尼日利亚阿布贾汽车技师的医疗保健支付方式及对预付费计划的认知
METHODS OF PAYMENT FOR HEALTH CARE AND PERCEPTION OF A PREPAYMENT SCHEME AMONG AUTO-TECHNICIANS IN ABUJA, NIGERIA.
作者信息
Adewole D A, Dairo M D, Shaahu V N, Olowookere S A
机构信息
Department of Health Policy and Management, College of Medicine, University of Ibadan, Nigeria.
Department of Epidemiology and Medical Statistics, College of Medicine, University of Ibadan, Nigeria.
出版信息
Ann Ib Postgrad Med. 2020 Dec;18(2):106-113.
BACKGROUND
The National Health Insurance Scheme (NHIS) in Nigeria has succeeded in enrolling only a minute fraction of the population. Studies on the scheme among informal sector employees are required to plan a scale up of the programme in this group which represents the majority of the working population in the country.
OBJECTIVE
This study sought to assess the method of payment for health care, awareness of and the perception about the NHIS among auto-technicians in Abuja, Nigeria.
METHODS
A cross-sectional descriptive survey was conducted among auto-technicians in Abuja Municipal Area Council (AMAC), Nigeria. Data was collected using interviewer-administered questionnaire, and analyzed with SPSS version 17.
RESULTS
A total of 351 auto-technicians and allied workers participated in the study. Post-secondary education [(Odds Ratio (OR) = 7.78, 95% CI = 1.61 - 37.54, p = 0.01)] and having a spouse who is gainfully employed [(OR = 3.67, 95% CI = 1.04-12.93)] predicted awareness of the NHIS. Older people above forty years of age were significantly less likely to be aware of the NHIS, (OR = 0.27, 95% CI = 0.08 - 0.92, p = 0.036).
CONCLUSION
Despite the glaring need and willingness of the participants to enroll in a prepayment scheme for health, workers in the informal sector of the economy may remain unreached by NHIS due to lack of awareness and skepticism. Strategic steps to remove ignorance and dispel doubts is imperative for scale up of the NHIS in the informal sector.
背景
尼日利亚的国家健康保险计划（NHIS）仅成功覆盖了极小一部分人口。需要对该计划在非正规部门雇员中的情况进行研究，以便为扩大该计划规模制定规划，因为这一群体占该国工作人口的大多数。
目的
本研究旨在评估尼日利亚阿布贾汽车修理工的医疗保健支付方式、对NHIS的知晓情况及看法。
方法
在尼日利亚阿布贾市辖区委员会（AMAC）的汽车修理工中开展了一项横断面描述性调查。通过访谈员实施的问卷收集数据，并使用SPSS 17版进行分析。
结果
共有351名汽车修理工及相关工作人员参与了本研究。接受过高等教育（比值比（OR）=7.78，95%置信区间=1.61 - 37.54，p = 0.01）以及配偶有工作（OR = 3.67，95%置信区间=1.04 - 12.93）可预测对NHIS的知晓情况。40岁以上的老年人知晓NHIS的可能性显著较低（OR = 0.27，95%置信区间=0.08 - 0.92，p = 0.036）。
结论
尽管参与者明显有需求且愿意加入健康预付费计划，但由于缺乏认知和存在疑虑，经济非正规部门的工人可能仍未被NHIS覆盖。采取战略措施消除无知和疑虑对于在非正规部门扩大NHIS规模至关重要。
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