Health insurance and healthcare demand among staff and students of selected Universities in Southwestern Nigeria
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Date
2016
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Economics, Obafemi Awolowo University
Abstract
The study examined the nexus between health insurance and healthcare demand among staff and students of selected universities in Southwestern Nigeria. It specifically appraised the operation of NHIS and TISHIP programmes for healthcare in the selected universities of Southwestern Nigeria; assessed the healthcare demand pattern of staff and students in the selected universities; examined the factors influencing the demand pattern of staff and students for healthcare in the selected universities; and analysed the influence of health insurance (NHIS and TISHIP) on the demand for healthcare among staff and students of the selected universities.
The study employed both primary and secondary data sources using structured questionnaire and data from the NHIS office respectively. A multi-stage sampling method was used to select 800 staff and students (200 each) from Olabisi Onabanjo University, Ogun State; University of Ibadan, Oyo State; Obafemi Awolowo University, Osun State; and Ekiti State University, Ekiti State, Nigeria. Within each university, five Faculties and five Departments with the highest population of staff and students were selected. In each of the selected departments, four students, two academic and two non-academic staff members were selected, summing up to twenty students and twenty staff from each of the Faculties. The data collected were analysed using descriptive analysis (percentages, charts and cross tabulations) and econometric technique (binary logistic regression).
The results showed that above 90% of the staff and students from Obafemi Awolwo University and University of Ibadan are enrolled with NHIS and TISHP, 23% from Olabisi Onabanjo University and just about 1.1% from Ekiti State University. In general, about 60% of the respondents have either suffered an illness or injury six months before the interview. The preferred healthcare provider was identified by most respondents to be their university’s healthcare centre/hospital. Although this healthcare provider is generally preferred, more females utilise it, while males utilise a private clinic, chemist/pharmacy or self-medication more often. The result of the logistic regression also showed that gender variable has a positive and significant influence on healthcare demand, given a p-value of 0.005 and odd ratio of 1.63, which established that a female is more likely to demand for healthcare than a male staff or student. In addition, healthcare demand was significantly influenced by health insurance, (p = 0.04), therefore a staff member or student covered by health insurance is more likely to demand for healthcare (odd ratio = 1.44) than the uncovered.
The study concludes that there is a significant relationship between health insurance and healthcare demand of staff and students in selected Southwestern Universities of Nigeria.
Description
xii,142p
Keywords
Healthcare, Health insurance, NHIS, TISHIP
Citation
Ajila, C.O. (2016). Health insurance and healthcare demand among staff and students of selected Universities in Southwestern Nigeria. Obafemi Awolowo University