EFFECT OF NATIONAL HEALTH INSURANCE PROGRAMME ON HEALTH CARE DELIVERY IN NASARAWA STATE, NIGERIA
Muhammed, Abdullahi, Aliegba, Becky and Ibrahim, Musa Abdulrahaman
Volume 3 Issue 3
Abstract
The objective of National Health Insurance Scheme is to provide affordability, qualitative and referral service to the enrollees. Due to some challenges such as inadequate facilitates and limited resources facing some of the primary and secondary health care providers, they hardly entertain certain health conditions and in some cases referral service are required. It is on these bases, the study examined the effects of National Health Insurance Programme on Health care services delivery in Nasarawa State. The study adopted survey research design. The primary data was obtained through the administration of questionnaires. A sample of 400 was taken the total enrollees in Nasarawa State using Taro Yamane statistical formula. Multiple regression analysis was used to test the hypotheses. The social contract theory propounded by Thomas Hobbes (1656) was adopted as theoretical framework. Finding from the study also revealed that, implementation of the National Health Insurance programme has led to affordable health care services among the enrollees in Nasarawa State. The programme has minimized out of pocket expenses in most primary health care service providers in Nasarawa State. Finding also revealed that, National Health Insurance programme has not improved the qualitative health care services to the enrollees. The study recommended that among others; National Health Insurance Scheme (NHIS) should endeavor to provide enough facilities and resources in order to sustain the affordable scorecard recorded so far and improve in health care service delivery to the enrollees in Nasarawa State. The study concluded that, Implementation National health insurance programme have positive impact on affordable and referral health care services but has little impact on the quality health service delivered to enrollees in Nasarawa State. Keywords: National Health, Insurance Programme, Healthcare, Delivery.
Download Paper