Evaluation Of Problems Facing National Health Insurance Scheme In Nigeria
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Evaluation Of Problems Facing National Health Insurance Scheme In Nigeria
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ABSTRACT: This research work is on the Problem Facing National Health Insurance Scheme in Nigeria. The source of data for the work area oral interview and questionnaire, the population of the study was drawn from both national and state hospitals in Enugu. Samples of questionnaires were distributed to the respondents. The instruments used are oral interview and questionnaire. The instrument were reliable because they include statements of the problem, objectives of the study and the research questions, one of the findings is that the various methods used in marketing of health insurance is not known by the people. One of the conclusions is that there should be free material and child health programme for the country.

 

TABLE OF CONTENTS

CHAPTER ONE

INTRODUCTION                                                      1

  1. Background of the Study                                         1
  2. Statement of the Problems                               3
  3. Objectives of the Study                                    4
  4. Research Questions                                          5
  5. Significance of the Study                                         6
  6. Scope and Limitation for the Study Scope           7
  7. Definition of Operation Terms                            8

CHAPTER TWO

REVIEW OF RELATED LITERATURE                            10

2.1  An Overview                                                   10

2.2  Historical Development of Health Insurance         10

2.3  Marketing Health Insurance Scheme in Nigeria     14

2.4  Role of Government on Health

Insurance Schemes                                          16

2.5  Organization Responsible for the Health

Scheme in Nigeria                                            18

2.6  Various Types of Policies Sold by the

Health Service Providers                                   20

2.7  Prospects of Effective Marketing of Insurance

Scheme in Nigeria                                            24

2.8  Problems of Marketing Health Insurance

Scheme in Nigeria                                            25

2.9  Challenges Facing Marketing Health

Insurance Scheme in Nigeria                             27

       Reference                                                       31

 

 

CHAPTER THREE

RESEARCH METHODOLOGY                                      32

3.1  Sources of Data                                               32

3.2  Population of the Study                                    33

3.3  Instrument Used for the Study                          34

3.4  Validity of the Instrument Used                         35

3.5  Reliability of the Study                                     35

 

CHAPTER FOUR

SUMMARY OF FINDINGS                                          36

4.1  Findings                                                         36

4.2  Discussion of Findings                                      37

 

CHAPTER FIVE

CONCLUSION AND RECOMMENDATIONS                           38

5.1  Conclusion                                                      38

5.2  Recommendations                                           39

5.3  Suggestion                                                     49

Bibliography                                                    41

Appendix                                                        43

Questionnaire                                                  44

 

CHAPTER ONE

 

INTRODUCTION

1.1  BACKGROUND OF THE STUDY

The national health insurance scheme (NHIS) is a social health insurance programme designed by the federal government of Nigeria to complement or to improve services of financial health sector, and to improve access of health care for the majority of Nigeria. The evolution of the National Health Insurance scheme decade back to 1962, when the need for health insurance in the provision of health care to Nigeria citizen was first recognized.

Furthermore, the introduction of the structural adjustment programme in 1986 adversely affected health allocation and other factors that led to the introduction of the national health insurance scheme. This general poor stated of the nations health care services is giving the government a lot of concern.

The concept of social health insurance was first mooted in 1962 by Heuvi committee, which passed the proposal through the Lagos health bill. Unfortunately it was truncated in 1985, Dr. Emmanuel Usman, the minister of health set up a committee on national health review led by Mr. L. Ligailu.

At its 42nd meeting, the national council on health (NCH) approved the NIS to ensure full private sector participation. This model ensured the introduction of health maintenance organization (HMO) and financial managers of the scheme. On October 15th the national health insurance scheme was finally launched.

The executive law decree 35 of 1999 (Now Act 35 of 1999) was signed in many 1999. National council on health special meeting on NIHS held in Port Harcourt in July 2011, recommended the need for the scheme to take off. Hereafter an implementation policies committee was set of which met in September 2011 and recommended the immediate take off of the scheme.

 

1.2  STATEMENT OF THE PROBLEMS

1.    Health insurance is new in Nigeria; the target of its introduction is to achieve good health to all citizens in Nigeria. Most of Nigeria are unemployed, resident in the rural areas without hospital, water and infrastructure and inadequate personnel.

2.    The researcher wants to know the strategies to be used in marketing health insurance in the situation of poor infrastructural development, unemployment and how level of income or capital and to indemnify what will be the inability factor in marketing health insurance business in Nigeria.

3.    To make suggestions to the marketers on the best way to market health insurance policies with the rural support.

 

1.3  OBJECTIVE OF THE STUDY

In this research, the researcher wants to know how possible it will be for effective marketing of health insurance policies as new product in Nigeria.

  1. To identify different types of product marketed by the health insurance services in Nigeria.
  2. To identify various methods to be used in marketing health insurance service in Nigeria.
  3. To know the problems facing marking of health insurance product in a situation of poor infrastructure development poverty and low income.
  4. To identify all the environment and infrastructure problems facing marketing of health insurance programme in Nigeria mostly in the rural areas.

 

1.4  RESEARCH QUESTIONS

The researcher formulated the following questions to help identify the various ways to be used in marketing health service scheme in Nigeria, mostly to the people of the rural area.

  1. Do you know various products that are offered to the teeming public?
  2. Do you think that Nigerians are ready to accept the introduction of the health insurance scheme?
  3. Do you thin that health insurance scheme will improve the health situation in Nigeria?
  4. What are the problems facing health insurance scheme today in Nigeria?
  5. What are the aims of federal government in introducing the programme?

 

1.5  SIGNIFICANCE OF THE STUDY

This work will be impo

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