scholarly journals Examining the Health-Seeking Behaviours of Migrant Female Head Porters in the Kumasi Metropolis, Ghana

1970 ◽  
pp. 27-38
Author(s):  
Simon Boateng
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Psychological Health ◽  
Service Providers ◽  
National Health Insurance Scheme ◽  
Health Insurance Scheme ◽  
Health Seeking ◽  
Insurance Scheme ◽  
Female Head

This study is a follow-up to an earlier publication which looked at migrant female head porters' enrolment in, renewal and utilisation of the National Health Insurance Scheme in the Kumasi Metropolis. Head porterage in the large urban markets in Ghana comes with several health issues. Research has shown that migrant female head porters are exposed to several physical, social and psychological health risks in their daily encounters with clients. This research, therefore, aims at examining the health-seeking behaviours of migrant female head porters in the Kumasi metropolis using the dimensions of availability, accessibility, affordability, accommodation and acceptability. The researcher used the cross-sectional survey in the context of quantitative approaches. A total of 378 respondents were sampled from the following markets (Asafo, Adum shopping centres, Bantama and Kejetia) in which the migrant female head porters operate through convenient snowball sampling technique. Charts, percentages and tables were used in the data analysis. The study uncovered that the most (67%) preferred healthcare provider among the female head porters was over-the-counter chemical seller. Meanwhile, these service providers pose a serious health risk as they constitute a major source of self-medication. Further discoveries showed that affordability was the primary constraint to quality health-care as 76% of the respondents bemoaned charges at healthcare facilities. The study recommends a comprehensive policy interventions to enhance mass enrolment of female head porters unto the National Health Insurance Scheme to reduce the cost of healthcare among head porters. Finally, to protect the interest of the female head porters, they should form a well-structured and coordinated association to give them a united front to pursue their collective interest and protect them from the challenges they face including the difficulties they face in accessing healthcare.

scholarly journals Perception towards national health insurance scheme among enrollees of central Terai: a qualitative study

2021 ◽  
Vol 7 (2) ◽  
pp. 80
Author(s):  
Sailendra Thapa ◽  
Puspa Acharya ◽  
Durga Khadka Mishra
Keyword(s):  
Quality Of Care ◽  
Health Insurance ◽  
National Health Insurance ◽  
Waiting Time ◽  
National Health ◽  
Service Providers ◽  
National Health Insurance Scheme ◽  
Health Insurance Scheme ◽  
Insurance Scheme

<p class="abstract"><strong>Background:</strong> Out of Pocket Expenditure has always been a primary means of financing health care service in Nepal. National Health Insurance Scheme ensures universal health coverage by addressing the unregulated out-of-pocket spending and providing quality of health service.</p><p class="abstract"><strong>Methods:</strong> A descriptive cross-sectional study was conducted among the enrollees of the National Health Insurance Scheme (NHIS) in Bharatpur Metropolitan City of Chitwan district. Focused Group Discussions were conducted among enrollees to assess the perception towards National Health Insurance Scheme. The qualitative data were analyzed as thematic analysis technique.  </p><p class="abstract"><strong>Results:</strong> Perception towards National Health Insurance Scheme was categorized as perceived quality of care, perceived benefit and provider’s behavior. Respondents were fully satisfied with the premium charge. Availability of drugs was improved but the waiting time and the process of registration was lengthy and full of jargons. Most of the participants perceived that due to less number of service providers or due to inability of allocating separate provider for ensured persons, the consultation time was very less which further affects the quality of care. Enrollment Assistants were considered as primary source of information regarding the NHIS.</p><p class="abstract"><strong>Conclusions:</strong> Long waiting time, difficulty during registration and less number of service providers remain challenge to receive quality of care under NHIS. Participants perceived that the benefit package under affordable premium charge is in favor of them. Addressing these factors in expansion of this program in other district might leads for success of this scheme.</p><p align="center"> </p>

scholarly journals Perception Towards National Health Insurance Scheme among Enrollees of Central Terai: A qualitative Study

2019 ◽  
Author(s):  
Sailendra Thapa ◽  
Puspa Acharya ◽  
Durga Khadka Mishra
Keyword(s):  
Quality Of Care ◽  
Health Insurance ◽  
National Health Insurance ◽  
Waiting Time ◽  
National Health ◽  
Service Providers ◽  
National Health Insurance Scheme ◽  
Health Insurance Scheme ◽  
Insurance Scheme

Abstract Background Out of Pocket Expenditure has always been a primary means of financing health care service in Nepal. National Health Insurance Scheme ensures universal health coverage by addressing the unregulated out-of-pocket spending and providing quality of health service.Methods A descriptive cross-sectional study was conducted among the enrollees of the National Health Insurance Scheme (NHIS) in Bharatpur Metropolitan City of Chitwan district. Focused Group Discussions were conducted among enrollees to assess the perception towards National Health Insurance Scheme. The qualitative data were analyzed as thematic analysis technique. Results: Perception towards National Health Insurance Scheme was categorized as perceived quality of care, perceived benefit and provider’s behavior. Respondents were fully satisfied with the premium charge. Availability of drugs was improved but the waiting time and the process of registration was lengthy and full of jargons. Most of the participants perceived that due to less number of service providers or due to inability of allocating separate provider for ensured persons, the consultation time was very less which further affects the quality of care. Enrollment Assistants were considered as primary source of information regarding the NHIS.Conclusion Long waiting time, difficulty during registration and less number of service providers remain challenge to receive quality of care under NHIS. Participants perceived that the benefit package under affordable premium charge is in favor of them. Addressing these factors in expansion of this program in other district might leads for success of this scheme.

scholarly journals Factors Affecting Utilization of the National Health Insurance Scheme by Federal Civil Servants in Rivers State, Nigeria

2021 ◽  
Vol 58 ◽  
pp. 004695802110176
Author(s):  
Obelebra Adebiyi ◽  
Foluke Olukemi Adeniji
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
National Health Insurance Scheme ◽  
Health Workers ◽  
Civil Servants ◽  
Health Insurance Scheme ◽  
Insurance Scheme ◽  
Rivers State

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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