Health effects of the National Health Insurance Scheme (NHIS): A study among federal civil servants in Bayelsa State, Nigeria
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 f...
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Edizioni FS
2019-07-01
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| Series: | Journal of Health and Social Sciences |
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| Online Access: | https://journalhss.com/wp-content/uploads/jhss42_265-276.pdf |
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| author | Endurance Uzobo Aboluwaji D Ayinmoro |
| author_facet | Endurance Uzobo Aboluwaji D Ayinmoro |
| author_sort | Endurance Uzobo |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-e88227df79ef4cca9292684f28c6e80a |
| institution | Kabale University |
| issn | 2499-5886 2499-2240 |
| language | English |
| publishDate | 2019-07-01 |
| publisher | Edizioni FS |
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| series | Journal of Health and Social Sciences |
| spelling | doaj-art-e88227df79ef4cca9292684f28c6e80a2025-01-18T18:20:29ZengEdizioni FSJournal of Health and Social Sciences2499-58862499-22402019-07-014226527610.19204/2019/hlth10Health effects of the National Health Insurance Scheme (NHIS): A study among federal civil servants in Bayelsa State, NigeriaEndurance UzoboAboluwaji D AyinmoroIntroduction: 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.https://journalhss.com/wp-content/uploads/jhss42_265-276.pdfBayelsa State; Federal Republic of Nigeria; health; health care system; national health policy; National Health Insurance Scheme (NHIS); quality of health care; satisfaction. |
| spellingShingle | Endurance Uzobo Aboluwaji D Ayinmoro Health effects of the National Health Insurance Scheme (NHIS): A study among federal civil servants in Bayelsa State, Nigeria Journal of Health and Social Sciences Bayelsa State; Federal Republic of Nigeria; health; health care system; national health policy; National Health Insurance Scheme (NHIS); quality of health care; satisfaction. |
| title | Health effects of the National Health Insurance Scheme (NHIS): A study among federal civil servants in Bayelsa State, Nigeria |
| title_full | Health effects of the National Health Insurance Scheme (NHIS): A study among federal civil servants in Bayelsa State, Nigeria |
| title_fullStr | Health effects of the National Health Insurance Scheme (NHIS): A study among federal civil servants in Bayelsa State, Nigeria |
| title_full_unstemmed | Health effects of the National Health Insurance Scheme (NHIS): A study among federal civil servants in Bayelsa State, Nigeria |
| title_short | Health effects of the National Health Insurance Scheme (NHIS): A study among federal civil servants in Bayelsa State, Nigeria |
| title_sort | health effects of the national health insurance scheme nhis a study among federal civil servants in bayelsa state nigeria |
| topic | Bayelsa State; Federal Republic of Nigeria; health; health care system; national health policy; National Health Insurance Scheme (NHIS); quality of health care; satisfaction. |
| url | https://journalhss.com/wp-content/uploads/jhss42_265-276.pdf |
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