Adewole David Ayobami, Akanbi Saidat Abisola, Osungbade Kayode Omoniyi, Bello Segun
Department of Health Policy & Management, Faculty of Public Health, College of Medicine, University of Ibadan, Nigeria.
Department of Epidemiology & Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Nigeria.
Pan Afr Med J. 2017 May 19;27:52. doi: 10.11604/pamj.2017.27.52.11092. eCollection 2017.
The implementation and expansion of a health insurance scheme in the informal sector, particularly in developing countries, is a challenge. With the aid of an innovative Information-Education and Communication model, titled 'Understanding the concept of health insurance: An innovative social marketing tool', an assessment of the awareness and perception of the scheme among market women was carried out.
This is a cross-sectional descriptive survey, carried out among market women in Ibadan, Nigeria. In a multi-stage sampling technique, a total of 351 women were interviewed using an interviewer-administered, semi-structured questionnaire. The data was analysed using SPSS version 16. Chi-square test was used to test associations between selected variables of interest. Logistic regression model was used to determine predictors of awareness of the National Health Insurance Scheme (NHIS). A model controlling for participants' enrolment status was built and Adjusted Odds Ratio (AOR) reported. Level of statistical significance was set at p < 0.05.
A total of 344 market women aged 18 years and above participated in the study, a response rate of 98.0%. Respondents' educational status was the only predictor significantly associated with awareness of the NHIS. Respondents with post-primary education had 10 times the odds of being aware of the NHIS than respondents with no education or only primary education (Adjusted Odds Ratio = 10.3; 95% CI = 4.1-26.0).
Innovative models to enable potential beneficiaries, especially among the informal sector, to better comprehend and accept the concept of prepayment methods of financing healthcare costs is important in efforts to implement and expand a social health insurance scheme.
在非正规部门，尤其是在发展中国家实施和扩大健康保险计划是一项挑战。借助一种名为“理解健康保险概念：一种创新的社会营销工具”的创新信息 - 教育与传播模式，对市场女性对该计划的知晓度和认知情况进行了评估。
这是一项横断面描述性调查，在尼日利亚伊巴丹的市场女性中开展。采用多阶段抽样技术，使用由访谈员管理的半结构化问卷对总共351名女性进行了访谈。数据使用SPSS 16版进行分析。卡方检验用于检验选定感兴趣变量之间的关联。逻辑回归模型用于确定国家健康保险计划（NHIS）知晓度的预测因素。构建了一个控制参与者参保状态的模型并报告调整后的优势比（AOR）。设定统计显著性水平为p < 0.05。
共有344名18岁及以上的市场女性参与了研究，回复率为98.0%。受访者的教育程度是与NHIS知晓度显著相关的唯一预测因素。接受小学后教育的受访者知晓NHIS的几率是未接受教育或仅接受小学教育的受访者的10倍（调整后的优势比 = 10.3；95%置信区间 = 4.1 - 26.0）。
采用创新模式使潜在受益人，尤其是非正规部门的潜在受益人，更好地理解和接受为医疗保健费用融资的预付款方式的概念，对于实施和扩大社会健康保险计划的努力至关重要。
