AVAILABILITY AND UTILIZATION OF NATIONAL HEALTH INSURANCE SCHEME (NHIS) AMONG URBAN AND RURAL CIVIL SERVANTS IN BAUCHI STATE
AVAILABILITY AND UTILIZATION OF NATIONAL HEALTH INSURANCE SCHEME (NHIS) AMONG URBAN AND RURAL CIVIL SERVANTS IN BAUCHI STATE
No Thumbnail Available
Date
2011-07
Authors
SUNDAY, OMACHI
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
The purpose of this study was to assess the availability and utilization of National
Health Insurance Scheme (NHIS) among urban and rural civil servants in Bauchi State. The
survey research method was used to study 488 subjects drawn from six Local Government
Areas in Bauchi State. The subjects were drawn through simple random sampling. A closeended
questionnaire was used to obtain responses from the subjects. Data collected for this
study were analyzed using descriptive statistics of frequency, percentage, mean and
standard deviation, and inferential statistics of t-test and Pearson product moment
correlation analysis. O.05 level of significance was used for all tests of significance. The
findings showed that Significant difference existed between rural and urban civil servants
in the availability and utilization of National Health Insurance Scheme services in Bauchi
State ,t (486)= 1.960 P ≤ 0.05. Utilization of National Health Insurance Scheme services is
significantly influenced by cultural/ religious belief among urban and rural civil servants in
Bauchi State, t (486)=1.960 P ≤ 0.05. Utilization of National Health Insurance Scheme
services among urban and rural civil servants in Bauchi State is significantly influenced by
access to the health care service, r (486)= 0.087 P ≤ 0.05. Based on the findings above, the
following recommendations were made: explicit consideration should be given to the need
for equal distribution of health care facilities in Bauchi State. If secondary and to some
extent primary health services are to be attracted and made functional in the rural
communities, essential infrastructural services such as roads, water and transport, should be
provided. Measures such as giving adequate remuneration for rural services and provision
of decent housing should be taken to expand the availability of professional health care
personnel in rural areas. The NHIS should undertake periodic redefining of policy and
plans of operation vis-à-vis people’s needs to enhance better utilization of the services
among the civil servants. The National Health Insurance Scheme needs to intensify its
effort in public mobilization and enlightenment on the activities and significance of the
scheme to help overcome/eliminate existing cultural/religious barriers in the use of the
scheme among the civil servants. Accessibility may be further improved by adding more
health care centres in the rural areas to bring the services within walking distance of the
population.
Description
A THESIS SUBMITTED TO THE POSTGRADUATE SCHOOL,
AHMADU BELLO UNIVERSITY, IN PARTIAL FULFILLMENT OF THE
REQUIREMENTS FOR THE AWARD OF MASTER OF EDUCATION DEGREE
IN HEALTH EDUCATION
DEPARTMENT OF PHYSICAL AND HEALTH EDUCATION
AHMADU BELLO UNIVERSITY, ZARIA.
Keywords
AVAILABILITY,, UTILIZATION,, (NHIS),, URBAN,, RURAL,, CIVIL SERVANTS,, BAUCHI STATE