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Evaluating the Impact of National Health Insurance Scheme on Health Care Consumers in Calabar Metropolis, Southern Nigeria

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  • Osuchukwu Nelson C.
  • Osonwa Kalu O.
  • Eko Jimmy E.
  • Uwanede C. C.
  • Abeshi, S. E.
  • Offiong Dominic A.

Abstract

This study was aimed at evaluating the impact of National Health Insurance Scheme (NHIS) on health care consumers in Calabar metropolis, southern Nigeria. A pre-tested, 43 itemed questionnaires were designed and administered to 200 respondents using the household survey and patient exit survey methods. The result of this study showed that respondents were predominantly males (58.0%), Christians (94.5%), married (56.0%), civil servants (39.5%), had tertiary level of education (60.5%) and aged 30-34 years (27.5%). A reasonable proportion of the respondents 89.0% were aware of the scheme but enrolment into the scheme was only 37%. Inadequate information on the scheme, deficient delivery of health care services and lack of trust on scheme management were significant barriers to enrolment into the scheme. The scheme has a positive impact on health seeking behavior, utilization of maternal health services and reducing out-of-pocket expenditure for health services. About 72% of the respondents expressed their satisfaction with the performance of the scheme, whereas those who were dissatisfied with the scheme¡¯s performance suggested it should be reformed. Wider coverage and increase awareness about the scheme will enhance equitable access to health care.

Suggested Citation

  • Osuchukwu Nelson C. & Osonwa Kalu O. & Eko Jimmy E. & Uwanede C. C. & Abeshi, S. E. & Offiong Dominic A., 2013. "Evaluating the Impact of National Health Insurance Scheme on Health Care Consumers in Calabar Metropolis, Southern Nigeria," International Journal of Learning and Development, Macrothink Institute, vol. 3(4), pages 30-45, August.
    • Handle: RePEc:mth:ijld88:v:3:y:2013:i:4:p:30-45
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    References listed on IDEAS

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    1. Joseph Mensah & Joseph R. Oppong & Christoph M. Schmidt, 2010. "Ghana's national health insurance scheme in the context of the health MDGs: an empirical evaluation using propensity score matching," Health Economics, John Wiley & Sons, Ltd., vol. 19(S1), pages 95-106, September.
    2. repec:asi:ijoass:2012:p:2175-2185 is not listed on IDEAS
    3. Criel, Bart & Waelkens, Maria Pia, 2003. "Declining subscriptions to the Maliando Mutual Health Organisation in Guinea-Conakry (West Africa): what is going wrong?," Social Science & Medicine, Elsevier, vol. 57(7), pages 1205-1219, October.
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    Cited by:

    1. Omoaregha Agbayayo Omoregha & Antigha Okon Bassey, 2018. "Socio-Economic Determinants of Healthcare Service Utilization among Rural Dwellers in Akpabuyo Lga, of Cross River State, Nigeria," Academic Journal of Interdisciplinary Studies, Richtmann Publishing Ltd, vol. 7, July.

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    More about this item

    JEL classification:

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

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