Browsing by Author "Akinsoji, Olatinwo Ishola"

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    Client's satisfaction with National Health Insurance Scheme(NIHS) in Obafemi Awolowo University Teaching Hospital Complex (OAUTHC) Ile-Ife,Osun State, Nigeria
    (Obafemi Awolowo University, 2015) Akinsoji, Olatinwo Ishola
    ABSTRACT The study assessed knowledge of civil servants or their dependents that are registered into the national health insurance scheme to receive care in OAUTHC about NHIS; assessed the respondents’ satisfaction with the quality of services received on the day of visit; and identified the determinants of satisfaction with NHIS with a view of providing information on clients’ satisfaction with NHIS operations to guide policy and decision making towards improvement of the scheme. The study was a cross-sectional descriptive survey of four hundred respondents (272 primary enrollees and 128 dependants). Respondents were recruited by systematic sampling technique and data was collected with self-administered questionnaire that sought information on the socio-demographic characteristics, knowledge of NHIS operations as well as satisfaction with quality of care received on the day of visit. Data were analyzed using descriptive and inferential statistics while binary logistic regression was used to ascertain the determinants of satisfaction with care. One hundred and eighty five (46.2%) respondents had good knowledge of NHIS operations; 136 (50.0%) of the primary enrollees had good knowledge of NHIS compared to 49 (38.3%) of the dependants. Two hundred and seventy six (69.0%) respondents were satisfied with NHIS procedures in the hospital while 313 (78.2%) were satisfied with the quality of care received. Two hundred and twenty six (56.5%) were satisfied with some NHIS operations and quality of care received. The younger age group (20-29 years, O.R=0.187; p=0.004) are twice more likely to be satisfied with NHIS operations compared to the older age group (40-49 years, O.R=0.176; p=0.001); the Hausas attending the hospital (O.R=4.791; p=0.046) were almost five times more likely to be satisfied with NHIS operations compared to the reference ethnic group (Yoruba). Respondents with poor knowledge (O.R=1.525; p=0.048) of NHIS operations were twice more likely to express satisfaction compared to those with good knowledge. This study concluded that though a higher proportion of the respondents were satisfied with NHIS, the knowledge about the scheme and its operation was poor. Public enlightenment about NHIS operations and service packages should be improved and enrollees should receive more information about the scheme and the services they are entitled to at the time of enrolment