scholarly journals Linking Social Protection Schemes: The Joint Effects of a Public Works and a Health Insurance Programme in Ethiopia

2019 ◽  
Vol 56 (2) ◽  
pp. 431-448
Author(s):  
Zemzem Shigute ◽  
Christoph Strupat ◽  
Francesco Burchi ◽  
Getnet Alemu ◽  
Arjun S. Bedi
Keyword(s):  
Health Insurance ◽  
Social Protection ◽  
Public Works ◽  
Joint Effects ◽  
Insurance Programme ◽  
Health Insurance Programme

scholarly journals Occurrence of Medical Cases and Utilisation among Enrollees of Private Health Insurance Programme in Kaduna, Nigeria

2020 ◽  
pp. 30-37
Author(s):  
Oni, Oluwatobi Dapo ◽  
Zakari, Mustapha Mohammed ◽  
Okemmiri, Innocentia Chidinma
Keyword(s):  
Health Insurance ◽  
Private Health Insurance ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Health Coverage ◽  
Primary Case ◽  
Health Maintenance ◽  
Insurance Programme ◽  
Chi Square Analysis ◽  
Health Insurance Programme

Aims: This study examines the occurrence of various medical cases presented by enrollees that have subscribed to access healthcare from a network of healthcare providers (HCPs) managed by a Health Maintenance Organisation (HMO) under its Private Health Insurance Programme (PHIP). Study Design:  A descriptive cross-sectional design was employed. Methodology: Secondary data from collected or submitted medical encounters in form of bills of registered enrollees (principals and their dependants) who have visited and received treatment from their chosen healthcare providers in Kaduna State between the month of January and December 2019 were purposively compiled and analysed. Cases were classified using the National Health Insurance Scheme (NHIS) Operational Guideline. Frequency tables, charts, percentages and Chi-Square analysis were used with the aid of Statistical Package for Social Sciences (SPSS) 22 at P=.05 level of significance. Results: A total of 11,156 medical cases were recorded after attrition, 9,525 (85.38%) primary cases and 1,632 (14.62%) secondary cases. Malaria (41.23%) and Respiratory Tract Infection (11.98%) led the primary case table while Hypertension (3.83%) Urology related cases (2.49%) and Diabetes (0.79%) were among the leading secondary cases. Female enrollees had slightly more cases and therefore higher tendencies to seek medical treatment than their male counterpart even though there was no significant relation between gender and type of case. Conclusion: The study concludes that the awareness and utilization of healthcare services are gradually growing among enrollees under the Private Health Insurance Programme (PHIP). In ensuring that there is an improvement in the health sector of Nigeria and achieving universal health coverage, focus should be on the primary healthcare services with high consideration for research, proper data management and periodic sharing of trends, observations and outcome of researches with the growing health community.

Masking Poverty and Entitlement: RSBY in Selected Districts of West Bengal

Social Change ◽  
2017 ◽  
Vol 47 (3) ◽  
pp. 339-358 ◽  
Author(s):  
Kasturi Sen ◽  
Swagata Gupta
Keyword(s):  
Health Insurance ◽  
Thematic Analysis ◽  
Exploratory Study ◽  
West Bengal ◽  
Poverty Line ◽  
Factors Affecting ◽  
Poor Women ◽  
Insurance Programme ◽  
National Health Insurance Programme ◽  
Health Insurance Programme

In 2008, India launched a flagship national health insurance programme, the Rashtriya Swasthya Bima Yojana (RSBY) for those living below the poverty line (BPL). 1 Using qualitative methods and thematic analysis, this exploratory study of poor women from three selected districts of West Bengal sought to gauge reasons for low registration and factors affecting choice of institutional healthcare among those who had registered for the RSBY. In particular, we sought to understand the underlying factors, if any, which affect judgements on institutional healthcare.

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