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The Impact of National Health Insurance Scheme (NHIS) on Enhancement of Access to Health Services in Tertiary Institutions in Nigeria: A Study of Selected Federal Tertiary Institutions in Kogi State

Zekeri Sunday, Akowe Joel, and Anthony Edogbo

Abstract

This study investigates the impact of the National Health Insurance Scheme (NHIS) on staff's access to healthcare services in selected federal tertiary institutions in Kogi State, with a particular focus on the Federal University Lokoja. The research is anchored on the premise that improved access to affordable healthcare enhances staff productivity, welfare, and institutional efficiency. Despite the introduction of NHIS to facilitate Universal Health Coverage (UHC), challenges such as limited awareness, low enrolment, inadequate service delivery, poor funding, and dissatisfaction with healthcare providers persist within Nigerian tertiary institutions. The study adopts a descriptive survey design and employs both primary and secondary data. A multi-stage sampling technique was used to select 165 academic and non-academic staff, and structured questionnaires were the primary data collection instrument. The objectives of the study include assessing awareness and enrolment levels, evaluating access to quality healthcare services, identifying implementation challenges, and determining the overall impact of NHIS on service delivery. Preliminary findings suggest that while NHIS has moderately improved access to healthcare, gaps in awareness, service quality, and administrative efficiency hinder its effectiveness. The study concludes that strengthening NHIS implementation through improved sensitisation, transparent administration, adequate funding, and enhanced provider accountability is essential for achieving equitable and efficient healthcare delivery in tertiary institutions. Recommendations were proposed to policymakers, NHIS administrators, and institutional management to optimise healthcare access and staff welfare.

Keywords

National Health Insurance Scheme (NHIS)Access to healthcareTertiary

References

Abbah, M.T. (2014). Employee motivation: The key to effective organizational management in Nigeria. Journal of Business Management (IOSR-JBM), 16(4),1-8. Retrieved from www.iosrjournals.org Adebayo, A. (2014). Principles and Practice of Public Administration in Nigeria. Ibadan: Spectrum Books Ltd. Aderinto, A. (1981). Improving Labour Productivity in the Service Sector in Nigeria: The Challenge before Labour and Management. Perman, Journal of the Institute of Personnel Management of Nigeria. 8(2), 17-38. Adebayo, A. M., et al. (2021). The National Health Insurance Scheme in Nigeria: A Review of Its Implementation and Challenges. African Journal of Health Economics, 10(2), 102- Adebiyi O, Adeniji FO. (2020) Factors Affecting Utilization of the National Health Insurance Scheme by Federal Civil Servants in Rivers State, Nigeria. Inquiry. Available from: 10.1177/00469580211017626. 16. Adekanye AO, Adefemi SA, Okuku AG, Onawola KA, Adeleke IT, James JA. (2023) Patients’ satisfaction with the healthcare services at a north central Nigerian tertiary hospital. Nigerian Journal of Medicine. 22(3):218–24. PMID: 24180151. Adesina D. National health insurance scheme. Available from http://thenigeriandoctor.org/news.php?extend.850. Business Eye Administrator. 2022. Adewale B, Adeneye AK, Ezeugwu SM, Afocha EE, Musa AZ, Enwuru CA, (2016) et al. A Preliminary Study on Enrollees Perception and Experiences of National Health Insurance Scheme in Lagos State, Nigeria. International Journal of Tropical Disease & Health. 2016;18(3):1–14. Available from: 10.9734/IJTDH/ 2016/27309. Adewole DA, Osungbade KO. (2016) Nigeria National Health Insurance Scheme: A highly subsidized health care program for a privilege few. International Journal of Tropical Disease & Health.;19(3):1–11. Available from: 10.9734/IJTDH/ 2016/27680. Adibe MO, Udeogaranya PO, Ubaka CM. (2021) Awareness of National Health Insurance Scheme (NHIS) activities among employees of a Nigerian University. International Journal of Drug Development and Research. 3(4):78–85. Agba, M.S., Chukwurah, D.C.J., Achimugu, H. and Agboni, J.U., (2022) Reward System in the Nigerian Political and Public Sector: The Call for a Paradigm Shift in the 21st Century. International Journal of Learning and Development 2 (5), 77-85 Agu; A.O. (2018), Researcher. Methodology: a practical approach to project. Writing 2nd edition, Onitsha: Najute Nigeria Ltd. Agbo,A.H., and. Okoh,O. E.,(2022)Assessment of the Tertiary Institution Social Health Insurance Programme at the University of Jos Health Center * J. Biol. Chem. Research. 254 Vol. 31, No. 1: 253-259 Alubo, O. (2019). Staff Welfarism in Nigerian Tertiary Institutions: Challenges and Prospects. Nigerian Journal of Sociology, 13(2), 129-145. Anikpo, M.O. (1984), Identifying the need of the Nigeria workers in managing the work. Ibadan; Longman ltd Armstrogn, M. (2018), A handbook of human resources management practice 10th edition. London: Kogan Ayanleye OA. (2023) A legal appraisal of the national health insurance scheme in Nigeria. Journal of Public and Private Law, Faculty of Law, Nnamdi Azikwe University. Awka. 2023;5:106–17. Ayinde, M.C. (2014). Employee Welfare Programmmes: Panacea Towards Improving Labour Productivity in the Service Sector in Nigeria. Mediteranean Journal of Social Sciences, 15(10), 78-81. Braithwaite, S., et al. (2001). "Cost-Effectiveness Analysis in Health Care." Journal of Health Economics, 20(4), 969-980. Buchan, J., et al. (2011). "The Human Resources for Health Crisis: A Global Perspective." The Lancet, 378(9801), 331-344. Buchanan, J. (2022). Health Economics and Scarcity: Critical Evaluations. Retrieved from [https://www.jstor.org/stable/10.1086/710372] Chukwurah, D.C.J., Nnnamani, D.O. and Nduka, J.U. (2020), Goverance and Political Leader ship ?59 International journal of Academic pedagogical Research (IJAPR) 4(3), 38 - 46 Chuma J, Mulupi S, McIntyre D.(2023) Providing financial protection and funding health service benefits for the informal sector; evidence from sub-Saharan Africa. London, UK: KEMRI-Wellcome Trust Research Programme, University of Cape Town Cole, G.A (2022), Personal and human resource management 5th edition. London: book power Dehardt, R. B and Denhart. J.U (2019), Public administration. An action oriented Belmont: Thomson ward worth higher education. Danzon, P. M., Towse, A., & di Mattea, A. (2021). Measuring Value in the Health Care Sector. Oxford University Press. Deming, W. E. (1986). Out of the Crisis. Cambridge, MA: MIT Press. Doetinchem O, Carrin G, Evans D. 2020. Thinking of introducing social health insurance? World Health Report Background Paper, No 26. Joint Learning Network for universal health coverage. 2023. Nigeria: national health insurance system. Available from: http://www.jointlearningnetwork.org/content/national-healthinsurance-system. Drummond, M. F. (2005). "Economic Evaluation in Health Care: Moving from Theory to Practice." CMAJ, 173(2), 164-165. Drummond, M. F., et al. (2015). "Methods for the Economic Evaluation of Health Care Programmes." Oxford University Press. Drummond, M., Sculpher, M., Claxton, K., Stoddart, G., & Torrance, G. (2015). Methods for the Economic Evaluation of Health Care Programmes. Oxford University Press. Ejiofor, P.N. (1984), Managing the Nigerian worker. Ibadan: Longman Ltd. Fresh, R. and Seaward, P. (2017), The human organization, its management and value. New York: Mc Graw Hill Human Rights Watch (2015). “Rest in Pieces”: Police Torture and Deaths in Custody in Nigeria. Ele, N. G., Ogbonn, O.A., Uche, M.O. and Odili, U.V. (2017) Assessment of National Health Insurance Scheme’s (NHIS) Effectiveness in a Tertiary Teaching Hospital in Southeast Nigeria. JAMPS, 13(3): 1-9, 2017 Folland, S., Goodman, A. C., & Stano, M. (2015). "The Economics of Health and Health Care." Pearson Education. Folland, S., Goodman, A. C., & Stano, M. (2015). The Economics of Health and Health Care. Pearson. Retrieved from [https://www.pearson.com/store/p/the-economics-of-health- and-health-care/P100000502261] Grossman, M. (1972). The Demand for Health: A Theoretical and Empirical Investigation. Journal of Political Economy, 80(2), 223–255. Human Rights Watch Report, 17(11A). Human Rights Watch 2020.“„Everyone?s in on the Game”: Corruption and Human Rights Abuses by the Nigeria Police Force, August 17. Human Rights Watch Report. Iloh GU, Ofoedu JN, Njoku PU, Odu FU, Ifedigbo CV, Iwuamanam KD (2022). Evaluation of patients’ satisfaction with quality of care provided at the National Health Insurance Scheme clinic of a tertiary hospital in South- Eastern Nigeria. Nigerian Journal of Clinical Practice. ;15(4):469–74. PMID: 23238200. Available from: 10.4103/1119- 3077.104529 Ivancevieh, J.M., Lorenu S.J., and Crosby, P.B. (2024), Management quality and competitiveness. Ilionis: Irwin publishers. Kilby, P. (1989). Industrialization in an open economy-Nigeria:1945- Cambridge: University Press Katz, D., & Kahn, R. L. (1978). The Social Psychology of Organizations. New York: Wiley. Kreithner, R. (2022). Management (6th.ed). Boston: Houghton Mifflin Company. Kuhnert, A. (2021), Practical human resources management. Lagos: Madhouse press Marmot, M. (2020). The Health Gap: Doctor's Note. The Lancet. Retrieved from [https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30582- 0/fulltext] Mc Gregory D. (1060), The human side of enterprises. New York: Mc Graw hill. Mc Gregory D. (2000), The human side of enterprises. New York: Mc Graw hill. (Revised edition) Mc Shen, S.L. and Von Glinow, M. (2019). Organizational Behaviour, emerging realities for the workplace revolution, New York: Mc Graw Hill. Mullins D. (2014), Personnel, the management of people art

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