Implementation of Tertiary Institution Social Health Insurance Programme in Two Federal Universities in Southwestern Nigeria

Hakeem Habdul Sule

Abstract


This study assessed the implementation of Tertiary Institution Social Health Insurance Programme (TISHIP) in University of Ibadan (UI), Ibadan and Obafemi Awolowo University (OAU), Ile-Ife in Southwestern Nigeria. Based on the objective of United Nations’ Universal Health Coverage (UHC), the study provided an empirical evidence of the implementation of Social Health Insurance (SHI) in two Federal Universities in Southwestern Nigeria in form of TISHIP. The study utilised sequential explanatory mixed method―a combination of quantity/qualitative data analysis. Hence, 447 copies of questionnaire were administered to respondents in the two Federal Universities. In addition, 16 key informants in the implementation of TISHIP were interviewed to complement information gathered through the administration of questionnaire. The study thus concluded that the implementation of TISHIP in the study area had positive effect on students’ health care, as it has increased health care utilisation among the students (χ2 = 43.6; p < 0.05). The study further reduced the dearth of research on existing policy on SHI vis-à-vis students’ health care in Tertiary Institutions in resource-constrained countries like Nigeria.


Keywords


Social health insurance; Tertiary institution; Health care facility; Universal; Health care

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References


Adefolaju, T. (2014). Repositioning health insurance in Nigeria: Prospects and challenges. International Journal of Health Sciences, 2(2), 151-162, 2372-5079. http://www.ijhsnet.com.

Agbo, H. A., & Okoh, E. O. (2014). Assessment of tertiary institution social health insurance programme at the University of Jos Health Centre. Journal of Biological and Chemical Research, 31(1), 253-259. ISSN2319-3077.

Aniwada, E. C., Ndu, A. C., Okoye, C. J., Okoye, p.C., Okpala, A. C., & Okpala, C. V. (2019). Utilisation of Tertiary Institution Social Health Insurance Programme (TISHIP) among undergraduate students in Enugu State. Nigerian Journal of Medicine, 28(4), 413-422, ISSBN 1115-2613.

Choi, S., Sohn, M., Jeong, H., & Kim, S. (2020). Determinants of legislation on social health insurance in transition countries. International Journal of Health Services, 0(0)1-10. http://www.doi.10.1177/00207314220731420952013.

Dikewoha, P. (2016, August, 25). In pursuit of better health for students. The nation. http://www. the nationonlineng.net-Education.

Dokubo, B. (2021, October 2). OAU shut down: What led to the death of Adesina Aishat, an undergraduate students on campus. QEDaily. http://www.qedaily.com.

Ejughemre, U. J., Agada-Amadi, Y. A., Oyibo, P. G., & Ugwu, I. C. (2014). Healthcare financing in Nigeria: A systematic review assessing the evidence of the impact of health insurance on primary health care delivery. Journal of Hospital Administration, 4(1). http://www. sciedu.ca/jha.

Glassman, A., Keller, J. M., & Lu, J. (2018). The declaration of Alma Ata at 40: Realising the promise of primary health care and avoiding the pitfalls of making vision reality. Centre for Global Development. http://www.jstor.org/stable/resrep29646.

Imurana, B. A., Haruna, R. K., & Kofi, A. B. N. (2014). The politics of public policy and problems of implementation in Africa: An appraisal of Ghana’s national health insurance scheme in Ga East District. International Journal of Humanities and Social Science, 4(4). http://www.ijhssnet.com/.../Vol.../23.pdf.

International Social Security Account (ISSA) (2014). Implementation of tertiary institution social health insurance programme: A case of the national health insurance scheme in Nigeria. http://www.issa.int/observatory/country/profiles/regions/Africa/Nigeria/A-National-Health-Insurance-Scheme-for-Nigeria.

Lawn, J. E., Rohde, J., Rifkin, S., Were, M., Paul, V. K., & Chopra, M. (2008). Alma-Ata 30 years on: Revolutionary, relevant, and time to revitalise: Alma-Ata: Rebirth and Revision, 1(372). http://www.thelancet.com.

Makinde, T. (2005). Problems of policy implementation in developing nations: The Nigerian Experience. Journal of Social Sciences, 11(1), 63-69, Taylor and Francis.

National Health Insurance Scheme (2012). Operational guidelines revised edition.

National Health Insurance Scheme (NHIS). (2005). Operational guidelines. http://www.nhisng.org/downloads/fuull%20NHIS520guidelines.pdf.

Obikeze, E. (2013). Benefit incidence of national health insurance scheme in Enugu, Southeast,Nigeria. African Journal of Health Economics. http://www.researchgate.net/…/260749853

Obikeze, E., & Onwujekwe, O. (2020). The roles of health maintenance organisation in the implementation of a social health insurance scheme in Enugu, Southeast Nigeria: A mixed method investigation. International Journal in Equity in Health, 19(33). https://doi.org/10.1186/s12939-020-1146-4.

Odeyemi, I. A. (2014). Community-based health insurance programmes and the national health insurance scheme of Nigeria: Challenges to uptake and integration. International Journal for Equity in Health. http://www.equityhealth.com/content/13/1/20.

Odo, I. (2021, October 19). Nigeria’s healthcare in danger. The Guardian. www.guradian.ng.

Ofoegbu, D. I. (2015, April 23). Saving mothers and babies. The Nation. www.thenationonlineng.net.

Okpani, A. I., & Abimbola, S. (2015). Operationalizing universal health coverage in Nigeria through social health insurance. Nigeria Medical Journal, 56, 305-310. https://doi.org/10.4103/0300-1652.170382.

Omoruan, A. I., Bamidele, A. P., & Phillips, O. F. (2009). Social health insurance and sustainable healthcare reform in Nigeria. Studies on Ethno-Medicine, 3(2) 105-110. https://doi.org/10.1080/09735070.2009.11886346.

Omotai, L. O., & Nwakwo, N. C. (2012). A review of the Nigerian health care funding system and how it compares to that of South Africa, Europe and America. Journal of Medicine and Medical Sciences, 3(4), 226-231. http://www.interes.journal.org/JMMS.

Onoka, C. A., (2014). The private sector in national health financing systems: The role of health maintenance organisations and private healthcare providers in Nigeria. (PhD thesis) London School of Hygiene & Tropical Medicine. http://doi.org/10.17037/PUBS.02089174.

Ridic, G., Gleason, S., & Ridic, O. (2012). Comparisons of health care systems in the United States, Germany and Canada, Journal of Mat Soc Med, 24(2), 112-120, Sarajevo, Sarajevo International University, https://doi:10.5455/msm.2012.24-120.

Shagaya, Y. J. (2015). Assessment of students’ satisfaction and quality of patient care under the Nigerian Tertiary Institution Social Health Insurance Programme (TISHIP). European Journal of Business and Management, Department of Business Administration, Ahmadu Bello University, Zara, 7(6). http://www.iiste.org. ISSN/2222-1905.

Usoroh, E. E. (2012). Achieving health coverage in Nigeria: The national health insurance as a tool. 48th International Course in Human Development (ICHD). Royal Tropical Institute, Amsterdam. http://www.bibalex.org/search4dev/..../455718.

Vambe, T. J., Okafor, I. J., & Nweke, O. I. (2019). Awareness and patronage of the Tertiary Institution Health Insurance Programme (TISHIP) among students of tertiary institutions in Abuja, Nigeria. Global Journal of Applied, Management and Social Studies (GOJAMSS), 17, 323-7.

World Health Organization (2005). Sustainable health financing: Universal coverage, and social health insurance. 58th World Health Assembly, Geneva. http://www.who.int/health/.../cov../e...




DOI: http://dx.doi.org/10.3968/12536

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