Knowledge And Perception Of The Fderal Civil Servants Towards Health Insurance Scheme

Knowledge And Perception Of The Fderal Civil Servants Towards Health Insurance Scheme

Abstract

National Health Insurance Scheme( NHIS) is a system of healthcare backing introduced by

Federal Government of Nigeria to help reduce the pitfalls and minimize the costs of

healthcare. Since its commencement, only the Formal Sector Social Health Insurance Programme

( FSSHIP) has exhaustively taken off. This study delved the knowledge and

perception of Civil Civil retainers in Abuja Municipal Area Council( AMAC), Federal Capital

home( FCT). A sample size of 383 Civil retainers were named. The instrument for data

collection was a experimenter – designed 30 item questionnaire. Data were analysed using

descriptive statistics similar as frequentness, probabilities, mean and standard divagation.

suppositions were tested using deducible statistics similar as pupil’s t- test and ki- forecourt.

Findings showed that maturity of the civil retainers(56.3) had fair knowledge of NHIS

programme. The civil retainers had a positive perception of the NHIS programme( Overall

Mean = 2.81). maturity of the repliers( 60) penetrated care under the scheme. Findings

from the study also showed that the civil retainers who employed the scheme had a better

perception of the programme( mean = 2.84) when compared to those who did n’t( P =

). Education was significantly associated with knowledge and positive perception of the

programme. There was no association between grade position and knowledge of NHIS

programme. In addition, their perception of the programme wasn’t dependent on their

gender. The study concluded that boosted crusade on the objects, benefits and

workings of the scheme should be assured. This should be eased by the nursers and use

of mass media in order to reach a vast maturity of the pool and enhance their

perception of the programme.

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Chapter One

Preface

Background to the Study

Health system are designed to ameliorate the standard of health care of the population.

Advanced backing and operation of health systems lead to social stability.

Population’s content is a clear index of the performance of the health system.

The policy of National Health Insurance Scheme( NHIS) aims at adding content

of the Nigerian population. Health insurance as a health care backing medium

has come a sought- after approach to the problem of backing healthcare each over

the. world. The current concern with backing, and the specific interest in health

insurance is frequently the result of resemblant trend; the recognition of introductory healthcare for all

citizens as a abecedarian mortal right on the one hand, and the difficulties faced by

governments in developing and maintaining coffers to give health care through

general taxation profit on the other( Mgbe & Kelvin, 2014). World Health

Organization( WHO) has been giving tremendous support and cooperation to nations

that pursue their citizen’s weal through health insurance. They further noted that,

nations inversely are channelizing large knob of their budget to the attainment of good

health for their people.

Health insurance can be distributed as social( or government) health insurance and

private health insurance. Where a system is financed by mandatory benefactions

commanded by law or levies and the system vittles as specified by legal status, it is

social( or government) health insurance plan. On the other hand, private health

insurance is generally financed on a group base but utmost plans also give for

individual programs( Adeoye, 2015).

Health Insurance, according to( Adeoye, 2015) is assuming the status of a global

miracle. It was first introduced in Germany in 1883 under General Von

Bismark’s old age and disability insurance scheme. Since also, health insurance has

continued to gain elevation in the other bucolic nations like France, United

Kingdom etc. Developing countries too have joined in beaming their health hunt

light on health insurance. Prominent among them are Costa- Rica, Brazil, Bangladesh,

China, India, Pakistan, Thailand, etc. In Africa it has been introduced in Tanzania,

Kenya, Ghana, South Africa, Zimbabwe etc( Agada- Amade, 2007).

In Nigeria, the rising cost of medical care, coupled with poor backing of the health

care sector by government, in addition to severe down turn in the Nigerian Frugality

in the 1980’s and 1990s redounded in the bottomless patronage of the orthodox medical

and other healthcare or health institutions( Afoloyan- Oloye, 2008). utmost of these

health institutions either down- sized or closed down fully and their health

guru’s brain- drained for greener pasturage. maturity of the people according to

Afoloyan- Oloye( 2008) resorted to patronizing indispensable health care interpreters,

similar as the herbalists and the channelers. Mortality from common conditions came

the order of the day. This redounded in government enforcing colorful intervention

designs which included the Bamako action, stoner- figure and medicine Revolving Fund.

After several panels and commissions, the Federal Government approved the

National Health Insurance Scheme( NHIS) in 1989 as a feasible means of health care

backing for the achievement of easy access to quality health care for the Nigerian

people( Adeoye, 2015). It was formally launched on October 15, 1997 and the decree

was inked into law in May 1999.

National Health Insurance Scheme( NHIS) is a body established under Act 35 of 1999

by the Federal Government of Nigeria to ameliorate the health of all Nigerians at an

affordable cost( Adeoye, 2015). NHIS according to Mgbe & Kevin( 2014), is a social

security system espoused by Nigerian Government to guarantee the provision of

demanded health services to persons on the payment of token donation to the

common pool, at regular intervals. In the environment of this study, NHIS is a system of

health care backing introduced by Federal Government of Nigeria to address the

problems of health care delivery which has been affected by challenges. It can be seen

as a typical illustration of Public Private Partnership( PPP) in health care delivery in

Nigeria. Its main thing is to enhance the health status of the citizens through provision

of fiscal threat protection and client satisfaction. The stopgap of the average

Nigerian to have a dependable and affordable healthcare delivery system has been

cheered with the take- off of the long awaited National Health Insurance Scheme

Mgbe & Kevin, 2014).