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An Evaluation Of Health Insurance Scheme (Nhis) (A Case Study Of Oyo State)

Type Project Topics (docx)
Faculty Administration
Course Actuarial Science and Insurance
Price ₦3,500
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Key Features:
- No of Chapters: 5
- No of Pages: 61
- Charts
- Tables
Graphical Representations
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Abstract:
National Health Insurance scheme (NHIS) is a health care scheme established by the Federal Government of Nigeria in 2005 for better health delivery to its populace. The objective was to determine the proportion of Nigerians adults enrolled in the scheme, their satisfaction with the quality and availability of services within the scheme and the factors responsible for the dismal health indices in the country despite the scheme. The study also aimed at assessing the level of health care services delivered to the enrollees of the scheme as well as the level of satisfaction derived by the enrollees from healthcare services provided by the scheme, and to determine the extent to which National Health Insurance Scheme (NHIS) has promoted equal access to healthcare facilities in the country. The study was anchored on Samuel Stouffer’s Relative Deprivative Theory of 1949.The study adopted a descriptive survey design. Findings from the study revealed that the level of health care services to the beneficiaries of National Health Insurance Scheme in Oyo state is low. It also revealed that a greater number of the enrollees are not satisfied with the quality of healthcare services provided by the scheme. The study also found out that NHIS has not promoted equal access to healthcare facilities among enrollees in the country. However, dissatisfaction was more with the amenities, referral system, awareness creation, coverage, and negligence in the provision of services by the operators of the scheme, non-availability of required drugs, poor funding scheme, and unequal distribution of health care services to the beneficiaries among other factors. The implication is that the scheme is yet to achieve the basic purpose of its establishment of ensuring universal provision of health care services to majority of Nigerians and to reduce out-of-pocket expenditure for health care services for Nigerians. The study therefore recommended that since funds are drawn for the purpose of reducing out-of-pocket expenditure, the scheme should be overhauled in order to identify and curtail funds diversion to increase the basic provision of healthcare goods and services. The study also recommended that an effective consumer protection authority should be established, not just for NHIS consumers but for all healthcare consumers in Oyo state: to enable healthcare providers to know that they are actually dealing with irreplaceable lives and that the quality of healthcare should as well be born in mind to prevent the consumption of sub-standard goods and services through the scheme.
Table of Content:
Title page i
Certification ii
Dedication iii
Acknowledgement iv - v
Abstract vi
Table of Contents vii - x
CHAPTER ONE
1.1 Introduction/Background of the Study 1 - 5
1.2 Statement of the Problem 5 - 7
1.3 Research Questions 7
1.4 Objectives of the Study 7 - 8
1.5 Hypothesis of the Study 8
1.6 Scope of the Study 9
1.7 Justification of the Study 9
1.8 Operational Definition of Terms 9 - 10

CHAPTER TWO
1.0 Literature Review 11
2.1.0 Conceptual Review 11
2.1.1 Concept of National Health Insurance Scheme (NHIS) 11 - 12
2.1.2 Concept of Health Insurance 12 -13
2.1.3 Evaluation of the NHIS 14 - 15
2.2 Review of Empirical Literature 15 - 16
2.3 Theoretical Review 16
2.3.1 Relevant Deprivative Theory 16 - 17
2.3.2 Political Economy of Health 18 - 19
2.3.3 Structural/Functionalist Theory 19 - 22
2.4 Conceptional framework 22 - 24





CHAPTER THREE
3.0 Research Methodology 25
3.1 Research Design 25
3.2 Area of Study 25 - 26
3.3 Population of Sampling Unit 26
3.4 Instrumentality 26
3.5 Validity and Reliability of Instrument 26
3.6 Data analysis Techniques 27
CHAPTER FOUR
4.0 Data Analysis and Interpretation 28
4.1 Introduction 28
4.2 Presentation and analysis of Data 29 - 35
4.3 Research Hypothesis 35 - 46
CHAPTER FIVE
5.0 Summary, Conclusion and Recommendation 47
5.1 Summary of Findings 47
5.2 Conclusion 47 - 48
5.3 Recommendations 48 - 49
References 50-52
Introduction:
The rising cost of health care services as well as the inability of the government health facilities to cope with the people’s demand necessitated the establishment of National Health Insurance Scheme (NHIS). The start of the NHIS dates back to 1962 when the need for health insurance in the provision of health center to Nigerians was first recognized (Akande and Bello, 2002), Katibi and Akande, 2003. It was fully approved by the Federal Government in 1997, signed into law in 1999 and launched officially on the 6th June 2005. The Scheme is designed to provide comprehensive health care delivery at affordable costs, covering employees of the formal sector, self-employed, as well as rural communities, the poor and the vulnerable groups.
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