. Public awareness and knowledge of the National Health Insurance in South Africa. Pan Afr Med J 2015;22(1):1–10.

Byabashaija AA. The knowledge and views of teachers in government educational institutions in Kampala District on the proposed Social Health Insurance Scheme in Uganda. Health Policy and Development Journal 2009;7:1–9.

Chubike NE. Evaluation of National Health Insurance Scheme (NHIS) awareness by civil servants in Enugu and Abakaliki. Int J Med Med Sci 2013;5(7):356–8.

Adeniyi AA, Onajole AT. The National Health Insurance Scheme (NHIS): a survey of knowledge and opinions of Nigerian dentists' in Lagos. Afr J Med Med Sci 2010;39(1):29–35.

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Published

2018-03-01

How to Cite

Ilochonwu, N. A., & Adedigba, M. A. (2018). Awareness and Perception of Resident Doctors towards National Health Insurance Scheme in a Tertiary Hospital. The Nigerian Health Journal, 17(2), 17–27. https://doi.org/10.60787/tnhj.v17i2.292
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