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Knowledge And Perception Of The Fderal Civil Servants Towards Health Insurance Scheme
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Health Insurance, according to (Adeoye, 2015) is assuming the status of a
global phenomenon. It was first introduced in Germany in 1883 under
General Von Bismark’s old age and disability insurance scheme. Since
then, health insurance has continued to gain prominence in the other
industrialized nations like France, United Kingdom etc. Developing
countries too have joined in beaming their health search light on health
insurance. Prominent among them are Costa-Rica, Brazil, Bangladesh,
China, India, Pakistan, Thailand, etc. In Africa it has been introduced
in Tanzania, Kenya, Ghana, South Africa, Zimbabwe etc (Agada-Amade,
2007). In Nigeria, the rising cost of medical care, coupled with poor
funding of the health care sector by government, in addition to severe
down turn in the Nigerian Economy in the 1980’s and 1990s resulted in
the abysmal patronage of the orthodox medical and other healthcare or
health institutions (Afoloyan-Oloye,2008). Most of these health
institutions either down-sized or closed down completely and their
health practitioner’s brain-drained for greener pasture. Majority of the
people according to Afoloyan-Oloye (2008) resorted to patronizing
alternative health care practitioners, such as the herbalists and the
spiritualists. Mortality from common diseases became the order of the
day. This resulted in government implementing various intervention
designs which included the Bamako initiative, user-fee and Drug
Revolving Fund. After several committees and commissions, the Federal
Government approved the National Health Insurance Scheme (NHIS) in 1989
as a viable means of health care financing for the achievement of easy
access to quality health care for the Nigerian people (Adeoye, 2015). It
was formally launched on October 15, 1997 and the decree was signed
into law in May 1999.
National Health Insurance Scheme (NHIS) is a
body established under Act 35 of 1999 by the Federal Government of
Nigeria to improve the health of all Nigerians at an affordable cost
(Adeoye, 2015). NHIS according to Mgbe & Kevin (2014), is a social
security system adopted by Nigerian Government to guarantee the
provision of needed health services to persons on the payment of token
contribution to the common pool, at regular intervals. In the context of
this study, NHIS is a system of health care financing introduced by
Federal Government of Nigeria to address the problems of health care
delivery which has been affected by challenges. It can be seen as a
typical example of Public Private Partnership [PPP] in health care
delivery in Nigeria. Its main goal is to enhance the health status of
the citizens through provision of financial risk protection and customer
satisfaction. The hope of the average Nigerian to have a reliable and
affordable healthcare delivery system has been brightened with the
take-off of the long awaited National Health Insurance Scheme (Mgbe
& Kevin, 2014).
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ABSRACT - [ Total Page(s): 1 ]National Health Insurance Scheme (NHIS) is a system of healthcare financing introduced by Federal Government of Nigeria to help reduce the risks and minimize the costs of healthcare. Since its inception, only the Formal Sector Social Health Insurance Programme (FSSHIP) has comprehensively taken off. This study investigated the knowledge and perception of Federal Civil Servants in Abuja Municipal Area Council (AMAC), Federal Capital Territory (FCT). A sample size of 383 Civil Servants were select ... Continue reading---
