Critical Determinants of Demand for Services in the Nigeria Formal Sector Social Health Insurance Programme

Obi Ikechukwu Vincent; Okoronkwo Ijeoma Lewechi; Iloh Gabriel Uche Pascal; Nwonwu Elizabeth Uzoamaka; Ogbu Kenneth; Yakubu Adole Agada-Amade

doi:doi:10.11648/j.hep.20200501.11

Critical Determinants of Demand for Services in the Nigeria Formal Sector Social Health Insurance Programme

Obi Ikechukwu Vincent, Okoronkwo Ijeoma Lewechi, Iloh Gabriel Uche Pascal, Nwonwu Elizabeth Uzoamaka, Ogbu Kenneth, Yakubu Adole Agada-Amade

Published in International Journal of Health Economics and Policy (Volume 5, Issue 1)

Received: 29 January 2020 Accepted: 18 February 2020 Published: 26 February 2020

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Abstract

Introduction: Social health insurance programme was initiated in Nigeria with one of the aims being to improve the demand for quality healthcare services with a resultant reduction in catastrophic spending among the citizenry. Unfortunately, in this programme, healthcare providers who offer quality healthcare services still witness poor enrollee demand for services which has led to inability of the programme to achieve its set out objectives. Hence, the need to study the effects of selected critical determinants on demand for health insurance services and how much these determinants can collectively account for the demand for services in the programme. Design/Methodology: The study adopted a cross sectional design with a quantitative approach. The sample size was calculated using G - Power 3.1 software and the determined sample for the study was one thousand four hundred and thirty five (1435). Multistage sampling method was adopted. Data was analyzed using descriptive statistics and linear regression method with the aid of SPSS version 11. Result: The critical determinants of provider ownership, distance to healthcare provider, enrollee educational level have significant positive effect on the demand for health insurance services (<0.05) but the effect of enrollee income was positively insignificant (>0.05). Similarly, 75% of the changes in demand for health insurance services can be accounted for by the predictor variables in this study. Conclusion: The inability of the programme to address these selected critical determinants significantly will lead to out of pocket spending for healthcare services with a resultant catastrophic effect on families’ finances. Therefore, there is a need to take into account the effects of these determinants duringpolicy formulation, reviews and process implementation in the programme.

Published in	International Journal of Health Economics and Policy (Volume 5, Issue 1)
DOI	10.11648/j.hep.20200501.11
Page(s)	1-8
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), 2024. Published by Science Publishing Group

Keywords

Demand for Health Insurance Services, Distance to Healthcare Provider, Provider Ownership, Enrollee Educational Level, Enrollee Income

References

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Obi Ikechukwu Vincent, Okoronkwo Ijeoma Lewechi, Iloh Gabriel Uche Pascal, Nwonwu Elizabeth Uzoamaka, Ogbu Kenneth, et al. (2020). Critical Determinants of Demand for Services in the Nigeria Formal Sector Social Health Insurance Programme. International Journal of Health Economics and Policy, 5(1), 1-8. https://doi.org/10.11648/j.hep.20200501.11

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ACS Style

Obi Ikechukwu Vincent; Okoronkwo Ijeoma Lewechi; Iloh Gabriel Uche Pascal; Nwonwu Elizabeth Uzoamaka; Ogbu Kenneth, et al. Critical Determinants of Demand for Services in the Nigeria Formal Sector Social Health Insurance Programme. Int. J. Health Econ. Policy 2020, 5(1), 1-8. doi: 10.11648/j.hep.20200501.11

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AMA Style

Obi Ikechukwu Vincent, Okoronkwo Ijeoma Lewechi, Iloh Gabriel Uche Pascal, Nwonwu Elizabeth Uzoamaka, Ogbu Kenneth, et al. Critical Determinants of Demand for Services in the Nigeria Formal Sector Social Health Insurance Programme. Int J Health Econ Policy. 2020;5(1):1-8. doi: 10.11648/j.hep.20200501.11

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@article{10.11648/j.hep.20200501.11,
  author = {Obi Ikechukwu Vincent and Okoronkwo Ijeoma Lewechi and Iloh Gabriel Uche Pascal and Nwonwu Elizabeth Uzoamaka and Ogbu Kenneth and Yakubu Adole Agada-Amade},
  title = {Critical Determinants of Demand for Services in the Nigeria Formal Sector Social Health Insurance Programme},
  journal = {International Journal of Health Economics and Policy},
  volume = {5},
  number = {1},
  pages = {1-8},
  doi = {10.11648/j.hep.20200501.11},
  url = {https://doi.org/10.11648/j.hep.20200501.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.hep.20200501.11},
  abstract = {Introduction: Social health insurance programme was initiated in Nigeria with one of the aims being to improve the demand for quality healthcare services with a resultant reduction in catastrophic spending among the citizenry. Unfortunately, in this programme, healthcare providers who offer quality healthcare services still witness poor enrollee demand for services which has led to inability of the programme to achieve its set out objectives. Hence, the need to study the effects of selected critical determinants on demand for health insurance services and how much these determinants can collectively account for the demand for services in the programme. Design/Methodology: The study adopted a cross sectional design with a quantitative approach. The sample size was calculated using G - Power 3.1 software and the determined sample for the study was one thousand four hundred and thirty five (1435). Multistage sampling method was adopted. Data was analyzed using descriptive statistics and linear regression method with the aid of SPSS version 11. Result: The critical determinants of provider ownership, distance to healthcare provider, enrollee educational level have significant positive effect on the demand for health insurance services (0.05). Similarly, 75% of the changes in demand for health insurance services can be accounted for by the predictor variables in this study. Conclusion: The inability of the programme to address these selected critical determinants significantly will lead to out of pocket spending for healthcare services with a resultant catastrophic effect on families’ finances. Therefore, there is a need to take into account the effects of these determinants duringpolicy formulation, reviews and process implementation in the programme.},
 year = {2020}
}

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TY  - JOUR
T1  - Critical Determinants of Demand for Services in the Nigeria Formal Sector Social Health Insurance Programme
AU  - Obi Ikechukwu Vincent
AU  - Okoronkwo Ijeoma Lewechi
AU  - Iloh Gabriel Uche Pascal
AU  - Nwonwu Elizabeth Uzoamaka
AU  - Ogbu Kenneth
AU  - Yakubu Adole Agada-Amade
Y1  - 2020/02/26
PY  - 2020
N1  - https://doi.org/10.11648/j.hep.20200501.11
DO  - 10.11648/j.hep.20200501.11
T2  - International Journal of Health Economics and Policy
JF  - International Journal of Health Economics and Policy
JO  - International Journal of Health Economics and Policy
SP  - 1
EP  - 8
PB  - Science Publishing Group
SN  - 2578-9309
UR  - https://doi.org/10.11648/j.hep.20200501.11
AB  - Introduction: Social health insurance programme was initiated in Nigeria with one of the aims being to improve the demand for quality healthcare services with a resultant reduction in catastrophic spending among the citizenry. Unfortunately, in this programme, healthcare providers who offer quality healthcare services still witness poor enrollee demand for services which has led to inability of the programme to achieve its set out objectives. Hence, the need to study the effects of selected critical determinants on demand for health insurance services and how much these determinants can collectively account for the demand for services in the programme. Design/Methodology: The study adopted a cross sectional design with a quantitative approach. The sample size was calculated using G - Power 3.1 software and the determined sample for the study was one thousand four hundred and thirty five (1435). Multistage sampling method was adopted. Data was analyzed using descriptive statistics and linear regression method with the aid of SPSS version 11. Result: The critical determinants of provider ownership, distance to healthcare provider, enrollee educational level have significant positive effect on the demand for health insurance services (0.05). Similarly, 75% of the changes in demand for health insurance services can be accounted for by the predictor variables in this study. Conclusion: The inability of the programme to address these selected critical determinants significantly will lead to out of pocket spending for healthcare services with a resultant catastrophic effect on families’ finances. Therefore, there is a need to take into account the effects of these determinants duringpolicy formulation, reviews and process implementation in the programme.
VL  - 5
IS  - 1
ER  -

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Author Information

Obi Ikechukwu Vincent

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

Department of Health Management and Administration, University of Nigeria Enugu Campus, Enugu, Nigeria; Department of Nursing Services, University of Nigeria Enugu Campus, Enugu, Nigeria
Iloh Gabriel Uche Pascal

Department of Medicine and Health Sciences, Rhema University, Aba, Nigeria
Nwonwu Elizabeth Uzoamaka

Department of Community Medicine, Ebonyi state university, Abakaliki, Nigeria
Ogbu Kenneth

Anambra State Office, National Health Insurance Scheme, Awka, Nigeria
Yakubu Adole Agada-Amade

Department of Health Management and Administration, University of Nigeria Enugu Campus, Enugu, Nigeria

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APA Style

Obi Ikechukwu Vincent, Okoronkwo Ijeoma Lewechi, Iloh Gabriel Uche Pascal, Nwonwu Elizabeth Uzoamaka, Ogbu Kenneth, et al. (2020). Critical Determinants of Demand for Services in the Nigeria Formal Sector Social Health Insurance Programme. International Journal of Health Economics and Policy, 5(1), 1-8. https://doi.org/10.11648/j.hep.20200501.11

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ACS Style

Obi Ikechukwu Vincent; Okoronkwo Ijeoma Lewechi; Iloh Gabriel Uche Pascal; Nwonwu Elizabeth Uzoamaka; Ogbu Kenneth, et al. Critical Determinants of Demand for Services in the Nigeria Formal Sector Social Health Insurance Programme. Int. J. Health Econ. Policy 2020, 5(1), 1-8. doi: 10.11648/j.hep.20200501.11

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AMA Style

Obi Ikechukwu Vincent, Okoronkwo Ijeoma Lewechi, Iloh Gabriel Uche Pascal, Nwonwu Elizabeth Uzoamaka, Ogbu Kenneth, et al. Critical Determinants of Demand for Services in the Nigeria Formal Sector Social Health Insurance Programme. Int J Health Econ Policy. 2020;5(1):1-8. doi: 10.11648/j.hep.20200501.11

Copy | Download

@article{10.11648/j.hep.20200501.11,
  author = {Obi Ikechukwu Vincent and Okoronkwo Ijeoma Lewechi and Iloh Gabriel Uche Pascal and Nwonwu Elizabeth Uzoamaka and Ogbu Kenneth and Yakubu Adole Agada-Amade},
  title = {Critical Determinants of Demand for Services in the Nigeria Formal Sector Social Health Insurance Programme},
  journal = {International Journal of Health Economics and Policy},
  volume = {5},
  number = {1},
  pages = {1-8},
  doi = {10.11648/j.hep.20200501.11},
  url = {https://doi.org/10.11648/j.hep.20200501.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.hep.20200501.11},
  abstract = {Introduction: Social health insurance programme was initiated in Nigeria with one of the aims being to improve the demand for quality healthcare services with a resultant reduction in catastrophic spending among the citizenry. Unfortunately, in this programme, healthcare providers who offer quality healthcare services still witness poor enrollee demand for services which has led to inability of the programme to achieve its set out objectives. Hence, the need to study the effects of selected critical determinants on demand for health insurance services and how much these determinants can collectively account for the demand for services in the programme. Design/Methodology: The study adopted a cross sectional design with a quantitative approach. The sample size was calculated using G - Power 3.1 software and the determined sample for the study was one thousand four hundred and thirty five (1435). Multistage sampling method was adopted. Data was analyzed using descriptive statistics and linear regression method with the aid of SPSS version 11. Result: The critical determinants of provider ownership, distance to healthcare provider, enrollee educational level have significant positive effect on the demand for health insurance services (0.05). Similarly, 75% of the changes in demand for health insurance services can be accounted for by the predictor variables in this study. Conclusion: The inability of the programme to address these selected critical determinants significantly will lead to out of pocket spending for healthcare services with a resultant catastrophic effect on families’ finances. Therefore, there is a need to take into account the effects of these determinants duringpolicy formulation, reviews and process implementation in the programme.},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - Critical Determinants of Demand for Services in the Nigeria Formal Sector Social Health Insurance Programme
AU  - Obi Ikechukwu Vincent
AU  - Okoronkwo Ijeoma Lewechi
AU  - Iloh Gabriel Uche Pascal
AU  - Nwonwu Elizabeth Uzoamaka
AU  - Ogbu Kenneth
AU  - Yakubu Adole Agada-Amade
Y1  - 2020/02/26
PY  - 2020
N1  - https://doi.org/10.11648/j.hep.20200501.11
DO  - 10.11648/j.hep.20200501.11
T2  - International Journal of Health Economics and Policy
JF  - International Journal of Health Economics and Policy
JO  - International Journal of Health Economics and Policy
SP  - 1
EP  - 8
PB  - Science Publishing Group
SN  - 2578-9309
UR  - https://doi.org/10.11648/j.hep.20200501.11
AB  - Introduction: Social health insurance programme was initiated in Nigeria with one of the aims being to improve the demand for quality healthcare services with a resultant reduction in catastrophic spending among the citizenry. Unfortunately, in this programme, healthcare providers who offer quality healthcare services still witness poor enrollee demand for services which has led to inability of the programme to achieve its set out objectives. Hence, the need to study the effects of selected critical determinants on demand for health insurance services and how much these determinants can collectively account for the demand for services in the programme. Design/Methodology: The study adopted a cross sectional design with a quantitative approach. The sample size was calculated using G - Power 3.1 software and the determined sample for the study was one thousand four hundred and thirty five (1435). Multistage sampling method was adopted. Data was analyzed using descriptive statistics and linear regression method with the aid of SPSS version 11. Result: The critical determinants of provider ownership, distance to healthcare provider, enrollee educational level have significant positive effect on the demand for health insurance services (0.05). Similarly, 75% of the changes in demand for health insurance services can be accounted for by the predictor variables in this study. Conclusion: The inability of the programme to address these selected critical determinants significantly will lead to out of pocket spending for healthcare services with a resultant catastrophic effect on families’ finances. Therefore, there is a need to take into account the effects of these determinants duringpolicy formulation, reviews and process implementation in the programme.
VL  - 5
IS  - 1
ER  -

Copy | Download