AVAILABILITY AND UTILIZATION OF NATIONAL HEALTH INSURANCE SCHEME (NHIS) AMONG URBAN AND RURAL CIVIL SERVANTS IN BAUCHI STATE

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dc.contributor.authorSUNDAY, OMACHI
dc.date.accessioned2014-02-27T12:23:30Z
dc.date.available2014-02-27T12:23:30Z
dc.date.issued2011-07
dc.descriptionA 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.en_US
dc.description.abstractThe 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.en_US
dc.identifier.urihttp://hdl.handle.net/123456789/2910
dc.language.isoenen_US
dc.subjectAVAILABILITY,en_US
dc.subjectUTILIZATION,en_US
dc.subject(NHIS),en_US
dc.subjectURBAN,en_US
dc.subjectRURAL,en_US
dc.subjectCIVIL SERVANTS,en_US
dc.subjectBAUCHI STATEen_US
dc.titleAVAILABILITY AND UTILIZATION OF NATIONAL HEALTH INSURANCE SCHEME (NHIS) AMONG URBAN AND RURAL CIVIL SERVANTS IN BAUCHI STATEen_US
dc.typeThesisen_US
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