IDEAS home Printed from https://ideas.repec.org/a/mth/jpag88/v9y2019i3p239-251.html
   My bibliography  Save this article

Extent of Healthcare Provider Adherence to National Health Insurance Scheme (NHIS) Operational Guidelines: The Nigeria Experience

Author

Listed:
  • Ikechukwu Vincent Obi
  • Ijeoma Lewechi Okoronkwo
  • Emmanuel Chukwunonye Azuike
  • Kamtoochukwu Maduneme Obi
  • Ifunanya Rosemary Obi

Abstract

The main objective of the National health insurance programme is to improve the health status of the populace in Nigerians. The healthcare provider provision of services in the programme has become a source of worry to government and other stakeholders. This study therefore sets out to examine the extent of healthcare provider adherence to NHIS operational guidelines. Design/Methodology- This is a cross-sectional survey using a questionnaire method. Sample size was calculated (demand side) using G-power 3.1 software and (supply side) Cochran formular and the calculated sample sizes were 1435 and 46 respectively. Multistage sampling technique was applied. Variables were analyzed using descriptive and T- test statistics with SPSS version 25. Result- Out of the 1435 enrollees 80% disagreed that providers provide laboratory services. Also, 91% of them disagreed that providers provide prescribed drugs. In contrast, both the enrollee (67%) and providers (69%) agreed that providers are polite while providing services. The Test value was set at 75%. The calculated T value for operational guideline for enrollees was 70.81 (p<0.05) on the opinion of the enrollees on extent of provider provision of services. The calculated T-value for operational guideline for providers was 2.40 (p<0.05) on the opinion of providers on the provision of services. Conclusion- The evidence from this study have identified areas in the service provision to be addressed by policy makers and in contrast showed that both the enrollees and providers agreed overall that the healthcare providers adhere to NHIS operational guideline.

Suggested Citation

  • Ikechukwu Vincent Obi & Ijeoma Lewechi Okoronkwo & Emmanuel Chukwunonye Azuike & Kamtoochukwu Maduneme Obi & Ifunanya Rosemary Obi, 2019. "Extent of Healthcare Provider Adherence to National Health Insurance Scheme (NHIS) Operational Guidelines: The Nigeria Experience," Journal of Public Administration and Governance, Macrothink Institute, vol. 9(3), pages 239-251, December.
    • Handle: RePEc:mth:jpag88:v:9:y:2019:i:3:p:239-251
    as

    Download full text from publisher

    File URL: http://www.macrothink.org/journal/index.php/jpag/article/download/15279/12130
    Download Restriction: no
    File URL: http://www.macrothink.org/journal/index.php/jpag/article/view/15279
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Kindie Mitiku Kebede & Sharew Mulugeta Geberetsadik, 2019. "Household satisfaction with community-based health insurance scheme and associated factors in piloted Sheko district; Southwest Ethiopia," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-13, May.
    2. Sunday Stephen AJEMUNIGBOHUN & Sunday Adekunle ADULOJU & Ashim Babatunde SOGURO & Fatimo Titilope AZEEZ, 2017. "Demand For Health Insurance Among Individual Households In Lagos State: Effects Of Socio - Demograhic Variables," European Journal of Accounting, Finance & Business, "Stefan cel Mare" University of Suceava, Romania - Faculty of Economics and Public Administration, West University of Timisoara, Romania - Faculty of Economics and Business Administration, vol. 5(13), pages 14-29, June.
    3. Philip Dalinjong & Alexander Laar, 2012. "The national health insurance scheme: perceptions and experiences of health care providers and clients in two districts of Ghana," Health Economics Review, Springer, vol. 2(1), pages 1-13, December.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Nugroho Mardi Wibowo & Woro Utari & Yuyun Widiastuti & Abdul Muhith & Dyah Eko Setyowati, 2020. "Building Patient Trust in the Era of National Health Insurance: Consequences of Healthcare Service Quality, Satisfaction and Health Conditions," Review of European Studies, Canadian Center of Science and Education, vol. 12(3), pages 1-75, September.
    2. Robert Kaba Alhassan & Edward Nketiah-Amponsah & Daniel Kojo Arhinful, 2016. "A Review of the National Health Insurance Scheme in Ghana: What Are the Sustainability Threats and Prospects?," PLOS ONE, Public Library of Science, vol. 11(11), pages 1-16, November.
    3. Stephen K.O. Duku & Edward Nketiah-Amponsahd & Christine J. Fenenga & Daniel K. Arhinful & Wendy (W.) Janssens & Menno (M.) Pradhan, 2018. "The Effect of Community Engagement on Healthcare Utilization and Health Insurance Enrolment in Ghana Results from a Randomized Experiment," Tinbergen Institute Discussion Papers 18-017/V, Tinbergen Institute.
    4. Maia Sieverding & Cynthia Onyango & Lauren Suchman, 2018. "Private healthcare provider experiences with social health insurance schemes: Findings from a qualitative study in Ghana and Kenya," PLOS ONE, Public Library of Science, vol. 13(2), pages 1-22, February.
    5. Maxwell Ayindenaba Dalaba & Paul Welaga & Abraham Oduro & Laata Latif Danchaka & Chieko Matsubara, 2018. "Cost of malaria treatment and health seeking behaviour of children under-five years in the Upper West Region of Ghana," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-14, April.
    6. Edmund Wedam Kanmiki & Ayaga A Bawah & James F Phillips & John Koku Awoonor-Williams & S Patrick Kachur & Patrick O Asuming & Caesar Agula & James Akazili, 2019. "Out-of-pocket payment for primary healthcare in the era of national health insurance: Evidence from northern Ghana," PLOS ONE, Public Library of Science, vol. 14(8), pages 1-11, August.
    7. Robert Kaba Alhassan & Stephen Opoku Duku & Wendy Janssens & Edward Nketiah-Amponsah & Nicole Spieker & Paul van Ostenberg & Daniel Kojo Arhinful & Menno Pradhan & Tobias F Rinke de Wit, 2015. "Comparison of Perceived and Technical Healthcare Quality in Primary Health Facilities: Implications for a Sustainable National Health Insurance Scheme in Ghana," PLOS ONE, Public Library of Science, vol. 10(10), pages 1-19, October.
    8. Dawit Nageso & Kebede Tefera & Keneni Gutema, 2020. "Enrollment in community based health insurance program and the associated factors among households in Boricha district, Sidama Zone, Southern Ethiopia; a cross-sectional study," PLOS ONE, Public Library of Science, vol. 15(6), pages 1-14, June.
    9. Alagidede, Paul & Baah-Boateng, William & Nketiah-Amponsah, Edward, 2013. "The Ghanian economy: and Overview," MPRA Paper 109687, University Library of Munich, Germany.
    10. Igna Bonfrer & Lyn Breebaart & Ellen Van de Poel, 2016. "The Effects of Ghana’s National Health Insurance Scheme on Maternal and Infant Health Care Utilization," PLOS ONE, Public Library of Science, vol. 11(11), pages 1-13, November.
    11. P. M. Amegbor, 2017. "An Assessment of Care-Seeking Behavior in Asikuma-Odoben-Brakwa District: A Triple Pluralistic Health Sector Approach," SAGE Open, , vol. 7(2), pages 21582440177, June.
    12. Heath, Rachel, 2017. "Fertility at work: Children and women's labor market outcomes in urban Ghana," Journal of Development Economics, Elsevier, vol. 126(C), pages 190-214.
    13. Vincent Ekow Arkorful & Benjamin Kweku Lugu & Anastasia Hammond & Ibrahim Basiru & Frederick Appiah Afriyie & Bobita Mohajan, 2021. "Examining Quality, Value, Satisfaction and Trust Dimensions: An Empirical Lens to Understand Health Insurance Systems Actual Usage," Public Organization Review, Springer, vol. 21(3), pages 471-489, September.
    14. Grace Spencer & Ernestina Dankyi & Jill Thompson & Faye Acton & Stephen Owusu Kwankye, 2022. "The Health Experiences of Young Internal Migrants in Ghana—Identifying Priorities for Sustainable Health Promotion," IJERPH, MDPI, vol. 19(22), pages 1-14, November.
    15. Rabbani, Atonu & Mehareen, Jeenat & Chowdhury, Imran Ahmed & Sarker, Malabika, 2022. "Mandatory employer-sponsored health financing scheme for semiformal workers in Bangladesh: An experimental assessment," Social Science & Medicine, Elsevier, vol. 292(C).

    More about this item

    JEL classification:

    • R00 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - General - - - General
    • Z0 - Other Special Topics - - General

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:mth:jpag88:v:9:y:2019:i:3:p:239-251. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Technical Support Office (email available below). General contact details of provider: http://www.macrothink.org/journal/index.php/jpag .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.