IDEAS home Printed from https://ideas.repec.org/a/khe/scajes/v5y2019i3p97-104.html
   My bibliography  Save this article

The National Health Insurance Scheme (NHIS) in Nigeria: Has the Policy Achieved its Intended Objectives?

Author

Listed:
  • Sunday A. Adebisi
  • Joyce M.Odiachi
  • Ngozi A. Chikere

Abstract

Universal coverage of health is one of the goals of the United Nations and one which every African country, Nigeria inclusive strives to achieve. Referred to as NHIS, the study was motivated by a desire to review a policy with so much importance and set out to appraise the scheme’s objectives and assess the level of achievement across sectors including the Small and Medium Scale enterprises popularly known as the SMEs. Research design using the cross sectional approach was employed along with the use of convenience and random sampling, a sample of employees (150) from ten Lagos resident health maintenance organisations (HMOs) with National accreditation were used. Data was collected with the aid of a structured questionnaire and the study relied on regression analysis to derive results. The results showed that the relationship between objectives of the NHIS were significant to the predictor variables (FWA=facility well assessed, RPS=restricted to public sector, ASN=adequate subscription and HAW=high awareness), thus accepting the alternative hypothesis. However, the relationship with the SMEs was only marginal. The study, based on its findings, concludes the scheme is yet to fully achieve its intended objectives and therefore recommend that the scheme's management put effort to expand the coverage across all sectors through enlightenment, improved assess to facilities whilst also collaborating with relevant stakeholders to assuage the people’s needs with regards to good quality and affordable healthcare service.

Suggested Citation

  • Sunday A. Adebisi & Joyce M.Odiachi & Ngozi A. Chikere, 2019. "The National Health Insurance Scheme (NHIS) in Nigeria: Has the Policy Achieved its Intended Objectives?," Academic Journal of Economic Studies, Faculty of Finance, Banking and Accountancy Bucharest,"Dimitrie Cantemir" Christian University Bucharest, vol. 5(3), pages 97-104, September.
  • Handle: RePEc:khe:scajes:v:5:y:2019:i:3:p:97-104
    as

    Download full text from publisher

    File URL: http://www.ajes.ro/wp-content/uploads/AJES_article_1_274.pdf
    Download Restriction: no

    File URL: http://www.ajes.ro/wp-content/uploads/AJES_article_1_274.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Hubert Amu & Kwamena Sekyi Dickson & Akwasi Kumi-Kyereme & Eugene Kofuor Maafo Darteh, 2018. "Understanding variations in health insurance coverage in Ghana, Kenya, Nigeria, and Tanzania: Evidence from demographic and health surveys," PLOS ONE, Public Library of Science, vol. 13(8), pages 1-14, August.
    2. Priyanka Saksena & Justine Hsu & David B Evans, 2014. "Financial Risk Protection and Universal Health Coverage: Evidence and Measurement Challenges," PLOS Medicine, Public Library of Science, vol. 11(9), pages 1-11, September.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Afolabi, Funmilayo Juliana & De Beer, Paul & Haafkens, Joke A., 2020. "Orthodox or traditional medicine? Private or public healthcare? Exploring treatment pathways for occupational health problems among informal automobile artisans," Social Science & Medicine, Elsevier, vol. 265(C).

    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. Kwame Adjei-Mantey & Charles Yuji Horioka, 2023. "Determinants of health insurance enrollment and health expenditure in Ghana: an empirical analysis," Review of Economics of the Household, Springer, vol. 21(4), pages 1269-1288, December.
    2. Osei Afriyie, Doris & Masiye, Felix & Tediosi, Fabrizio & Fink, Günther, 2023. "Confidence in the health system and health insurance enrollment among the informal sector population in Lusaka, Zambia," Social Science & Medicine, Elsevier, vol. 321(C).
    3. Yerramilli, Pooja & Fernández, Óscar & Thomson, Sarah, 2018. "Financial protection in Europe: a systematic review of the literature and mapping of data availability," Health Policy, Elsevier, vol. 122(5), pages 493-508.
    4. Johnston, Bridget M. & Burke, Sara & Barry, Sarah & Normand, Charles & Ní Fhallúin, Maebh & Thomas, Steve, 2019. "Private health expenditure in Ireland: Assessing the affordability of private financing of health care," Health Policy, Elsevier, vol. 123(10), pages 963-969.
    5. Anupa Rijal & Tara Ballav Adhikari & Jahangir A M Khan & Gabriele Berg-Beckhoff, 2018. "The economic impact of non-communicable diseases among households in South Asia and their coping strategy: A systematic review," PLOS ONE, Public Library of Science, vol. 13(11), pages 1-23, November.
    6. Barnes, Kayleigh & Mukherji, Arnab & Mullen, Patrick & Sood, Neeraj, 2017. "Financial risk protection from social health insurance," Journal of Health Economics, Elsevier, vol. 55(C), pages 14-29.
    7. Felix Masiye & Oliver Kaonga & Joses M Kirigia, 2016. "Does User Fee Removal Policy Provide Financial Protection from Catastrophic Health Care Payments? Evidence from Zambia," PLOS ONE, Public Library of Science, vol. 11(1), pages 1-15, January.
    8. Vollmer, Frank & Zorrilla-Miras, Pedro & Baumert, Sophia & Luz, Ana Catarina & Woollen, Emily & Grundy, Isla & Artur, Luis & Ribeiro, Natasha & Mahamane, Mansour & Patenaude, Genevieve, 2017. "Charcoal income as a means to a valuable end: Scope and limitations of income from rural charcoal production to alleviate acute multidimensional poverty in Mabalane district, southern Mozambique," World Development Perspectives, Elsevier, vol. 7, pages 43-60.
    9. Armand Zimmerman & Samara Fox & Randi Griffin & Taylor Nelp & Erika Bárbara Abreu Fonseca Thomaz & Mark Mvungi & Blandina T Mmbaga & Francis Sakita & Charles J Gerardo & Joao Ricardo Nickenig Vissoci , 2020. "An analysis of emergency care delays experienced by traumatic brain injury patients presenting to a regional referral hospital in a low-income country," PLOS ONE, Public Library of Science, vol. 15(10), pages 1-16, October.
    10. Chen, Yi & Shi, Julie & Zhuang, Castiel Chen, 2019. "Income-dependent impacts of health insurance on medical expenditures: Theory and evidence from China," China Economic Review, Elsevier, vol. 53(C), pages 290-310.
    11. Purcel, Alexandra-Anca & Dragos, Cristian Mihai & Mare, Codruța & Dragos, Simona Laura, 2023. "Voluntary health insurance and out-of-pocket payments in European OECD countries," Economic Modelling, Elsevier, vol. 120(C).
    12. Scheil-Adlung, Xenia., 2015. "Long-term care protection for older persons : a review of coverage deficits in 46 countries," ILO Working Papers 994886493402676, International Labour Organization.
    13. Elham Ahmadnezhad & Adrianna Murphy & Rezvaneh Alvandi & Zhaleh Abdi, 2019. "The impact of health reform in Iran on catastrophic health expenditures: Equity and policy implications," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1833-1845, October.
    14. Grigorakis, Nikolaos & Floros, Christos & Tsangari, Haritini & Tsoukatos, Evangelos, 2018. "Macroeconomic and financing determinants of out of pocket payments in health care: Evidence from selected OECD countries," Journal of Policy Modeling, Elsevier, vol. 40(6), pages 1290-1312.
    15. Chantzaras, Athanasios E. & Yfantopoulos, John N., 2018. "Financial protection of households against health shocks in Greece during the economic crisis," Social Science & Medicine, Elsevier, vol. 211(C), pages 338-351.
    16. Hubert Amu & Abdul-Aziz Seidu & Ebenezer Agbaglo & Robert Kokou Dowou & Edward Kwabena Ameyaw & Bright Opoku Ahinkorah & Kwaku Kissah-Korsah, 2021. "Mixed effects analysis of factors associated with health insurance coverage among women in sub-Saharan Africa," PLOS ONE, Public Library of Science, vol. 16(3), pages 1-15, March.
    17. Koch, Kira Johanna & Cid Pedraza, Camilo & Schmid, Andreas, 2017. "Out-of-pocket expenditure and financial protection in the Chilean health care system—A systematic review," Health Policy, Elsevier, vol. 121(5), pages 481-494.
    18. Hubert Amu & Kwamena Sekyi Dickson & Kenneth Setorwu Adde & Kwaku Kissah-Korsah & Eugene Kofuor Maafo Darteh & Akwasi Kumi-Kyereme, 2022. "Prevalence and factors associated with health insurance coverage in urban sub-Saharan Africa: Multilevel analyses of demographic and health survey data," PLOS ONE, Public Library of Science, vol. 17(3), pages 1-14, March.
    19. Connolly, Sheelah & Wren, Maev-Ann, 2023. "Towards universal healthcare in Ireland – what can we learn from the literature?," Research Series, Economic and Social Research Institute (ESRI), number SUSTAT121.
    20. Roosa Lambin & Milla Nyyssölä, 2022. "Two decades of Tanzanian health policy: Examining policy developments and opportunities through a gender lens," WIDER Working Paper Series wp-2022-30, World Institute for Development Economic Research (UNU-WIDER).

    More about this item

    Keywords

    Universal health coverage; National health insurance scheme; Health management organisation; Small and Medium Enterprises (SMEs);
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

    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:khe:scajes:v:5:y:2019:i:3:p:97-104. 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: Adi Sava (email available below). General contact details of provider: https://edirc.repec.org/data/ffucdro.html .

    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.