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尼日利亚卡诺州国家青年服务团成员对国家健康保险计划的认知、了解和看法

Awareness, Knowledge, and Perception of the National Health Insurance Scheme among National Youth Service Corp Members in Kano, Nigeria.

作者信息

Michael Godpower Chinedu, Grema Bukar Alhaji, Aliyu Ibrahim, Tanimu Salihu Tanko, Suleiman Abdullahi Kabir, Shuaibu Abdulrahman, Adesida Adewumi Adedoyin

机构信息

Department of Family Medicine, Aminu Kano Teaching Hospital, Kano, Nigeria.

Department of Paediatrics, Bayero University Kano/Aminu Kano Teaching Hospital, Kano, Nigeria.

出版信息

Niger Med J. 2020 Jul-Aug;61(4):201-205. doi: 10.4103/nmj.NMJ_140_19. Epub 2020 Aug 4.

Abstract

BACKGROUND

The lofty objectives of the National Youth Service Corp (NYSC) are not only predicated on healthy graduates of tertiary institutions but also graduates who are confident in making informed health-related decisions. Therefore, Corp members' awareness, knowledge, and perception of the National Health Insurance Scheme (NHIS) and its programs become imperative.

MATERIALS AND METHODS

This was a cross-sectional study involving 203 participants selected by convenience sampling technique from NYSC members during Orientation Camp in June 2019. A self-administered questionnaire was used to collect data regarding their sociodemographics, awareness, knowledge, and perception about the NHIS.

RESULTS

The mean age of respondents was 25.8 ± 2.3 years; they were predominantly males (136 [67.0%]) with university degrees 131 (64.5%); 200 (98.5%) were aware of the NHIS and its programs. Although 161 (80.5%) respondents had at least average knowledge of the NHIS, only 97 (48.5%) had adequate knowledge. One hundred and fifty-eight (79.0%) respondents benefited from the Tertiary Institutions Social Health Insurance Programme (TISHIP) as students; 114 (57.0%) viewed TISHIP as a good program; however, 194 (97.0%) felt that the NHIS services should be extended to NYSC members, while 188 (94.0%) were willing to participate in the scheme if its services were extended them.

CONCLUSION

Although awareness level was high, adequate knowledge of the NHIS was low and their perception about TISHIP is unimpressive; most were willing to participate in the NHIS. Current mass NHIS-programs education campaigns and services offered by NHIS-accredited health-care facilities need improvement; fast-tracking of processes necessary for the extension of NHIS services to NYSC members is required.

摘要

背景

国家青年服务团(NYSC)的崇高目标不仅基于高等院校健康的毕业生,还基于有信心做出明智的健康相关决策的毕业生。因此,团员对国家健康保险计划(NHIS)及其项目的认识、知识和看法变得至关重要。

材料与方法

这是一项横断面研究,于2019年6月在迎新营期间通过便利抽样技术从NYSC成员中选取了203名参与者。使用自填式问卷收集有关他们的社会人口统计学、对NHIS的认识、知识和看法的数据。

结果

受访者的平均年龄为25.8±2.3岁;他们主要是男性(136人[67.0%]),拥有大学学位的有131人(64.5%);200人(98.5%)了解NHIS及其项目。尽管161名(80.5%)受访者对NHIS至少有一般的了解,但只有97人(48.5%)有足够的知识。158名(79.0%)受访者在学生时代受益于高等院校社会健康保险计划(TISHIP);114人(57.0%)认为TISHIP是一个好项目;然而,194人(97.0%)认为NHIS服务应扩展到NYSC成员,而188人(94.0%)表示如果NHIS服务扩展到他们,愿意参与该计划。

结论

尽管认识水平较高,但对NHIS的足够了解程度较低,他们对TISHIP的看法也不令人满意;大多数人愿意参与NHIS。目前NHIS认可的医疗保健机构开展的大规模NHIS项目教育活动和提供的服务需要改进;需要加快将NHIS服务扩展到NYSC成员所需的程序。

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