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Predictors of Enrolment in the National Health Insurance Scheme Among Women of Reproductive Age in Nigeria
Background: Despite the implementation of the National Health Insurance Scheme (NHIS) since 2005 in Nigeria, the level of health insurance coverage remains low. The study aims to examine the predictors of enrolment in the NHIS among women of reproductive age in Nigeria. Methods: Secondary data from...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Kerman University of Medical Sciences
2018
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326643/ https://www.ncbi.nlm.nih.gov/pubmed/30624875 http://dx.doi.org/10.15171/ijhpm.2018.68 |
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author | Aregbeshola, Bolaji Samson Khan, Samina Mohsin |
author_facet | Aregbeshola, Bolaji Samson Khan, Samina Mohsin |
author_sort | Aregbeshola, Bolaji Samson |
collection | PubMed |
description | Background: Despite the implementation of the National Health Insurance Scheme (NHIS) since 2005 in Nigeria, the level of health insurance coverage remains low. The study aims to examine the predictors of enrolment in the NHIS among women of reproductive age in Nigeria. Methods: Secondary data from the 2013 Nigeria Demographic and Health Survey (NDHS) were utilized to examine factors influencing enrolment in the NHIS among women of reproductive age (n=38 948) in Nigeria. Demographic and socio-economic characteristics of women were determined using univariate, bivariate and multivariate analyses. Data analysis was performed using STATA version 12 software. Results: We found that 97.9% of women were not covered by health insurance. Multivariate analysis indicated that factors such as age, education, geo-political zone, socio-economic status (SES), and employment status were significant predictors of enrolment in the NHIS among women of reproductive age. Conclusion: This study concludes that health insurance coverage among women of reproductive age in Nigeria is very low. Additionally, demographic and socio-economic factors were associated with enrolment in the NHIS among women. Therefore, policy-makers need to establish a tax-based health financing mechanism targeted at women who are young, uneducated, from poorest households, unemployed and working in the informal sector of the economy. Extending health insurance coverage to women from poor households and those who work in the informal sector through a tax-financed non-contributory health insurance scheme would accelerate progress towards universal health coverage (UHC). |
format | Online Article Text |
id | pubmed-6326643 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Kerman University of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-63266432019-01-10 Predictors of Enrolment in the National Health Insurance Scheme Among Women of Reproductive Age in Nigeria Aregbeshola, Bolaji Samson Khan, Samina Mohsin Int J Health Policy Manag Original Article Background: Despite the implementation of the National Health Insurance Scheme (NHIS) since 2005 in Nigeria, the level of health insurance coverage remains low. The study aims to examine the predictors of enrolment in the NHIS among women of reproductive age in Nigeria. Methods: Secondary data from the 2013 Nigeria Demographic and Health Survey (NDHS) were utilized to examine factors influencing enrolment in the NHIS among women of reproductive age (n=38 948) in Nigeria. Demographic and socio-economic characteristics of women were determined using univariate, bivariate and multivariate analyses. Data analysis was performed using STATA version 12 software. Results: We found that 97.9% of women were not covered by health insurance. Multivariate analysis indicated that factors such as age, education, geo-political zone, socio-economic status (SES), and employment status were significant predictors of enrolment in the NHIS among women of reproductive age. Conclusion: This study concludes that health insurance coverage among women of reproductive age in Nigeria is very low. Additionally, demographic and socio-economic factors were associated with enrolment in the NHIS among women. Therefore, policy-makers need to establish a tax-based health financing mechanism targeted at women who are young, uneducated, from poorest households, unemployed and working in the informal sector of the economy. Extending health insurance coverage to women from poor households and those who work in the informal sector through a tax-financed non-contributory health insurance scheme would accelerate progress towards universal health coverage (UHC). Kerman University of Medical Sciences 2018-08-06 /pmc/articles/PMC6326643/ /pubmed/30624875 http://dx.doi.org/10.15171/ijhpm.2018.68 Text en © 2018 The Author(s); Published by Kerman University of Medical Sciences This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Aregbeshola, Bolaji Samson Khan, Samina Mohsin Predictors of Enrolment in the National Health Insurance Scheme Among Women of Reproductive Age in Nigeria |
title | Predictors of Enrolment in the National Health Insurance Scheme Among Women of Reproductive Age in Nigeria |
title_full | Predictors of Enrolment in the National Health Insurance Scheme Among Women of Reproductive Age in Nigeria |
title_fullStr | Predictors of Enrolment in the National Health Insurance Scheme Among Women of Reproductive Age in Nigeria |
title_full_unstemmed | Predictors of Enrolment in the National Health Insurance Scheme Among Women of Reproductive Age in Nigeria |
title_short | Predictors of Enrolment in the National Health Insurance Scheme Among Women of Reproductive Age in Nigeria |
title_sort | predictors of enrolment in the national health insurance scheme among women of reproductive age in nigeria |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326643/ https://www.ncbi.nlm.nih.gov/pubmed/30624875 http://dx.doi.org/10.15171/ijhpm.2018.68 |
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