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Community Based Health Insurance Scheme and State-Local Relations in Rural and Semi-Urban Areas of Lagos State, Nigeria

Author

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  • Afeez Kolawole Shittu

    (Obafemi Awolowo University)

  • Olugbemiga Samuel Afolabi

    (Obafemi Awolowo University)

Abstract

Challenges encountered in offsetting medical bills propelled the establishment of National Health Insurance Scheme (NHIS) to cater for the formal sector and Community Based Health Insurance Scheme (CBHIS) to focus on the poor and, vulnerable people were to ensure equal and affordable accessibility to healthcare services. After years of implementation, questions remained about the effectiveness and viability of the scheme. To answer the questions, the study, using primary and secondary data, examined the effectiveness of the scheme, its state-local collaboration implication, and the implementation strategies of CBHIS. The study found that non-involvement of local government officials negatively affected the scheme.

Suggested Citation

  • Afeez Kolawole Shittu & Olugbemiga Samuel Afolabi, 2021. "Community Based Health Insurance Scheme and State-Local Relations in Rural and Semi-Urban Areas of Lagos State, Nigeria," Public Organization Review, Springer, vol. 21(1), pages 19-31, March.
    • Handle: RePEc:kap:porgrv:v:21:y:2021:i:1:d:10.1007_s11115-020-00474-5
    DOI: 10.1007/s11115-020-00474-5
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    References listed on IDEAS

    as
    1. Tabor, Steven R., 2005. "Community-based health insurance and social protection policy," Social Protection Discussion Papers and Notes 32545, The World Bank.
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    Cited by:

    1. Monica Ewomazino Akokuwebe & Erhabor Sunday Idemudia, 2022. "A Comparative Cross-Sectional Study of the Prevalence and Determinants of Health Insurance Coverage in Nigeria and South Africa: A Multi-Country Analysis of Demographic Health Surveys," IJERPH, MDPI, vol. 19(3), pages 1-26, February.

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