Knowledge, attitude and practice of adults to the national health insurance scheme (NHIS) in Unguwar Soya, Kabong Ward of Jos North LGA, Plateau State-Nigeria

Amos Paul  Bassi; Ebenezer Chinomnso  Anthony; Bukunmi Tejumade  Adediran; Jemima  Abner; Solomon Mallum Anyakwai  Thliza; Chris  Anyanechi

doi:10.30574/gscbps.2021.16.1.0209

Authors

Amos Paul Bassi Department of Community Medicine and Primary Health Care, College of Medicine and Health Sciences, Bingham University, Jos Campus, Nigeria.
Ebenezer Chinomnso Anthony Department of surgery, Bingham University Teaching Hospital, Jos Nigeria.
Bukunmi Tejumade Adediran Department of Internal Medicine, University College Hospital, Ibadan Nigeria.
Jemima Abner Department of Surgery, State Specialist Hospital, Gombe Nigeria.
Solomon Mallum Anyakwai Thliza State Specialist Hospital Maiduguri, Borno State, Nigeria.
Chris Anyanechi Department of Internal Medicine, Federal Medical Center, Umuahia Nigeria.

DOI:

https://doi.org/10.30574/gscbps.2021.16.1.0209

Keywords:

Index population, Participation, NHIS, Community, Awareness

Abstract

Health, according to the World Health Organization is defined as a state of complete physical, mental, social and spiritual wellbeing, and not merely the absence of disease or infirmity. This was a cross sectional community based descriptive study using a multi stage sampling technique in Unguwar Soya Community, Kabong, Jos North LGA, Plateau State, Nigeria with the aim of assessing and establishing the knowledge, attitude and practice of the residents to NHIS. An interviewer administered structured questionnaire was utilized and a total of 252 questionnaires were administered to the eligible members of the community. Majority of the Respondents are aged 20-29 years (33.7%). Majority of the respondents were females (63.5%), largely married (54.0%), most have attended secondary level of education (47.2%) and are mostly Artisans (32.1%) with majority earning above 30,000 naira (25.8%).59.5% of the respondents had heard about NHIIS; family and friends were the most common sources of NHIS awareness (25.5%). Majority of the respondents (49.3%) had heard about NHIS more than five years ago. Majority of the respondents (70.7%) had good attitude towards NHIS. Only 13.3% of the respondents are registered with NHIS. 88.5% of the respondents fund their health expenditures through Out-of-pocket payment. Results depicted that the index population has inadequate awareness and knowledge of the National Health Insurance Scheme. Resulting in the small portion of the population participating in the scheme. The government can come to the aid of this community and other communities by providing adequate awareness, knowledge and privilege to participate in the scheme to better their health.

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References

Tanimola MA, Owoyemi J. Healthcare Seeking Behaviour in Anyigba, North Central Nigeria. Mendell Publishing. Research Journal of Medical Science. 2009; 3(2): 47-51.

Lucas AO, Gilles HM. Short Textbook of Public Health Medicine for the Tropics. 4th Edition. CRS press. 2004.

Akpomwie OB. Poverty, Access to Healthcare Services and Human Capital Development in Nigeria. African Research Review. 2010; 4(3a): 41-45.

Dogo-Muhammad M. The National Health Conference. Achieving the 4th and 5th MDGs in Nigeria: the NHIS-MDG MCH project. 2013.

Sambo MN, Ejembi C, Adamu Y. Out-of-Pocket Health Expenditure for Under-five Illnesses in a Semi-urban Community in Northern Nigeria. Journal of Community and Primary Health Care. 2004; 16(1): 1.

Otoyemi OD. Orthodontics in Nigeria: Journey so far and Challenges Ahead. Journal of Orthodontics. 2008; 28: 90-92.

Joseph AE, Philip DR. Accessibility and Utilization: Geographical Perspectives on Health care Delivery. London: Harper and Row. 1984.

Eboh A, Akpata G, Akpata O, Akintoye A. Healthcare Financing in Nigeria: An Assessment of the National Health Insurance Scheme (NHIS). European Journal of Business and Management. 2017; 8(27).

Williams SJ, Torrens PR. Introduction to Health Services. 7th Edition. Thomson Delmar. USA. 2008; 76-77

Sofoluwe G.O, Schram R, Ogunmekan D.A. Principles and Practice of Public Health in Africa. 1998; 2: 866.

Yunusa U, Irinoye O, Suberu A, et al. Trends and Challenges of Public Healthcare Financing System In Nigeria: The Way Forward. Journal of Economics and Finance. 2014; 4(3): 28-34.

Dotta A, Charles H. Scaling up National Health Insurance in Nigeria: Learning from case studies of India, Colombia and Thailand. Future Group, Health Policy Project. 2013; 13-14.

Obansa SAJ, Orimasan A. Health Care Financing in Nigeria: Prospects and Challenges. N. Mediterranean Journal of Social Sciences. 2013; 4(1): 21-36.

Adeniji FO. National Health Insurance Scheme in Nigeria; Progress towards Universal Coverage. Asian Journal of Medicine and Health. 2017. 3(4): 1-2.

Mohammed AS. Nigeria: National Health Insurance Scheme and Matters Arising. Daily Trust. Abuja. 2017.

UNESCO. Morbidity and Mortality Review, UNICEF, New York. 2006.

Ijadunola K.T. Free Health Services in Nigeria: How Beneficial to the Poor. 2013.

Wollum A, Bursten R, Fullman N, Dwyer-Lindgren L, Gaidou E. Benchmarking Health System Performance across states in Nigeria: A Systematic Analysis of Levels and Trends in Key aternal and Child Health Interventions and Outcomes, 2000 – 2013. BMC Medicine; 2015; 13: 208.

UNICEF and WHO. Countdown to 2015: A Decade of Tracking Progress for Maternal, Newborn and Child Survival. 2015.

Onwujekwe O, Hanson K, Uzochukwu B. Examining Inequities in Incidence of Catastrophic Helath Expenditure on Different Healthcare Sources and Health Facilities in Nigeria. PCOS One. 2012; 7: e40811.

Raji B.A, Oladele O.A, Akolokwu G.O, Tanimu A. Health Status of Seniour Citizens vizs-a-vis The National Health Insurance Scheme of Nigeria. NAUJILJ. 2019; 10(1): 176-182.

Abdulraheem IS, Olapipo AR, Aodu MO. PHC Services in Nigeria: Critical Issues and Strategies for Enhancing the Use by the Rural Communities. Journal of Public Health and Epidemiology. 2012; 4: 5-13.

Emmanuel NK, Gladys EN, Cosmas UU. Consumer Knowledge and Availabilit of Maternal and Child Health Services: A Challenge for Achieving MDG 4,5 in South-East Nigeria; BMC Health Service Resource. 2013; 13: 53.

Riman HB, Akpan ES. Heath Care Financing and Health Outcomes in Nigeria. A state Level Study using Multivariate Analysis. International Journal of Humanities and Social Sciences. 2012; 2: 296 – 309.

Lawanson AO, Olaniyan O, Soyibo A. National Health Account Estimate: Lessons from the Nigerian Experience; African Journal of Medicine and Medical Sciences. 2012; 41: 357 - 364.

National Health Insurance Scheme Decree No. 35 of 1999. Laws if the Federaton of Nigeira. Nigeria Law.

Campbell P.C, Owoka O.M, Odugbemi T.O. National Health Insurance Scheme (NHIS): Are the Artisans Benefitting in Lagos state, Nigeria? J ClinSci. 2016; 13: 122-31.

Onyedibe IK, Goyat GM, Nnadi NE. An Evaluation of the National Health Insurance Scheme in Jos, a North-Central Nigerian City. Global Advanced Research Journal of Microbiology. 2012; 1(1): 005 – 012.

Colton T. Statistics in Medicine. Lippincott Wiliams & Wilkins, a Walter Kluwer Company. 1974.

Abah M.U, Adeola V.O, Chiroma H.T, Ayendele I. An Evaluation of Routine Immunization Status of Children Less than Five (5) Years in Unguwar Soya, Jos, Plateau State, Nigeria. Bingham Uniersity Library. 2019; 26.

Ekwuluo CE, Eluwa AN, Okereke IC, Orji SB. Knowledge, Attitude to, and Utilization of the National Health Insurance Scheme (NHIS) Among Health Workers in the University of Nigeria Teaching Hospital (UNTH), Ituku-Ozalla, Enugu State, Nigeria. Int’l Journal of Research – Granthaalayah. 2018; 6(1): 13 – 14.

National population commission Federal Republic of Nigeria. Demographic and health survey. Abuja, Nigeria. 2013; 18: 33-50.

Labour force statistics.Unemployment and underemployment report. 2018; 1: 28.

Annual collaborative survey of socio-economic activities in Nigeria. 2006; 1: 9-15.

Sanusi R, Awe AT. Assessment of Awareness Level of National Helath Insurance Scheme Among Health Care Consumers in Oyo State, Nigeria. JOUR. 2009; 143-148.

Eyong AK, Ayada PO, Asukwo EO, Irene C. Awareness of National Helath Insurance Scheme and Quality of Helath Care Services among Civil Servants in Cross River State, Nigeria. Research on Humanities and Social Sciences. 2016; 6(13): 1-10.

Olugbenga-Bello AI, Adebimpe WO. Knowledge and Attitude of Civil Servants in Osun State, Southwestern Nigeria towards the National Health Insurance. Niger J ClinPract. 2010; 13: 421-6.

Oladimeji O, Alabi A, Adeniyi OO. Awareness, knowledge and Participation of the National Health Insurance Scheme among Helath Professionals in the Mthatha General Hospital, Eastern Cape, South Africa. Benthan Open. 2017; 10: 187-194.

Adibe M, Udeogaranya PO, Ubaka C. Awareness of National Health Insurance Scheme Activities among Employees of A Nigerian University. Int. J. Drug Dev. & Res. 2011; 3(4): 78-85.

Ibiwoye A, Adeleke IA. Does National Helath Insurance Promote Access to Quality Health Care? Evidence form Nigeria. 2008; 33(2): 219-233.

Adewole DA, Adebayo MA, Udeh EI, Shaahu NV, Dairo MD. Payment for Health Care and Perception of the National Health Insurance Scheme in a Rural Area in Southwest Nigeria, Am J Trop Med Hyg. 2015; 93(3): 648.

Azuogu BN, Madubueze UC, Alo C, Ogbonnaya L.U, Ajayi N.A. Level of Awareness and Factors Associated with Willingness to Participate in the National Health Insurance Scheme among Traders in Abakiliki Main Market. African Journal of Medical and Health Sciences. 2016; 15 (1): 18-23.

Oriakhi H.O and Onemolease E.A. Determinants of Rural Household’s Willingness to Participate in Community Based Health Insurance Scheme in Edo State, Nigeria. 2012; 6(2): 99

Edward RB, Emily H and Jessica C B. Health insurance coverage in the United States. 2017; 16.