Clients’ experience of the National Health Insurance Scheme (NHIS) at the University of Abuja Teaching Hospital (UATH), Gwagwalada, Abuja

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DOI: 10.21522/TIJPH.2013.07.01.Art022

Authors : Christie Omolola Adams, Ekele Peter Ekele, Glory Ogunfowokan, Aishatu Ibrahim Gombe, Elizabeth Ifeyinwa Rasong, Ngozi Lydia Chukwu


Introduction: NHIS is designed to provide easy access to healthcare for all Nigerians. It was rolled out in 2006. The quality of care expected, achievement of the goals and sustainability need to be evaluated. This survey served as a measure to ascertain the expected satisfaction. Materials and Methods: A cross-sectional study of 300 respondents randomly selected from NHIS clients from 14th February – 30th March 2018 with a self-administered modified questionnaire, which assessed satisfaction domains of the client. Associations between dependent and independent variables were subjected to Chi square test and Pearson’s Product-Moment Correlation Coefficient (PPMC). Results: Most respondents were females 64.7 % (194), age range of 38 – 47 years had the highest percentage frequency distribution (33.7%). Most respondent marital status was married 244 (81.3%). They were predominantly civil servants (42.0%). The educational status shows 188 (62.7%) tertiary education. Most respondents felt waiting time was too long 39.7% (119) with health information; and 38.0% (114) with code generation unit. 169 (56.3%) respondents said that they do not get an explanation for the non-availability of the prescribed services. 33.3% respondents pay for drugs out of pockets and 37.0% (111), pay for laboratory services. Findings: NHIS is on-going with many enrollees and the aforementioned units need improvement. Conclusion: Since Ӽ_cal^2 (138.03) is greater than Ӽ_tab^2 (7.81) at the 0.05 significant level, it can be concluded that both the observed and expected distributions differ significantly. That is, there is a significant difference in the level of satisfaction of individuals under the NHIS.

Keywords: Health insurance, clients experience, clinic.


[1].     Adamu H, Oche MO. Patient satisfaction with services at a general outpatient clinic of a tertiary hospital in Nigeria. Br J Med Res 2014; 4:2182-202.

[2].     Kausar H, Shafee M, Gangwal PR. Assessment of Satisfaction among OPD patients at Noor Hospital, Warudi, Badnapur. MRIMS J Health Sci 2015; 3:42-4.

[3].     Linder-Pelz SU. Towards a theory of patient satisfaction. Soc Sci Med 1982; 16:577-82. [PUBMED].

[4].     Michael GC, Suleiman HH, Grema BA, Aliyu I Assessment of level of satisfaction of national health insurance scheme enrollees with services of an accredited health facility in Northern Nigerian Department of Family Medicine, Aminu Kano Teaching Hospital, Kano, Nigeria.

[5].     "Press release – UN General Assembly's Open Working Group proposes sustainable development goals" (PDF). 19 July 2014. Retrieved 2016-10-18.. Kruk ME, Larson E, Twum-Danso NA. Time for a quality revolution in global health. Lancet Glob Health 2016; 4: E594-6. [PUBMED].

[6].     "Transforming our world: the 2030 Agenda for Sustainable Development". United Nations – Sustainable Development knowledge platform. Retrieved 23 August 2015.

[7].    "United Nations Official Document". Retrieved 11 October 2016.