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Critical Determinants of Demand for Services in the Nigeria Formal Sector Social Health Insurance Programme

Received: 29 January 2020     Accepted: 18 February 2020     Published: 26 February 2020
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Abstract

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.

Published in International Journal of Health Economics and Policy (Volume 5, Issue 1)
DOI 10.11648/j.hep.20200501.11
Page(s) 1-8
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Demand for Health Insurance Services, Distance to Healthcare Provider, Provider Ownership, Enrollee Educational Level, Enrollee Income

References
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Cite This Article
  • APA Style

    Obi Ikechukwu Vincent, Okoronkwo Ijeoma Lewechi, Iloh Gabriel Uche Pascal, Nwonwu Elizabeth Uzoamaka, Ogbu Kenneth, et al. (2020). Critical Determinants of Demand for Services in the Nigeria Formal Sector Social Health Insurance Programme. International Journal of Health Economics and Policy, 5(1), 1-8. https://doi.org/10.11648/j.hep.20200501.11

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    ACS Style

    Obi Ikechukwu Vincent; Okoronkwo Ijeoma Lewechi; Iloh Gabriel Uche Pascal; Nwonwu Elizabeth Uzoamaka; Ogbu Kenneth, et al. Critical Determinants of Demand for Services in the Nigeria Formal Sector Social Health Insurance Programme. Int. J. Health Econ. Policy 2020, 5(1), 1-8. doi: 10.11648/j.hep.20200501.11

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    AMA Style

    Obi Ikechukwu Vincent, Okoronkwo Ijeoma Lewechi, Iloh Gabriel Uche Pascal, Nwonwu Elizabeth Uzoamaka, Ogbu Kenneth, et al. Critical Determinants of Demand for Services in the Nigeria Formal Sector Social Health Insurance Programme. Int J Health Econ Policy. 2020;5(1):1-8. doi: 10.11648/j.hep.20200501.11

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  • @article{10.11648/j.hep.20200501.11,
      author = {Obi Ikechukwu Vincent and Okoronkwo Ijeoma Lewechi and Iloh Gabriel Uche Pascal and Nwonwu Elizabeth Uzoamaka and Ogbu Kenneth and Yakubu Adole Agada-Amade},
      title = {Critical Determinants of Demand for Services in the Nigeria Formal Sector Social Health Insurance Programme},
      journal = {International Journal of Health Economics and Policy},
      volume = {5},
      number = {1},
      pages = {1-8},
      doi = {10.11648/j.hep.20200501.11},
      url = {https://doi.org/10.11648/j.hep.20200501.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.hep.20200501.11},
      abstract = {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). 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.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Critical Determinants of Demand for Services in the Nigeria Formal Sector Social Health Insurance Programme
    AU  - Obi Ikechukwu Vincent
    AU  - Okoronkwo Ijeoma Lewechi
    AU  - Iloh Gabriel Uche Pascal
    AU  - Nwonwu Elizabeth Uzoamaka
    AU  - Ogbu Kenneth
    AU  - Yakubu Adole Agada-Amade
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    N1  - https://doi.org/10.11648/j.hep.20200501.11
    DO  - 10.11648/j.hep.20200501.11
    T2  - International Journal of Health Economics and Policy
    JF  - International Journal of Health Economics and Policy
    JO  - International Journal of Health Economics and Policy
    SP  - 1
    EP  - 8
    PB  - Science Publishing Group
    SN  - 2578-9309
    UR  - https://doi.org/10.11648/j.hep.20200501.11
    AB  - 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). 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.
    VL  - 5
    IS  - 1
    ER  - 

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Author Information
  • Department of Health Management and Administration, University of Nigeria Enugu Campus, Enugu, Nigeria

  • Department of Health Management and Administration, University of Nigeria Enugu Campus, Enugu, Nigeria

  • Department of Medicine and Health Sciences, Rhema University, Aba, Nigeria

  • Department of Community Medicine, Ebonyi state university, Abakaliki, Nigeria

  • Anambra State Office, National Health Insurance Scheme, Awka, Nigeria

  • Department of Health Management and Administration, University of Nigeria Enugu Campus, Enugu, Nigeria

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