Display options
Share it on

J Public Health Afr. 2018 Jul 11;9(1):540. doi: 10.4081/jphia.2018.540. eCollection 2018 May 21.

Community based health insurance scheme: Preferences of rural dwellers of the federal capital territory Abuja, Nigeria.

Journal of public health in Africa

Christiana Ogben, Olayinka Ilesanmi

Affiliations

  1. United Health Care International, Abuja.
  2. Department of Community Health, Federal Medical Centre, Owo, Ondo State, Nigeria.

PMID: 30079158 PMCID: PMC6057720 DOI: 10.4081/jphia.2018.540

Abstract

In 2010, community based health insurance scheme (CBHIS) was launched in the Federal Capital Territory (FCT) of Nigeria. Little is known about the preferences and perception of the rural dwellers of the FCT about the scheme. This study aimed to determine the preferences of healthcare consumers towards CBHIS in FCT. A descriptive cross sectional study of 287 household heads was done. Systematic random sampling was used. Information was collected using a semi-structured, interviewer administered questionnaire. Data was analysed with SPSS version 21. Male respondents were 175 (61%), 242 (84.3%) were aware of the existence of CBHIS, 126 (82%) also enrolled their dependents. Annual payment of health insurance premium was preferred by 91 (59.9%) of enrolled respondents, 92 (60.1%) enrolled in the scheme because they perceived it to be a cheap way to access healthcare. No proper understanding was the reason why 33 (28.4%) of those aware of the scheme did not enroll themselves or their dependents. Only 124 (55.1%) were satisfied with the overall services provided to them by their health care provider (HCP). More community enlightenment on CBHIS is required. There is a need to factor in the preferences of the community members into the FCTCBHIS to determine what community members are willing to pay for their healthcare premium and how making contributions will be convenient for them.

Keywords: CBHIS; Health insurance; knowledge; perception; rural communities

Conflict of interest statement

Conflict of interest: the authors declare no potential conflict of interest.

References

  1. Lancet. 2006 Dec 23;368(9554):2253-7 - PubMed
  2. Health Policy. 2009 Sep;92(1):96-102 - PubMed
  3. BMC Health Serv Res. 2010 Jun 12;10:162 - PubMed
  4. Bull World Health Organ. 2008 Nov;86(11):871-6 - PubMed
  5. Trop Med Int Health. 2005 Aug;10(8):799-811 - PubMed
  6. J Health Care Poor Underserved. 2014 Feb;25(1):192-203 - PubMed
  7. BMC Health Serv Res. 2013 Nov 12;13:474 - PubMed
  8. Soc Sci Med. 2008 Jul;67(1):161-4 - PubMed
  9. Health Econ. 2006 Jun;15(6):603-16 - PubMed
  10. Health Policy Plan. 2004 Sep;19(5):249-70 - PubMed
  11. BMC Int Health Hum Rights. 2013 Aug 23;13:35 - PubMed
  12. Health Policy Plan. 2012 May;27(3):222-33 - PubMed
  13. Health Econ. 2010 May;19(5):503-17 - PubMed
  14. Pan Afr Med J. 2013 Sep 17;16:17 - PubMed

Publication Types