Abstract:

Difficulty in accessing health care due to inequitable distribution has been a continuous challenge in developing countries. Insurance is a veritable tool for curbing these challenges, as proved in developed countries with assuring results. Nigeria in her efforts to tackle this problem introduced the national health insurance scheme. However, acceptance and satisfaction with the NHIS are obstacles to the achievement of its objectives. The aim of the study is to assess the level of acceptance and satisfaction with the national health insurance scheme among civil servants in Sokoto metropolis. The study was a cross sectional descriptive study conducted in Sokoto metropolis among civil servants who are currently accessing NHIS service. A multi-stage sampling technique was used to select 425 participants. Data was collected using semi-structured self- administered questionnaires and was analyzed using MS Excel Spread sheet 2016. A total 425 respondents were interviewed and their mean age was 41.75 ± 9.3 years and majority were males (282) 66.4%, Most of the respondents (311)73.2% where Hausa/fulani and Muslims (349) 82.1%, the overall Acceptance of NHIS was Good, (272) 64% however only 190 (44.7%) are satisfied with the scheme. The study showed that there is good acceptance of the scheme by civil servants in the metropolis, by the scheme is yet to meet their expectation, thus the poor satisfaction.

Keywords: Acceptance, Satisfaction, NHIS Service, Civil Servants, Sokoto Metropolis, Nigeria.

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