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The Evaluation of the Effect of National Health Insurance Scheme in Enhancing Health Care Delivery

The Evaluation of the Effect of National Health Insurance Scheme in Enhancing Health Care Delivery

Project / Seminar Material
Reference ID: PS-8170-TM

DEDICATION

This research material titled “The Evaluation of the Effect of National Health Insurance Scheme in Enhancing Health Care Delivery” is dedicated to God for his enabling grace, and to all computer enthusiasts who contributed to make life a pleasant experience during my research documentation.

ACKNOWLEDGEMENT

I extend my sincere gratitude to all those who contributed to the completion of this project. Special thanks to my Supervisor (Name of your Supervisor), the Head of Department (Name of your HOD), the Lecturers in the department of Insurance, Book Authors and Profound Scholars of existing or related project material on “The Evaluation of the Effect of National Health Insurance Scheme in Enhancing Health Care Delivery” for their invaluable guidance, support, and expertise throughout the journey.

I am also grateful to your study area (mention any funding organizations, if applicable) for their financial assistance. This research would not have been possible without the encouragement and assistance of some stakeholders (mention any mentors, teachers, or colleagues). Additionally, I would like to acknowledge the understanding and patience of my family and friends during this endeavor. Your unwavering support has been a constant source of motivation. Thank you all for being part of this meaningful endeavor.


The Evaluation of the Effect of National Health Insurance Scheme in Enhancing Health Care Delivery

TABLE OF CONTENTS

PRELIMINARY PAGES


CHAPTER ONE

  • Introduction
  • 1.1 Background of the study 1
  • 1.2 Statement of the problem 4
  • 1.3 Objective of the study 4
  • 1.4 Research questions 5
  • 1.5 Significance of the study 6
  • 1.6 Scope and limitation of study 7
  • 1.7 Definition of terms 8
  • Reference 12

CHAPTER TWO

  • 2.1 Review Of Related Literature
  • 2.2 Historical development of national health insurance scheme 13
  • 2.3 The concept of national health insurance scheme in Nigeria 16
  • 2.4 Objectives of national health insurance scheme 18
  • 2.5 Benefits of national health Insurance scheme 20
  • 2.6 Types of health insurance scheme 23
  • 2.7 How the scheme operates in Nigeria 25
  • 2.8 Strategies/implementation action to enhance National health insurance scheme in Nigeria 29
  • 2.9 Guideline for effective NHIS in Nigeria 31
  • 2.10 problems of national health insurance scheme in Nigeria 36
  • 2.11 challenges facing effective marketing of NHIS 39
  • Reference 41

CHAPTER THREE

  • Research Design And Methodology
  • 3.1 An Overview 42
  • 3.2 Sources of Data 42
  • 3.2.1 Primary Source 43
  • 3.2.2 Secondary Source 43
  • 3.3 population of the study 44
  • 3.4 sample size and instrument used in determination of the sample size 45
  • 3.6 Validity of the Instrument Used 47
  • 3.7 Reliability of the Study 47

CHAPTER FOUR

  • 4.1 Summary of findings and discussion 48
  • 4.2 Discussions 49

CHAPTER FIVE

  • Conclusion And Recommendation
  • 5.1 Conclusion 50
  • 5.2 Recommendations 51
  • 5.3 Suggestion for further research 53
  • BIBLIOGRAPHY 54
  • APPENDIX I 55
  • APPENDIX ii 56

ABSTRACT

The project on the topic evaluation of the effect of natural health insurance scheme in enhancing health care delivery in Enugu metropolis was discussed chapter by chapters. First in the introduction was attempt of adopting a health insurance system in Enugu and also to look into starting a health insurance system in Nigeria. Which the future benefit is bright. The statement of the problem were looked into the failure to understand the significant contribution of effective and efficient national health insurance scheme in Enugu.

Further, some materials previously written on this topic were reviewed to come up with recent information concerning this project like in chapter four the researcher enumerated the following findings as concerned the work and went ahead to discuss those findings. Finally, the project work ended with conclusion and recommendation, where it was recommended that the percentage of the effect and efficient of national health care insurance scheme should increase to attract more good health.


The Evaluation of the Effect of National Health Insurance Scheme in Enhancing Health Care Delivery

CHAPTER ONE


Introduction


1.8 Background Of The Study

Health insurance is a social security system that guarantees the provision of needed health services to persons on the payment of taken contributions at regular intervals. The first attempt at adopting a health insurance system, Nigeria started in 1962 during the first republic. The federal government invited Dr. Halevi through the international labour organization (120) to look into starting a health insurance system in Lagos. Then minister for health Dr. Majekodunmi also presented the first bill to the parliament. When a committee was commissioned to study the national insurance (Oji, 2003).

The health population and indeed work force are indisputable tools for rapid socio-economic and sustainable development the world over. Despite thus indisputable fact, in Nigeria like most Africa countries, the provision of quality accessible and affordable health care remark a serious problem (WHO, 2007, Oba, 2008), thus is because the health sector is permeably face with cross shortage of personnel, inadequate and outdated medical equipment policy inconsistence and corruption.

Other factor that impede quality health care delivery IN Enugu include inability of the consume to pay for health services gender bias due to religious or cultural beliefs and inequality in the distribution of health care facilities between urban and rural areas. In 2007 for instance, world health organization (WHO) report on health care delivery ranked Nigeria 187 out of 191 countries than in 2005 only 48 and 35 percent of the children within the age of zero to one year old were fully immunized against tuberculosis and measles respectively between 1998 and 2005, 28 percent of the children with in the ages of 5 years who suffered from diarrhea received and equate treatment.

A social health insurance scheme involves contribution base on means and utilization based on need. A health insurance scheme has been define as an arrangement in which contribution are made by or behalf of employees or individual (members) to purchasing institution (a fund) which is responsible for purchasing coursed services from providers or behalf of the members of the scheme (Kutzin) 1997. It is the opinion of Nigeria government that the NHIS will probably provide effective health care services and help to improve accessibility to health care services and help to improve accessibility to health care services (Ibwaye 2007). But the assessment of the programme after four years of operation reveals less than 3% coverage (Ikpong: 2007), and these was as a result of poor implement of the scheme in Nigeria. This research will evaluate the effect of national health insurance in enhancing health care delivery in Enugu.


1.9 Statement Of The Problem

The following are problems that prompted the research of this project work:

  1. Failure to understand the significant contribution of effective and efficient national insurance scheme in Enugu.
  2. Failure on the part of the Nigeria government to enhance easy accessibility of national health insurance scheme.
  3. Poor effective administration and management of the activities and operation of the national health insurance scheme in Enugu.
  4. Unawareness of the existence, roles, important benefits and workability of national health insurance scheme.

1.10 Objective Of The Study

The following are the objectives of the research work:

  1. To find out the significant contributions of effective and efficient national insurance scheme in Nigeria.
  2. To find out whether the government enhance easy accessibility of the national insurance in Enugu.
  3. To examine whether there is any awareness of the existence, roles, important benefits and workability of the business activities of national insurance scheme in Enugu.
  4. To find out the problems facing effective and efficient administration and management of national insurance scheme in Enugu.

1.11 Research Questions

The research question of thus research work include the following:

  1. Is there any significant contribution of effective and efficient national health insurance in Enugu?
  2. Are there any problem of effective and efficient administration and management of the national health insurance scheme in Nigeria?
  3. Does Nigeria government enhancing easy accessibility to national health insurance role, important benefits and workability of the national health insurance sc

CHAPTER TWO

2.0 Literature Review

2.1 Introduction

This chapter focuses on the review of related literature. A literature review includes the current knowledge as well as theoretical and methodological contributions to a particular topic. It documents the state of the art with respect to the topic you are writing. It surveys the literature in the topic selected. In this research work the literature review includes the …

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