Health effects of the National Health Insurance Scheme (NHIS): A study among federal civil servants in Bayelsa State, Nigeria
Journal Title: Journal of Health and Social Sciences - Year 2019, Vol 4, Issue 2
Abstract
Introduction: This study aimed to analyze the level of satisfaction and health effects of the National Health Insurance Scheme (NHIS) among federal civil servants employed in Bayelsa State, Southern Nigeria. Methods: A cross-sectional survey was adopted using simple random sampling to recruit 337 federal employees living in the state. A structured questionnaire was used as data collection instrument to elicit socio-demographic information and types of services enjoyed under the scheme by the participants. Satisfaction levels and self-rated health were measured as continuous variables. Data was analysed using analysis of variance (ANOVA), multiple linear regression, and chi-square test. The level of statistical significance was set at P < 0.05. Results: Satisfaction levels and self-rated health differed significantly by demographic variables and types of services enjoyed by the participants (P < 0.05). Our findings showed that malaria treatment (β = 0.737, P < 0.05), prescriptions of drugs (β = 0.187, P < 0.05) and vaccinations (β = 0.422, P < 0.05) were good predictors of satisfaction levels and self-rated health status. Malaria treatment was associated with the highest satisfaction level (β = 0.737, P < 0.05) compared to other services enjoyed under the scheme. Discussion and Conclusion: In spite of the fact that most of the services under the scheme were associated with good self-reported health status and high satisfaction level by the participants, there are still some issues concerning supply of drugs and health facilities for federal employees living in Bayelsa State. The government and key stakeholders should ensure that NHIS provides adequate provisions of drugs, skilled health professionals and equipped healthcare facilities, as proper referral systems could mitigate the effects of health conditions affecting federal civil servants and promote the quality of health-care system.
Authors and Affiliations
Endurance Uzobo, Aboluwaji D Ayinmoro
Keywords
Related Articles
- EP ID EP612778
- DOI 10.19204/2019/hlth10
- Views 143
- Downloads 0
Prevalence and economic costs of diarrheal illness among adult slum dwellers in Khulna City, Bangladesh
Introduction: The aim of this research was to determine prevalence, determinants and economic costs of diarrheal illness among adult slum dwellers in Khulna City, Bangladesh. Methods: This was a cross-sectional study in...
Exploring individual differences in online and face-to-face help-seeking intentions in case of impending mental health problems: The role of adult attachment, perceived social support, psychological distress and self-stigma
Background: Even though common mental health problems such as depression are a global burden calling for efficient prevention strategies, still many distressed individuals face hurdles to access public mental healthcare....
Towards the Universal Health Coverage in Ghana: An exploratory, cross-sectional study on the National Health Insurance Scheme
Introduction: This study is aimed to analyze the progress towards the attainment of Universal Health Coverage (UHC) in Ghana after the establishment of the ‘National Health Insurance Scheme’ (NHIS), which is a universal...
Dysphagia and trismus: an unusual case of tetanus
Tetanus is a life-threatening infection that is rare in the developed world; it is more frequent in the elderly people and immunocompromised patients. We report a case of a 53-year-old woman who presented with dysphagia,...
The migrant nightmare: Addressing disparities is a key challenge for developed nations
Editorial: The benefits of economic growth over the last 25 years have been unequally distributed. The gap between rich and poor is at its highest level in most Organisation for Economic Co-operation and Development (OEC...