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|Title: ||Participation in the National Health Insurance Scheme among Nurses in a Tertiary Teaching Hospital, North Central Nigeria|
|Authors: ||Lar, L.A.|
|Issue Date: ||2013|
|Publisher: ||Journal of Community Medicine and Primary Health Care|
|Series/Report no.: ||Vol. 24;No. 1&2; Pp 69-73|
|Abstract: ||Background: The National Health Insurance Scheme was established under Act 35 of 1999 by the Federal
Government of Nigeria and is aimed at providing easy access to health care for all Nigerians at an affordable cost
through various prepayment systems. It is totally committed to achieving universal coverage and access to adequate
and affordable health care aimed at improving the health status of Nigerians. Assessment of the programme after
four years of operation, revealed less than three percent coverage of the Nigerian population. Therefore this study
aimed at determining the level of its participation among nurses in a teaching hospital.
Methodology: This was a descriptive cross sectional, facility-based study involving four hundred nurses selected
using multistage sampling technique. Structured, self-administered questionnaires were used to collect data that was
analysed using Epi info version 3.5.1 statistical software.
Results: Majority: 268 (67%) of the respondents had good knowledge of the scheme, reflected by all of them
acknowledging to having heard of the scheme with 312 (78%) actively participating in the scheme. One hundred and
eighty eight (37.8%) of them had been participating for a duration of 0-2 years. A larger proportion; 216 (54%)
respondents were not satisfied with the scheme with 80 (37.0%) of them noting that the process was cumbersome.
There were statistically significant associations between sex (p<0.0001), cadre (p<0.0001) and participation in the
Conclusion: Though all the nurses had heard about the scheme, with a greater percentage having a good knowledge
of what it entails, there were negative findings regarding practice in terms of payments made and the cumbersome
nature of the scheme by respondents. There is therefore a need to address these observed gaps so as to improve
acceptability and accessibility of the scheme among them.|
|Appears in Collections:||Community Medicine|
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