सार
Background: The National Health Insurance Scheme (NHIS) was implemented as part of health reform programmes aimed at providing effective health care to all Nigerian citizens. Despite the noble objectives and the enormous benefits of the scheme, little is known about how involved the health workers are.
Aim: This study assessed the awareness, knowledge and participation of NHIS among nurses in a tertiary healthcare setting.
Methods: The study population was nurses in the Olabisi Onabanjo University Teaching Hospital (OOUTH), Sagamu, Southwest Nigeria. Data was collected using a validated, semi-structured selfadministered questionnaire.Variables assessed included; sociodemographic data, awareness, knowledge and participation regarding NHIS. Data were analysed using Statistical package for Social Sciences (SPSS) software version 16 then presented as descriptive analysis and cross tabulation of variables.
Results: The mean age of the respondents was 38.3±5.4 years, 98.0% were females and 85.6% were married. There was high level of awareness of the existence of NHIS as evidenced by 57.9% of the respondents having information on NHIS from seminars. Majority (76.5%) had good knowledge of the NHIS (scores of 4-5/5 correct responses) with the remaining 23.3% having fair knowledge (scores of 2- 3/5 correct responses). However, only 3.3% of the nurses were currently registered and participating in the scheme. The age of respondents had statistically significant relationship with the level of knowledge (X2 = 9.40; p<0.05).
Conclusion: There was high level of awareness on National Health Insurance Scheme among nurses in Olabisi Onabanjo University Teaching Hospital, which did not translate to participation in the scheme.
Keywords: Awareness, knowledge, National Health Insurance Scheme, Nurses, Nigeria.
Résumé
Contexte: Le Projet National d’Assurance Santé (NHIS) a été mis en œuvre dans le cadre des programmes de réforme de la santé visant à fournir des soins de santé efficaces à tous les citoyens nigérians. Malgré les nobles objectifs et les énormes avantages du programme, on sait peu sur comment les agents de santé y sont impliqué.
But: Cette étude a évalué la sensibilisation, les connaissances et la participation du NHIS parmi les infirmiers dans un établissement de soins tertiaires.
Méthodes: La population étudiée était les infirmiers dans l’Hôpital d’Enseignement Universitaire Olabisi Onabanjo (OOUTH), Sagamu, Sud-Ouest du Nigeria. Les données ont été recueillies à l’aide d’un semi-structuré questionnaire validé, auto-administré. Les variables évaluées incluses; les données sociodémographiques, de sensibilisation, de connaissance et de participation concernant NHIS. Les données ont été analysées en utilisant le logiciel Statistiques pour les Sciences Sociales (SPSS), version 16, présenté ensuite comme une analyse descriptive et un tableau croisé des variables.
Résultats: L’âge moyen des répondants était de 38,3 ± 5,4 ans, 98,0% étaient des femmes et 85,6% étaient mariés. Il y avait un grand niveau de sensibilité sur l’existence de l’NHIS comme évident que 57,9% des personnes interrogées avaient des informations sur l’NHIS au cours des séminaires. La majorité (76,5%) avait une bonne connaissance de l’NHIS (scores de 4-5 / 5 réponses correctes), avec les 23,3% restants ayant une connaissance adéquate (scores de 2-3 / 5 réponses correctes). Cependant, seulement 3,3% des infirmières étaient actuellement inscrites et participaient au programme. L’âge des répondants avait une relation statistiquement significative avec le niveau de connaissance (X2 = 9,40; p <0,05).
Conclusion: Il y avait un grand niveau de sensibilité sur le Projet National d’Assurance Santé parmi les infirmiers de l’Hôpital d’Enseignement Universitaire Olabisi Onabanjo, qui ne s’est pas traduit à une participation au programme.
Mots - clés: Sensibilisation, Connaissances, Projet National d’Assurance Santé (NHIS), Infirmiers, Nigeria.
Correspondence: Dr. A.D. Alabi, Department of Community Medicine and Primary Care, Olabisi Onabanjo University teaching Hospital, Sagamu, Nigeria. drkalabi@yahoo.com
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