Volume 5, Issue 1, March 2020, Page: 1-8
Critical Determinants of Demand for Services in the Nigeria Formal Sector Social Health Insurance Programme
Obi Ikechukwu Vincent, Department of Health Management and Administration, University of Nigeria Enugu Campus, Enugu, Nigeria
Okoronkwo Ijeoma Lewechi, Department of Health Management and Administration, University of Nigeria Enugu Campus, Enugu, Nigeria; Department of Nursing Services, University of Nigeria Enugu Campus, Enugu, Nigeria
Iloh Gabriel Uche Pascal, Department of Medicine and Health Sciences, Rhema University, Aba, Nigeria
Nwonwu Elizabeth Uzoamaka, Department of Community Medicine, Ebonyi state university, Abakaliki, Nigeria
Ogbu Kenneth, Anambra State Office, National Health Insurance Scheme, Awka, Nigeria
Yakubu Adole Agada-Amade, Department of Health Management and Administration, University of Nigeria Enugu Campus, Enugu, Nigeria
Received: Jan. 29, 2020;       Accepted: Feb. 18, 2020;       Published: Feb. 26, 2020
DOI: 10.11648/j.hep.20200501.11      View  506      Downloads  150
Introduction: Social health insurance programme was initiated in Nigeria with one of the aims being to improve the demand for quality healthcare services with a resultant reduction in catastrophic spending among the citizenry. Unfortunately, in this programme, healthcare providers who offer quality healthcare services still witness poor enrollee demand for services which has led to inability of the programme to achieve its set out objectives. Hence, the need to study the effects of selected critical determinants on demand for health insurance services and how much these determinants can collectively account for the demand for services in the programme. Design/Methodology: The study adopted a cross sectional design with a quantitative approach. The sample size was calculated using G - Power 3.1 software and the determined sample for the study was one thousand four hundred and thirty five (1435). Multistage sampling method was adopted. Data was analyzed using descriptive statistics and linear regression method with the aid of SPSS version 11. Result: The critical determinants of provider ownership, distance to healthcare provider, enrollee educational level have significant positive effect on the demand for health insurance services (<0.05) but the effect of enrollee income was positively insignificant (>0.05). Similarly, 75% of the changes in demand for health insurance services can be accounted for by the predictor variables in this study. Conclusion: The inability of the programme to address these selected critical determinants significantly will lead to out of pocket spending for healthcare services with a resultant catastrophic effect on families’ finances. Therefore, there is a need to take into account the effects of these determinants duringpolicy formulation, reviews and process implementation in the programme.
Demand for Health Insurance Services, Distance to Healthcare Provider, Provider Ownership, Enrollee Educational Level, Enrollee Income
To cite this article
Obi Ikechukwu Vincent, Okoronkwo Ijeoma Lewechi, Iloh Gabriel Uche Pascal, Nwonwu Elizabeth Uzoamaka, Ogbu Kenneth, Yakubu Adole Agada-Amade, Critical Determinants of Demand for Services in the Nigeria Formal Sector Social Health Insurance Programme, International Journal of Health Economics and Policy. Vol. 5, No. 1, 2020, pp. 1-8. doi: 10.11648/j.hep.20200501.11
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