scholarly journals The risk perception of COVID-19 and practice of precautionary measures amongst healthcare workers in the National Health Insurance Scheme Clinic of a tertiary hospital in Nigeria

2021 ◽  
Vol 38 ◽  
Author(s):  
Osahon Enabulele ◽  
Aihevba Esther
2020 ◽  
Vol 61 (1) ◽  
pp. 27
Author(s):  
FolashayoIkenna Peter Adeniji ◽  
DavidAyobami Adewole ◽  
SusanElemeyi Adegbrioye ◽  
OluyinkaMotunrayo Dania ◽  
Temitope Ilori

2019 ◽  
Vol 19 (3) ◽  
pp. 2356-2364
Author(s):  
Roland Nnaemeka Okoro ◽  
Chijioke Nmeka ◽  
Patrick O Erah

Background: Subsidizing the cost of medicines through insurance schemes increases consumption of medicines and may contribute to irrational use of antibiotics. Objectives: To describe the systemic antibiotics prescriptions patterns and analyze the determinants of their utilization in the National Health insurance Scheme (NHIS).Methods: Established WHO guideline was followed to conduct this cross-sectional retrospective study at University of Nigeria Teaching Hospital, Nigeria. Data were collected from randomly sampled prescription sheets of one year duration. Logistic regression analysis was performed to determine the predictors of antibiotics prescriptions.Results: The results are based on 802 sampled out-patients NHIS prescriptions. Average number of medicines per encounter was 4.0 ± 1.8, whereas 46.9% of antibiotics were prescribed by generic name. Penicillins (most frequently amoxicillin/clavulanate), and nitroimidazole (most frequently metronidazole) were the most commonly prescribed antibiotics with percentage share of 43.3% and 22.2%. Being <5 years old, and taking more than 4 medicines (OR 2.20, 95% CI 1.37-3.55) were the factors associated with the highest risk of antibiotics exposure.Conclusion: There were poly-pharmacy, and non-adherence to generic antibiotic prescriptions. Penicillins (amoxicillin/clavulanate) were the most commonly prescribed antibiotic class. Being < 5 years old, and taking more than 4 medicines were significant predictors of antibiotics exposure.Keywords: Antibiotics; national health insurance scheme; Nigeria; poly-pharmacy; prescription.


2021 ◽  
Author(s):  
Ikechukwu Joseph Okafor ◽  
Abdulhamid Ozohu-Suleiman

Acknowledged as a policy target for the government of Nigeria, healthcare provision represents an important preoccupation for the government. As with other public policies, the achievement of policy goals in Nigeria is usually encumbered by numerous factors of implementation across various sectors. In the health sector, factors such as inadequate physical infrastructure, shortage of healthcare personnel, limited medical supplies etc. have hindered the implementation of several health policies. National Health Insurance Scheme (NHIS) is one of such policies and this study examined the effects of shortage of healthcare personnel on the implementation of NHIS policy in FCT, Abuja. Specifically, the study evaluated the opinions of health workers as well as enrollees of NHIS in four purposively chosen Area Councils of the six Area Councils in FCT. This study adopted a survey research design with Rensis Likert’s five-point scale questionnaire instrument administered to both categories of respondents. The data were analyzed using the Statistical Package for Social Sciences (SPSS Version 25) and the T-tested statistical tool was used to test the hypothesis. The study found out that shortage of health personnel is a major barrier to the effective implementation of NHIS in the FCT, Abuja. Consequently, the study recommends that there should be massive recruitment of qualified healthcare personnel; training and retraining of healthcare workers; and timely and adequate remuneration for the healthcare workers in FCT, Abuja.


2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Ikechukwu Joseph Okafor ◽  
◽  
Abdulhamid Ozohu-Suleiman ◽  

Acknowledged as a policy target for the government of Nigeria, healthcare provision represents an important preoccupation for the government. As with other public policies, the achievement of policy goals in Nigeria is usually encumbered by numerous factors of implementation across various sectors. In the health sector, factors such as inadequate physical infrastructure, shortage of healthcare personnel, limited medical supplies etc. have hindered the implementation of several health policies. National Health Insurance Scheme (NHIS) is one of such policies and this study examined the effects of shortage of healthcare personnel on the implementation of NHIS policy in FCT, Abuja. Specifically, the study evaluated the opinions of health workers as well as enrollees of NHIS in four purposively chosen Area Councils of the six Area Councils in FCT. This study adopted a survey research design with Rensis Likert’s five-point scale questionnaire instrument administered to both categories of respondents. The data were analyzed using the Statistical Package for Social Sciences (SPSS Version 25) and the T-tested statistical tool was used to test the hypothesis. The study found out that shortage of health personnel is a major barrier to the effective implementation of NHIS in the FCT, Abuja. Consequently, the study recommends that there should be massive recruitment of qualified healthcare personnel; training and retraining of healthcare workers; and timely and adequate remuneration for the healthcare workers in FCT, Abuja.


Author(s):  
Obelebra Adebiyi ◽  
Foluke Olukemi Adeniji

The National Health Insurance Scheme (NHIS) of Nigeria was established in 2005. This study assessed the utilization of health care and associated factors amongst the federal civil servants using the NHIS in Rivers state. This was a descriptive cross-sectional study using self-administered questionnaires. Data were collated and analyzed using SPSS version 21.0. A Chi-square test was carried out. The level of Confidence was set at 95%, and the P-value ≤ .05. Out of a total of 334 respondents, 280 (83.8%) were enrolled for NHIS, 203 (72.5%) utilized the services of the scheme. Most 181 (82.1%) of the respondents who utilized visited the facility at least once in the preceding year. Although, 123 (43.9%) of the respondents made payments at a point of access to health care services, overall there was a reduction in out of pocket payment. Possession of NHIS card, the attitude of health workers, and patients’ satisfaction were found to significantly affect utilization P ≤ .05. Regression analysis shows age and income to be a predictor of utilization of the NHIS. Though utilization is high, effort should be made to remove payment at the point of access and improving the harsh attitude of some of the health workers.


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