Relationship between knowledge, attitude and practice of adults to the National Health Insurance Scheme and their health seeking behaviour in Unguwar soya, Kabong ward of Jos north LGA, Plateau state-Nigeria
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20220211Keywords:
Awareness, Behaviour, Community, Index population, NHIS, ParticipationAbstract
Background: Health seeking behaviour includes all those behaviour associated with establishing and retaining a healthy state, plus aspects of dealing with the departure from that state, which can generally be improved by health care financing and insurance. The objective of the study was to evaluate the knowledge, attitude and practice of National Health Insurance Scheme (NHIS) of the people of Unguwar soya community and its relationship to their health seeking behaviour.
Methods: The study one was a cross sectional community based descriptive study carried out using a multi stage sampling process in Unguwar soya community, Plateau state, Nigeria. An interviewer administered structured questionnaire was utilized and administered to 252 eligible respondents for a period of 3 months (September-November, 2019).
Results: Majority of the respondents were aged 20-29 years (33.7%), females (63.5%), with majority earning above 30,000 naira (25.8%). Most respondents (59.5%) had heard about NHIIS. Most (70.7%) had good attitude towards NHIS and had the desire to enroll under NHIS (70.3%), mostly because of Subsidization of health care cost. Only 13.3% of the respondents are registered with NHIS. The most of the population visit chemist shops when ill (31.2%), however, majority of NHIS enrollees go to hospitals to seek care. None of those enrolled go to health centers, pharmacies, and home of health workers. 90.1% agreed that their health seeking behaviour will improve if enrolled under NHIS.
Conclusions: Index population has inadequate awareness and low practice of the NHIS also with long run impact on the health seeking behaviour of residents of Unguwar soya community.
References
Lucas A.O, Gilles H.M. Short Textbook of Public Health Medicine for the Tropics. 4th Edition. CRS press. 2004:2
Akpomwie, O.B. Poverty, Access to Healthcare Services and Human Capital Development in Nigeria. African Research Review. 2010; 4(3a): 41-45.
Shehu R.A; Ogunsola M.J. Demographic Factors as Correlates of Health – Seeking Behaviour of the People of Oyo State, Nigeria. African Journals Online .2014; 11(2):1
Latunji O.O; Akinyemi O.O. Factors influencing health-seeking behaviour among civil servants in Ibadan, Nigeria. Annals of Ibadan Postgraduate Medicine 2018; 16(1):1
Tipping G, Segall M. Health Seeking Behaviour in Developing Countries. An annotated Bibliography and Literature Review. AGRIS. Food and Agriculture Organization of the United Nations. In: Tipping G, Segall M, eds. Development Bibliography 12. Brighton: Institute of Development studies, Sussex University; 1995.
MacKian S. A Review of Health seeking Behaviour: problems and prospects. Health Systems Development Programme. . University of Manchester Health Systems. 2003: 3-4.
Nyonator, F; Kutzin. J. Health for some? The effects of user fees in the Volta Region of Ghana. Health Policy Plan. 1999;14 (4): 329-341
HERFON, Nigerian Health Review. Publication of Health Reform Foundation of Nigeria. 2006. ISBN: 978-978080-473-2.
Sullivan, T.J Sociology: Concepts and Applications in Diverse World. 5th Ed. Massachusetts: Allyn and Bacon, 2001: 367.
Editorial Health Seeking Behaviour in Context. 2003. [Last cited on 2015 Nov 30]. Available from: http://www.ajol.info/index.php/eamj/article/viewFile/8689/1927 . Accessed July 2019.
Onwujekwe O, Hanson K, Uzochukwu B. Examining Inequities in Incidence of Catastrophic Helath Expenditure on Different Healthcare Sources and Health Facilities in Nigeria. PCOS One. 2012;7:e40811.
Raji B.A, Oladele O.A, Akolokwu G.O, Tanimu A. Health Status of Seniour Citizens vizs-a-vis The National Health Insurance Scheme of Nigeria. NAUJILJ 2019;10(1):176-182
Obadan PO. Nigerian Health Sector and the impact of the NHIS. Available: http://nationalmirroronline.net/new/nigerian-health-sector-and-the-impact. Accessed online July 2019.
Demsy TA, Takim AO, David GI, Christopher AA.. Inequality and Class Difference in Access to healthcare in Nigeria. Research on Humanities and Social Sciences.2013; 3(16):45
Olugbenga-Bello AI, Adebimpe WO. Knowledge and Attitude of Civil Servants in Osun State, Southwestern Nigeria towards the National Health Insurance. Niger J ClinPract. 2010;13:421-6
Nigerian National health insurance scheme (NHIS): An overview. The Nigerian postgraduate medical journal. 2012;19(3):167-74
Tanimola M.A; Owoyemi J. Healthcare Seeking Behaviour in Anyigba, North Central Nigeria. Mendell Publishing. Research Journal of Medical Science. 2009; 3(2):47-51
Adam VY; Aigbokhaode A.Q. Socio-demographic Factors associated with the Health-Seeking Behaviour of Heads of Households in a Rural Community in Southern Nigeria. Sahel Medical Journal. 2018; 21 (10): 31-36.
O.OLatunji, O.OAkinyemi. Factors influencing health seeking behaviour among civil servants in Ibadan, Nigeria. Annals of Ibadan post graduate medicine. 2018; 16(1): 52-60.
Abdulraheem IS, Olapipo AR, Aodu M.O. PHC Services in Nigeria: Critical Issues and Strategies for Enhancing the Use by the Rural Communities. Journal of Public Health and Epidemiology; 2012; 4:5-13.
Emmanuel NK, Gladys EN, Cosmas UU. Consumer Knowledge and Availability of Maternal and Child Health Services: A Challenge for Achieving MDG 4,5 in South-East Nigeria; BMC Health Service Resource; 2013; 13:53.
Riman HB, Akpan ES. Heath Care Financing and Health Outcomes in Nigeria. A state Level Study using Multivariate Analysis. International Journal of Humanities and Social Sciences; 2012; 2:296 – 309.
Lawanson A.O, Olaniyan O, Soyibo A. National Health Account Estimate: Lessons from the Nigerian Experience; African Journal of Medicine and Medical Sciences; 2012. 41:357 - 364.
Colton T. Statistics in Medicine. Lippincott Wiliams & Wilkins, a Walter Kluwer Company. 1974: 278
Abah M.U, Adeola V.O, Chiroma H.T, Ayendele I. An Evaluation of Routine Immunization Status of Children Less than Five (5) Years in Unguwar Soya, Jos, Plateau State, Nigeria. Bingham Uniersity Library. 2019:26
Ekwuluo CE, Eluwa AN, Okereke IC, Orji SB. Knowledge, Attitude to, and Utilization of the National Health Insurance Scheme (NHIS) Among Health Workers in the University of Nigeria Teaching Hospital (UNTH), Ituku-Ozalla, Enugu State, Nigeria. Int’l Journal of Research – Granthaalayah, 2018; 6(1):13 – 14.
Demographic and health survey 2013. National population commission Federal Republic of Nigeria Abuja, Nigeria. 2013: 18,33-50.
Labour force statistics. Unemployment and underemployment report. 2018; 1:28.
Annual collaborative survey of socio-economic activities in Nigeria. 2006;1: 9-15
Bolaji S A, Samina M K. Out of pocket payments, catastrophic health expenditure and poverty among households in Nigeria. 2010: 799,800
Sanusi R, Awe AT. Assessment of Awareness Level of National Helath Insurance Scheme Among Health Care Consumers in Oyo State, Nigeria. JOUR; 2009; 143-148.
Eyong AK, Ayada PO, Asukwo EO, Irene C. Awareness of National Helath Insurance Scheme and Quality of Helath Care Services among Civil Servants in Cross River State, Nigeria. Research on Humanities and Social Sciences. 2016; 6 (13): 1-10. Accessed online, November 2019.
Azuogu BN, Madubueze UC, Alo C, Ogbonnaya L.U, Ajayi N.A. Level of Awareness and Factors Associated with Willingness to Participate in the National Health Insurance Scheme among Traders in Abakiliki Main Market. African Journal of Medical and Health Sciences. 2016; 15 (1): 18-23.
Campbell P.C, Owoka O.M, Odugbemi T.O. National Health Insurance Scheme (NHIS): Are the Artisans Benefitting in Lagos state, Nigeria? J ClinSci 2016; 13:122-31.
Adewole D.A, Adebayo M.A, Udeh E.I, Shaahu N.V and Dairo M.D. Payment for Health Care and Perception of the National Health Insurance Scheme in a Rural Area in Southwest Nigeria, Am J Trop Med Hyg, 2015; 93(3): 648
Oriakhi H.O and Onemolease E.A. Determinants of Rural Household’s Willingness to Participate in Community Based Health Insurance Scheme in Edo State, Nigeria. 2012; 6(2):99
Edward R B, Emily H and Jessica C B. Health insurance coverage in the united states. 2017:16
Feny AP, Asante FA, Enemark U, Hansen K.S. Treatment Seeking Behaviour and Social Helath Insurance in Africa. The Case of Ghana under the National Helath Insurance Scheme. Glob. J. Helath Sci. 2015; 7(1): 296-314.