Umar Nasir, Mohammed Shafiu
Mannheim Institute of Public Health, Social and Preventive Medicine, Medical Faculty Mannheim, Heidelberg University, Mannheim.
Institute of Public Health, Medical Faculty, Heidelberg University, Heidelberg, Germany.
J Public Health Afr. 2011 Sep 5;2(2):e31. doi: 10.4081/jphia.2011.e31.
The need for health care reforms and alternative financing mechanism in many low and middle-income countries has been advocated. This led to the introduction of the national health insurance scheme (NHIS) in Nigeria, at first with the enrollment of formal sector employees. A qualitative study was conducted to assess enrollee's perception on the quality of health care before and after enrollment. Initial results revealed that respondents (heads of households) have generally viewed the NHIS favorably, but consistently expressed dissatisfaction over the terms of coverage. Specifically, because the NHIS enrollment covers only the primary insured person, their spouse and only up to four biological children (child defined as <18 years of age), in a setting where extended family is common. Dissatisfaction of enrollees could affect their willingness to participate in the insurance scheme, which may potentially affect the success and future extension of the scheme.
许多低收入和中等收入国家对医疗保健改革和替代性融资机制的需求已得到倡导。这促使尼日利亚引入了国家健康保险计划（NHIS），最初参保对象为正规部门员工。开展了一项定性研究，以评估参保者在参保前后对医疗保健质量的看法。初步结果显示，受访者（户主）总体上对NHIS持积极看法，但一直对保险范围条款表示不满。具体而言，由于NHIS参保仅涵盖主要被保险人、其配偶以及最多四个亲生孩子（孩子定义为年龄<18岁），而在当地大家庭很常见。参保者的不满可能会影响他们参与保险计划的意愿，这可能会对该计划的成功及未来扩展产生潜在影响。
