National Health Insurance Scheme and Health Care Needs of Federal Medical Centre Workers, in Makurdi, Benue State Nigeria
Abstract:
This study assesses the
impact of National Health Insurance Scheme on the health care needs of workers
in Federal Medical Centre Makurdi, Benue State Nigeria. The data for the
study were collected through questionnaires and in-depth interviews.
Questionnaires were administered on a sample of 341 respondents.
Data analysis was quantitative and qualitative in nature. The specific
objectives of the study were to examine the level of awareness about NHIS among
the staff of FMC; assess the National Health Insurance healthcare services
available in FMC Makurdi; examine the health care needs of the staff of FMC
Makurdi; examine the impact of NHIS on health needs of workers in FMC Makurdi;
assess the challenges of implementing NHIS in FMC Makurdi and suggest ways of
minimising the implementation challenges of NHIS in FMC Makurdi. The analysed
results show that, though all the staff of FMC, Makurdi were registered
members of the National Health Insurance Scheme, many of them lacked adequate
awareness on key issues about the Scheme, Federal Medical Centre Makurdi offers
several healthcare services under the NHIS,
even though the NHIS was overwhelmingly accepted by staff of FMC Makurdi
as having a positive impact on staff of the FMC such as reducing the financial
hardship of their medical bills, affordable services
and greater access to medical care, the scheme is not perfect.
The study therefore, recommends among other that there is need for aggressive
awareness programme of the scheme in order to reveal its benefits to all Nigeria
citizens.
References:
[1] WHO,
1978, Declaration of Alma-Ata, International Conference on Primary Healthcare,
Alma-Ata, USSR, http://www.who.int 6-l2.
[2] Apeloko
D. O., 2017, “Health Insurance Scheme (NHIS) In Nigeria: An Empirical Survey” International
Journal of Politics and Good Governance, 8 (8.4): 1-25.
[3] Gana
D., 2010, “Roles of the Healthcare Provider in Health insurance,” Nigeria Medical
Association – Annual Conference Paper.
[4] Murray,
J. (2007). Origins of American Health Insurance: A History of Industrial Sickness
Funds. New Haven, CT, Yale University Press.
[5] Adesina,
D. (2009). The National Health Insurance Scheme. Obtained electronically from http://www.thenigeriandoctor.org/news.php?extend.850.
Retrieved 15th April 2014.
[6] Femi,
T. (2014) “Executive Secretary’s Welcome Notes’, National Health Insurance Scheme
[electronic], Available at NHIS website, http://www.nhis.gov.ngindex.php.
[7] Escobar,
J. et al (2010). “Isotope Measurement of Ostracod and Gastropod Shells for Climate
Reconstruction: Evaluation of Within-Sample Variability and Determination of Optimum
Sample size.” J. Paleolimnol. 43 (4).
[8] Ibiwoye,
A. &Adeleke, A. (2007). “The Impact of Health Insurance on Healthcare Provision
in Developing Countries.” Ghana Journal of Development Studies, 4(21), 49-58.
[9] King,
G. et’al (2009). “Public Policy for the Poor? A Randomised Assessment of the Mexican
Universal Health Insurance Programme.” Lancet. 373(9673): 1447-54.
[10] Gustafsson-wright,
et al., (2013). “A Short-Term Impact Evaluation of Health Insurance Fund Program
in Central KwaraState.”Available at http://www.aiid.org/php?id=73&37.
[11] Smith,
K.V. and Sulzbach, S. (2008). “Community-Based Health Insurance and Access to Maternal
Health Services: Evidence from Three West African Countries.” Social Science &
Medicine 66(12), 2460-73.
[12] Agba,
M (2010). “Perceived impact of National Health Insurance Schemes (NHIS) Among Registered
Staff in Federal Polytechnic ldah, IKogi State, Nigeria.” Studies of Sociology of
Science, 1 (1), 44-49.
[13] Dalal,
K. and Dawad, S. (2009). “Non-utilization of Public Health care facilities: Examining
the Reasons Through a National Study of Women in India.” Rural Remote Health. 9(3):1178.
[14] De
Costa, A and Diwan, V. (2007). “Where is the Public Health Sector?’ Public and Private
Sector Healthcare Provision in Madhya Pradesh, India.” Health Policy.84(2-3),269-76.
[15] Osuorji
E. C. (2005) National Health Insurance Scheme. Obtained electronically from http://www.medikkajournal.com/NHIS.htmRetrieved
15th June 2016 [6] Onyedibe, K., Goyit, M., &Nnadi, N. (2012). “An Evaluation
of the National Health Insurance Scheme (NHIS) in Jos, a North Central Nigeria City.”
Global Advanced Research Journal of Microbiology, 1(1), 005-012.
[16] Giedion,
U. Diaz, B. Y. and Alfonso, E. A. (2007). “The Impact of Subsidized Health Insurance
on Access, Utilization and Health Status: The Case of Colombia.” World Bank, Washington,
DC.
[17] Obansa,
S.A. and Orimisan A. (2013). “Health care financing in Nigeria: Prospects and Challenges.
Mediterranean Journal of Social Sciences [Internet]. 2013; 4(1): 221-236. Available
at: http://www.mcser.org/images/stories/mjss.january.2013/s.a.j.obansa-helth-care
financing.pdf.
[18] WHO,
(2000). “World Health Report 2000 – Health Systems Improving Performance.” Health
Systems Financing. World Health Organization (WHO), Geneva. Electronically sourced
from http://www.who.int.healthsystems/topics/financing/en/On 15/4/2014.
[19] WHO,
(2000). Round Table Discussion on Inefficiency and Wastage in the Health Sector.
WHO, Geneva.
[20] WHO (2002). “Definition of Health, Preamble to
the Constitution of the World Health Organization as Adopted by the International
Health Conference, New York, 19–22 June 1946; In Grad, Frank P. (2002). “The Preamble
of the Constitution of the World Health Organization”.
