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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...

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Autores principales: Aregbeshola, Bolaji Samson, Khan, Samina Mohsin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kerman University of Medical Sciences 2018
Materias:
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).
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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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