Baseline Assessment Towards the Implementation of Formal Sector Health Insurance Scheme for Civil Servants in Ogun State of Nigeria
DOI:
https://doi.org/10.14738/aivp.105.12446Keywords:
demand for health insurance, moral hazard, civil servants, access theory, utility theoryAbstract
The healthcare financing mechanism of a nation generally determines the access of her people to the needed qualitative and affordable health care services without undergoing any financial hardship, This study is therefore set to determine among other things the preferred mode of service payment for healthcare, as a measure of demand for health insurance, among civil servants in Ogun State of Nigeria. The study adopted a “quantitative methodology” approach, with the use of pretested self-administered questionnaires. The mean age of the respondents was 37.85 years ± standard deviation of 7.51 years. In setting the health insurance premium, majority, 59.3% of the respondents preferred government use percentage of gross salary rather than estimated amount. They suggested around 2.18% of their gross salary as premium and an additional 30.26% of their gross salary as contribution to the premium from their employer. On an average, they were only willing to pay one thousand seven hundred and eighty naira and 32 kobo (N1,780:32) in a month to have themselves, their spouse and 4 dependants covered by an health insurance scheme. The study indicated the predictors of demand for health insurance as being married, having spent 10 years and more in civil service, and perceived importance (value) of health insurance. The latter implies that there is an association between value attached to health insurance and its demand such that those who felt health insurance was important were 6 times more likely to prefer it as method of service payment than those who did not see the importance of health insurance.
References
Carrin, Guy; Evans, David and Xu, ke (2007) “Designing health financing policy towards universal coverage”, Bulletin of the World Health Organization, 85 (9): 652
Eboh, Alfred; Akpata, Grace and Akintoye, Akinwole (2016) “Health Care Financing in Nigeria: An Assessment of the National Health Insurance Scheme (NHIS)”, European Journal of Business and Management, 8(27): 24-34
Olakunde, Babayemi (2012) “Public health care financing in Nigeria: Which way forward?”, Annals of Nigerian Medicine, 6(1): 4-10
Atun, Rita and Fitzpatrick, Susan (2005) “Advancing Economic Growth: Investing in Health”, A summary of the issues discussed at a Chatham House conference held on 22–23 June 2005 [Online], Available from: https://www.chathamhouse.org/sites/default/files/public/Research/International%20Economics/investhealth.pdf [Accessed on 17 May 2022]
Schneider, Pia (2004) “Why should the poor insure? Theories of decision-making inthe context of health insurance”, Health Policy and Planning, 19(6): 349–355, doi:10.1093/heapol/czh050
Shen, Yu-Chu and Long, Sharon (2006) “What’s Driving the Downward Trend in Employer-Sponsored Health Insurance?”, Health Services Research, 41(6): 2074-2096
Adinma, Echendu and Adinma, Brian-D (2010) “Community based healthcare financing: An untapped option to a more effective healthcare funding in Nigeria”, Nigerian Medical Journal, 51(3): 95-100
Ejughemre, Ufuoma (2014) “Accelerated reforms in healthcare financing: the need to scale up private sector participation in Nigeria”, International Journal of Health Policy and Management, 2(1): 13–19, doi: 10.15171/ijhpm.2014.04
Owoeye, Olumide and Olaiya, Samuel (2016) “Effect of Health Insurance on the Demand for Health Care in Oyo State, Nigeria”, Munich Personal RePEc Archive (MPRA), https://mpra.ub.uni-muenchen.de/87986/, MPRA Paper No. 87986, posted 22 Jul 2018 01:51 UTC
Odo, Emmanuel and Ukawuilulu, John (2019) “Evaluation of the Impacts of National Health Insurance Scheme on the Civil Servants’ Health Status in Abuja, Nigeria”, International Journal of Public Administration and Management Research, 5(2): 50-63
Chukwu, Uche and Ezenduka, Charles (2020) “Enrollees’ awareness and attitudes toward the provision and utilization of NHIS services at a federal healthcare facility in Niger State”, Nigeria”, African Journal of Health Economics, 9(1): 1-14
Omotowo, Ishola; Ezeoke, Uchechukwu; Obi, Ikechukwu; Uzochukwu, Benjamin; Agunwa, Chike; Eke, Christopher; Idoko, Chinedu and Umeobieri, Ancilla (2016) “Household Perceptions, Willingness to Pay, Benefit Package Preferences, Health System Readiness for National Health Insurance Scheme in Southern Nigeria”, Health, 8, 1630-1644.http://dx.doi.org/10.4236/health.2016.814159
Owumi, BE; Adeoti, AB and Taiwo, Patricia (2013) “National Health Insurance Scheme Dispensing Outreach and Maintenance of Health Status In Oyo State”, International Journal of Humanities and Social Science Invention, 2(5): 37-46
Ibiwoye, Ade and Adeleke, Ismail (2008) “Does National Health Insurance Promote Access to Quality Health Care? Evidence from Nigeria”, The Geneva Papers, 33: 219-233
Nyman, John (2006) “Evaluating Health Insurance: A Review of the Theoretical Foundations”, The Geneva Papers, 31: 720–738, DOI: 10.1057/palgrave.gpp.2510103 · Source: RePEc
Nyman, John (2001) “The Theory of the Demand for Health Insurance”, Research Gate
Maradze, Takudzwa; Nyoni, Thabani and Nyoni, Smartson (2020) “Determinants of Demand for Health Insurance: A Case Study of Public Service Employees in Zimbabwe”, International Journal of Advance Research and Innovative Ideas in Education, 6(6): 1290-
Michael, Godpower; Aliyu, Ibrahim and Grema, Bukar (2019) “Health Financing Mechanisms and Extension of Health Coverage to the Poor and Vulnerable Groups: What Options are Available in the Nigerian Context?”, Journal of Health Research and Reviews (in Developing Countries), 6(3): 126-133
Yeshiwas, Sahilu; Kiflie, Mengistu; Zeleke, Atinkut and Kebede, Mihiretu (2018) “Civil servants' demand for social health insurance in Northwest Ethiopia”, Archives of Public Health, 76(48), https://doi.org/10.1186/s13690-018-0297-x, pp 1-10
Kumar, Nanda; Cohen, Marc; Bishop, Christine and Wallac, Stanley (1995) “Understanding the Factors behind the Decision to Purchase Varying Coverage Amounts of Long-Term Care Insurance”, Health Services Research, 29(6): 653-678
Campbell, Princess; Owoka, Omowumi and Odugbemi, Tinuola (2016) “National Health Insurance Scheme: Are the artisans benefitting in Lagos state, Nigeria?”, Journal of Clinical Sciences, 13: 122-131`
Eyong, Abiodun; Agada, Peter; Asukwo, Eyo and Irene, Chuku (2016) “Awareness of National Health Insurance Scheme (NHIS) and Quality of Health Care Services among Civil Servants in Cross River State, Nigeria”, Research on Humanities and Social Sciences, 6(13): 1-10
Bamidele, JO and Adebimpe, WO (2013) “Awareness, Attitude and Willingness of Artisans in Osun State South-western Nigeria to Participate in Community Based Health Insurance”, Journal of Community Medicine and Primary Health Care, 24 (1&2) 1-11
Feldman, Roger (2007) “Commentary: What Is the Right Price in Discrete Choice Models of Health Plan Choice?” Health Services Research, 42(6); 2224-2229
Obembe, Oluwagbemiga; Abodunrin, Olugbemiga and Jegede, Oluwatosin (2017) “Health insurance enrollees’ satisfaction with health maintenance organizations and nonenrollees’ willingness to participate and pay for health insurance in Abuja, Nigeria”, International Journal of Community Medicine and Public Health, 4(11): 3976-3982
Tell, Eileen (2011) “Employer Long-Term Care Insurance Market Participation Rates: Implications for CLASS”, The Community Living Assistance Services and Supports (CLASS), Technical Assistance Brief Series, No. 14
Swamy, Namratha (2004) “The importance of employer sponsorship in the long-term care insurance market”, J Aging Soc Policy, 16(2): 67-84, doi: 10.1300/J031v16n02_05
Vistnes, Jessica; Zawacki, Alice; Simon, Kosali and Taylor, Amy (2012) “Declines in Employer-Sponsored Insurance between 2000 and 2008: Examining the Components of Coverage by Firm Size”, Health Services Research, 47(3): 919-938
Nikolova, Silviya and Stearns, Sally (2014) “The impact of CHIP premium increases on insurance outcomes among CHIP eligible children”, BMC Health Services Research, 14:101, http://www.biomedcentral.com/1472-6963/14/101, pp 1-6
Marquis, Susan; Buntin, Melinda; Escarce, Jose and Kapur, Kanika (2007) “The Role of Product Design in Consumers’ Choices in the Individual Insurance Market”, Health Services Research, 42(6): 2194-2223
Bhattacharya, Jay and Packalen, Mikko (2012) “The other ex ante moral hazard in health”, Journal of Health Economics, 31: 135–146
Lee, Jwo-Leun; Chi, Chunhuei; Mei, Lan; Kao, Yi-han and Tsai, Min-Chi (2015) “Understanding and misunderstanding moral hazard in health insurance”, Taiwan J Public Health, 34(6): 563-575
Grignon, Michel; Hurley, Jeremiah; Feeny, David; Guindon, Emmanuel and Hackett, Christina (2018) “Moral Hazard in Health Insurance”, Œconomia, 8(3): 367-405, http://journals.openedition.org/oeconomia/3470
Nickolas, Steven (2021) “Moral Hazard vs. Morale Hazard: What's the Difference?”, Investopedia, accessed at https://www.investopedia.com/ask/answers/032615/whatdifference-between-moral-hazard-and-morale-hazard.asp, 24 May 2022
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Copyright (c) 2022 Amos Oluwasayo Akinremi, Marcellina Oluwatomi Coker, Afolabi Oladimeji Dosunmu, Oluwabukola Moyo Adejumobi, Adedapo Olugbenga Adeniregun, Folarin Opeyemi Edun
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