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Does National Health Insurance Promote Access to Quality Health Care? Evidence from Nigeria

Author

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  • Ade Ibiwoye

    (Department of Actuarial Science and Insurance, University of Lagos, Lagos, Akoka, Yaba, Nigeria. E-mails: adeibiwoye@yahoo.com; adeleke22000@yahoo.ca)

  • Ismail A Adeleke

    (Department of Actuarial Science and Insurance, University of Lagos, Lagos, Akoka, Yaba, Nigeria. E-mails: adeibiwoye@yahoo.com; adeleke22000@yahoo.ca)

Abstract

Since the National Health Insurance Scheme (NHIS) was established in Nigeria, in 1999, not much study has been carried out to investigate whether access to quality health care has improved as a result of the introduction of the scheme. Using primary data from Lagos, this study applies logistic regression to evaluate participation in the NHIS among employees in the formal sector. The study found that although low awareness is a major factor affecting participation in the scheme, the NHIS has the potential to promote access to quality health care particularly among educated couples. In the formal sector participation may be improved if employers comply with the directive making the scheme compulsory for all employees, while in the informal sector it may be improved through an awareness campaign about the benefits of NHIS. The Geneva Papers (2008) 33, 219–233. doi:10.1057/gpp.2008.6

Suggested Citation

  • Ade Ibiwoye & Ismail A Adeleke, 2008. "Does National Health Insurance Promote Access to Quality Health Care? Evidence from Nigeria," The Geneva Papers on Risk and Insurance - Issues and Practice, Palgrave Macmillan;The Geneva Association, vol. 33(2), pages 219-233, April.
    • Handle: RePEc:pal:gpprii:v:33:y:2008:i:2:p:219-233
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    Cited by:

    1. Gladys N. Ebunoha & Maduka D. Ughasoro & Ifeoma C. Nwakoby & Obinna E. Onwujekwe, 2020. "Achieving financial risk protection through a national Social Health Insurance Programme in Nigeria: Perspectives of enrollees and healthcare providers," International Journal of Health Planning and Management, Wiley Blackwell, vol. 35(4), pages 859-866, July.
    2. Taiwo Obembe & Sharon Fonn, 2020. "Affording unavoidable emergency surgical care – The lived experiences and payment coping strategies of households in Ibadan metropolis, Southwestern Nigeria," PLOS ONE, Public Library of Science, vol. 15(5), pages 1-18, May.
    3. Emmanuel O. Nwosu & Anthony Orji, 2018. "A Comparative Analysis of Socioeconomic Indicators and Child Nutritional Status in Nigeria’s Geopolitical Zones," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 11(5), pages 1677-1698, October.

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