Strategies to Improve the Supply of Services in the Nigerian Social Health Insurance Programme: Healthcare Provider Perspective

Obi Ikechukwu Vincent; Okoronkwo Ijeoma Lewechi Okoronkwo Ijeoma Lewechi; Adi Jesse Ashumate; Iloh Gabriel Uche Paschal; Yakubu Adole Agada-Amade; Ikwudinma Augustine Obiora

doi:doi:10.11648/j.jppa.20190304.14

Strategies to Improve the Supply of Services in the Nigerian Social Health Insurance Programme: Healthcare Provider Perspective

Obi Ikechukwu Vincent, Okoronkwo Ijeoma Lewechi Okoronkwo Ijeoma Lewechi, Adi Jesse Ashumate, Iloh Gabriel Uche Paschal, Yakubu Adole Agada-Amade, Ikwudinma Augustine Obiora

Published in Journal of Public Policy and Administration (Volume 3, Issue 4)

Received: 21 November 2019 Accepted: 13 December 2019 Published: 24 December 2019

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Abstract

Introduction: The Nigerian government has introduced various forms of health insurance programme as a means of supplying quality healthcare services to its citizens all in attempt to attain the universal health coverage. Unfortunately, these various forms of Social Health Insurance Programme (SHIP) have witnessed inefficiencies in the supply of healthcare services and this is evidenced by observed adverse selection and supplier induced demands which are major causes of market failure in health insurance industry. Therefore, there is a need to deduce unique strategies to improve supply of health insurance so as to reduce the barest minimum the incidence of market failure which has impacted negatively on the health insurance industry. Methods: The study adopted qualitative approach by using in-depth interviews (IDIs) method. Nine (9) key informants were purposely sampled from three (3) purposively selected hospitals, one from each categorized type of facility. Content analysis was adopted and further analysis was achieved with the aid of Nvivo 11 software, which coded and categorized nodes into themes. Results: The interviewees relayed their experiences in the programme which includes provider non-adherence to accreditation pattern, poor reimbursement and tariff structure, fluctuations in prices of input, inadequate funding of the programme and low number of enrollees registered in private facilities and consequently proffered strategies on how to eliminate adverse selection and supplier induced demand with a resultant improvement in supply of health insurance services. Conclusions: Evidence from this qualitative study have shown various strategies if implemented will reduce the incidence of adverse selection and supplier induced demand which are mostly implicated as common causes of market failures.

Published in	Journal of Public Policy and Administration (Volume 3, Issue 4)
DOI	10.11648/j.jppa.20190304.14
Page(s)	98-105
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Supply of Health Insurance Services, Social Health Insurance Programme, Market Failure, Adverse Selection, Supplier Induced Demand

References

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APA Style

Obi Ikechukwu Vincent, Okoronkwo Ijeoma Lewechi Okoronkwo Ijeoma Lewechi, Adi Jesse Ashumate, Iloh Gabriel Uche Paschal, Yakubu Adole Agada-Amade, et al. (2019). Strategies to Improve the Supply of Services in the Nigerian Social Health Insurance Programme: Healthcare Provider Perspective. Journal of Public Policy and Administration, 3(4), 98-105. https://doi.org/10.11648/j.jppa.20190304.14

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ACS Style

Obi Ikechukwu Vincent; Okoronkwo Ijeoma Lewechi Okoronkwo Ijeoma Lewechi; Adi Jesse Ashumate; Iloh Gabriel Uche Paschal; Yakubu Adole Agada-Amade, et al. Strategies to Improve the Supply of Services in the Nigerian Social Health Insurance Programme: Healthcare Provider Perspective. J. Public Policy Adm. 2019, 3(4), 98-105. doi: 10.11648/j.jppa.20190304.14

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AMA Style

Obi Ikechukwu Vincent, Okoronkwo Ijeoma Lewechi Okoronkwo Ijeoma Lewechi, Adi Jesse Ashumate, Iloh Gabriel Uche Paschal, Yakubu Adole Agada-Amade, et al. Strategies to Improve the Supply of Services in the Nigerian Social Health Insurance Programme: Healthcare Provider Perspective. J Public Policy Adm. 2019;3(4):98-105. doi: 10.11648/j.jppa.20190304.14

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@article{10.11648/j.jppa.20190304.14,
  author = {Obi Ikechukwu Vincent and Okoronkwo Ijeoma Lewechi Okoronkwo Ijeoma Lewechi and Adi Jesse Ashumate and Iloh Gabriel Uche Paschal and Yakubu Adole Agada-Amade and Ikwudinma Augustine Obiora},
  title = {Strategies to Improve the Supply of Services in the Nigerian Social Health Insurance Programme: Healthcare Provider Perspective},
  journal = {Journal of Public Policy and Administration},
  volume = {3},
  number = {4},
  pages = {98-105},
  doi = {10.11648/j.jppa.20190304.14},
  url = {https://doi.org/10.11648/j.jppa.20190304.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jppa.20190304.14},
  abstract = {Introduction: The Nigerian government has introduced various forms of health insurance programme as a means of supplying quality healthcare services to its citizens all in attempt to attain the universal health coverage. Unfortunately, these various forms of Social Health Insurance Programme (SHIP) have witnessed inefficiencies in the supply of healthcare services and this is evidenced by observed adverse selection and supplier induced demands which are major causes of market failure in health insurance industry. Therefore, there is a need to deduce unique strategies to improve supply of health insurance so as to reduce the barest minimum the incidence of market failure which has impacted negatively on the health insurance industry. Methods: The study adopted qualitative approach by using in-depth interviews (IDIs) method. Nine (9) key informants were purposely sampled from three (3) purposively selected hospitals, one from each categorized type of facility. Content analysis was adopted and further analysis was achieved with the aid of Nvivo 11 software, which coded and categorized nodes into themes. Results: The interviewees relayed their experiences in the programme which includes provider non-adherence to accreditation pattern, poor reimbursement and tariff structure, fluctuations in prices of input, inadequate funding of the programme and low number of enrollees registered in private facilities and consequently proffered strategies on how to eliminate adverse selection and supplier induced demand with a resultant improvement in supply of health insurance services. Conclusions: Evidence from this qualitative study have shown various strategies if implemented will reduce the incidence of adverse selection and supplier induced demand which are mostly implicated as common causes of market failures.},
 year = {2019}
}

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TY  - JOUR
T1  - Strategies to Improve the Supply of Services in the Nigerian Social Health Insurance Programme: Healthcare Provider Perspective
AU  - Obi Ikechukwu Vincent
AU  - Okoronkwo Ijeoma Lewechi Okoronkwo Ijeoma Lewechi
AU  - Adi Jesse Ashumate
AU  - Iloh Gabriel Uche Paschal
AU  - Yakubu Adole Agada-Amade
AU  - Ikwudinma Augustine Obiora
Y1  - 2019/12/24
PY  - 2019
N1  - https://doi.org/10.11648/j.jppa.20190304.14
DO  - 10.11648/j.jppa.20190304.14
T2  - Journal of Public Policy and Administration
JF  - Journal of Public Policy and Administration
JO  - Journal of Public Policy and Administration
SP  - 98
EP  - 105
PB  - Science Publishing Group
SN  - 2640-2696
UR  - https://doi.org/10.11648/j.jppa.20190304.14
AB  - Introduction: The Nigerian government has introduced various forms of health insurance programme as a means of supplying quality healthcare services to its citizens all in attempt to attain the universal health coverage. Unfortunately, these various forms of Social Health Insurance Programme (SHIP) have witnessed inefficiencies in the supply of healthcare services and this is evidenced by observed adverse selection and supplier induced demands which are major causes of market failure in health insurance industry. Therefore, there is a need to deduce unique strategies to improve supply of health insurance so as to reduce the barest minimum the incidence of market failure which has impacted negatively on the health insurance industry. Methods: The study adopted qualitative approach by using in-depth interviews (IDIs) method. Nine (9) key informants were purposely sampled from three (3) purposively selected hospitals, one from each categorized type of facility. Content analysis was adopted and further analysis was achieved with the aid of Nvivo 11 software, which coded and categorized nodes into themes. Results: The interviewees relayed their experiences in the programme which includes provider non-adherence to accreditation pattern, poor reimbursement and tariff structure, fluctuations in prices of input, inadequate funding of the programme and low number of enrollees registered in private facilities and consequently proffered strategies on how to eliminate adverse selection and supplier induced demand with a resultant improvement in supply of health insurance services. Conclusions: Evidence from this qualitative study have shown various strategies if implemented will reduce the incidence of adverse selection and supplier induced demand which are mostly implicated as common causes of market failures.
VL  - 3
IS  - 4
ER  -

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Author Information

Obi Ikechukwu Vincent

Department of Health Management and Administration, University of Nigeria, Enugu, Nigeria
Okoronkwo Ijeoma Lewechi Okoronkwo Ijeoma Lewechi

Department of Health Management and Administration, University of Nigeria, Enugu, Nigeria
Adi Jesse Ashumate

Department of Health Services, Federal University Wukari, Jalingo, Nigeria
Iloh Gabriel Uche Paschal

Department of Family Medicine, Federal Medical Centre, Umuahia, Nigeria
Yakubu Adole Agada-Amade

Department of Health Management and Administration, University of Nigeria, Enugu, Nigeria
Ikwudinma Augustine Obiora

Department of Family Medicine, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria

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APA Style

Obi Ikechukwu Vincent, Okoronkwo Ijeoma Lewechi Okoronkwo Ijeoma Lewechi, Adi Jesse Ashumate, Iloh Gabriel Uche Paschal, Yakubu Adole Agada-Amade, et al. (2019). Strategies to Improve the Supply of Services in the Nigerian Social Health Insurance Programme: Healthcare Provider Perspective. Journal of Public Policy and Administration, 3(4), 98-105. https://doi.org/10.11648/j.jppa.20190304.14

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ACS Style

Obi Ikechukwu Vincent; Okoronkwo Ijeoma Lewechi Okoronkwo Ijeoma Lewechi; Adi Jesse Ashumate; Iloh Gabriel Uche Paschal; Yakubu Adole Agada-Amade, et al. Strategies to Improve the Supply of Services in the Nigerian Social Health Insurance Programme: Healthcare Provider Perspective. J. Public Policy Adm. 2019, 3(4), 98-105. doi: 10.11648/j.jppa.20190304.14

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AMA Style

Obi Ikechukwu Vincent, Okoronkwo Ijeoma Lewechi Okoronkwo Ijeoma Lewechi, Adi Jesse Ashumate, Iloh Gabriel Uche Paschal, Yakubu Adole Agada-Amade, et al. Strategies to Improve the Supply of Services in the Nigerian Social Health Insurance Programme: Healthcare Provider Perspective. J Public Policy Adm. 2019;3(4):98-105. doi: 10.11648/j.jppa.20190304.14

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@article{10.11648/j.jppa.20190304.14,
  author = {Obi Ikechukwu Vincent and Okoronkwo Ijeoma Lewechi Okoronkwo Ijeoma Lewechi and Adi Jesse Ashumate and Iloh Gabriel Uche Paschal and Yakubu Adole Agada-Amade and Ikwudinma Augustine Obiora},
  title = {Strategies to Improve the Supply of Services in the Nigerian Social Health Insurance Programme: Healthcare Provider Perspective},
  journal = {Journal of Public Policy and Administration},
  volume = {3},
  number = {4},
  pages = {98-105},
  doi = {10.11648/j.jppa.20190304.14},
  url = {https://doi.org/10.11648/j.jppa.20190304.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jppa.20190304.14},
  abstract = {Introduction: The Nigerian government has introduced various forms of health insurance programme as a means of supplying quality healthcare services to its citizens all in attempt to attain the universal health coverage. Unfortunately, these various forms of Social Health Insurance Programme (SHIP) have witnessed inefficiencies in the supply of healthcare services and this is evidenced by observed adverse selection and supplier induced demands which are major causes of market failure in health insurance industry. Therefore, there is a need to deduce unique strategies to improve supply of health insurance so as to reduce the barest minimum the incidence of market failure which has impacted negatively on the health insurance industry. Methods: The study adopted qualitative approach by using in-depth interviews (IDIs) method. Nine (9) key informants were purposely sampled from three (3) purposively selected hospitals, one from each categorized type of facility. Content analysis was adopted and further analysis was achieved with the aid of Nvivo 11 software, which coded and categorized nodes into themes. Results: The interviewees relayed their experiences in the programme which includes provider non-adherence to accreditation pattern, poor reimbursement and tariff structure, fluctuations in prices of input, inadequate funding of the programme and low number of enrollees registered in private facilities and consequently proffered strategies on how to eliminate adverse selection and supplier induced demand with a resultant improvement in supply of health insurance services. Conclusions: Evidence from this qualitative study have shown various strategies if implemented will reduce the incidence of adverse selection and supplier induced demand which are mostly implicated as common causes of market failures.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - Strategies to Improve the Supply of Services in the Nigerian Social Health Insurance Programme: Healthcare Provider Perspective
AU  - Obi Ikechukwu Vincent
AU  - Okoronkwo Ijeoma Lewechi Okoronkwo Ijeoma Lewechi
AU  - Adi Jesse Ashumate
AU  - Iloh Gabriel Uche Paschal
AU  - Yakubu Adole Agada-Amade
AU  - Ikwudinma Augustine Obiora
Y1  - 2019/12/24
PY  - 2019
N1  - https://doi.org/10.11648/j.jppa.20190304.14
DO  - 10.11648/j.jppa.20190304.14
T2  - Journal of Public Policy and Administration
JF  - Journal of Public Policy and Administration
JO  - Journal of Public Policy and Administration
SP  - 98
EP  - 105
PB  - Science Publishing Group
SN  - 2640-2696
UR  - https://doi.org/10.11648/j.jppa.20190304.14
AB  - Introduction: The Nigerian government has introduced various forms of health insurance programme as a means of supplying quality healthcare services to its citizens all in attempt to attain the universal health coverage. Unfortunately, these various forms of Social Health Insurance Programme (SHIP) have witnessed inefficiencies in the supply of healthcare services and this is evidenced by observed adverse selection and supplier induced demands which are major causes of market failure in health insurance industry. Therefore, there is a need to deduce unique strategies to improve supply of health insurance so as to reduce the barest minimum the incidence of market failure which has impacted negatively on the health insurance industry. Methods: The study adopted qualitative approach by using in-depth interviews (IDIs) method. Nine (9) key informants were purposely sampled from three (3) purposively selected hospitals, one from each categorized type of facility. Content analysis was adopted and further analysis was achieved with the aid of Nvivo 11 software, which coded and categorized nodes into themes. Results: The interviewees relayed their experiences in the programme which includes provider non-adherence to accreditation pattern, poor reimbursement and tariff structure, fluctuations in prices of input, inadequate funding of the programme and low number of enrollees registered in private facilities and consequently proffered strategies on how to eliminate adverse selection and supplier induced demand with a resultant improvement in supply of health insurance services. Conclusions: Evidence from this qualitative study have shown various strategies if implemented will reduce the incidence of adverse selection and supplier induced demand which are mostly implicated as common causes of market failures.
VL  - 3
IS  - 4
ER  -

Copy | Download