Author:
Ekpo Regina,Mamman M.,Akpu B. I.,Arigbede Y.
Abstract
National Health Insurance Scheme (NHIS) is a social basic service offered by the Federal Government of Nigeria to its citizen, in order to achieve universal healthcare (UHC) coverage but its progress seems to be facilitated or hindered by some factors. This paper seeks to access the determinants of NHIS participation of Kaduna State. Adopt multiple stages sampling in the collection of data from 400 respondents. Frequencies, percentages and tables were used to present results obtained but applied Pearson product moment correlation coefficient to test for significant relationship at 0.01significant levels. The result shows that majority (80.1%) of NHIS participants in the study are within the productive and reproductive age group, married with children, have a minimum household size of five but enrolled 3-4 family members (28.8%), educated, 45% are income earners that obtain health services from mainly private HCFs with distance that is less than 5km, and awareness in NHIS had positive relationship with age, sex, number of children and household size. Positive relationship existed between age, household size, education, monthly income earned and immediate participation in NHIS while duration in NHIS participation had positive relationship with income and immediate participation in NHIS but employment status had a negative relationship. The paper recommends a comprehensive public awareness on NHIS participation that surpasses the office environment and encourages informal sectors to participate in NHIS is needful and avoids delay in participation after been informed about the scheme, for a successful UHC coverage.
Publisher
Federal University Dutsin-Ma
Reference23 articles.
1. Akinyemi, O.O., Owopetu, O.F. & Agbejule, I.O. (2021). National Health Insurance Scheme: Perception and participation of Federal Civil Servants in Ibadan. Annals of Ibadan Postgraduate Medicine 19 (1) 49-55
2. Aregbeshola, B. S & Khan, S. M. (2018). Predictors of enrolment in the National Health Insurance Scheme (NHIS) among women of reproductive ages in Nigeria. International Journal of Health Policy and Management. 7 (11) 1015-2023. doi: 10.15171/ijhpm.2018.68 Accessed 12/07/2019
3. Ayanleye, O.A. (2013). A legal appraisal of the National Health Insurance Scheme in Nigeria. Journal of Public and Private Law 5,106-117.
4. Chapman, K. (1978). People, pattern and process. Aberdeen : Aberdeen University Press
5. Dixon, J., Tenkorang, E. Y., & Luginaah, I. (2011). Ghana’s national health insurance scheme: helping the poor or leaving them behind? Environment and Planning. Journal of Politics and Space 29 (6) 1102-1117