Introduction: In most developing countries, Nigeria
in particular, there is little equity and a clear lack of universal coverage of
health care. Majority of the health seeking people first visit the community
pharmacies when they are ill, before visiting the hospitals, yet a large
percentage of Community Pharmacies are not registered with the National Health
Insurance Scheme. The objective of the study was to assess the Knowledge,
Attitude, Perception and Practice of the Health Insurance Scheme among
Community Pharmacists in Lagos State, with the hope that it would serve as a
baseline study towards improving Community Pharmacists’ involvement in the
implementation of the Health Insurance Scheme.
cross-sectional descriptive study was carried out on 200 Community Pharmacists
in Lagos State using a multi-staged stratified random sampling method and structured
questionnaire. Analysis was done with Statistical Package for Social Sciences
(SPSS) version 14.0 to obtain the frequencies, percentages and descriptive
Result: Majority of the respondents were
females (60%), in the age range of 41years and above (47%), without additional
qualifications (70%), and 73% with more than 16 years post qualification
experience. More than 80% had poor knowledge of the major guidelines and activities
in Health Insurance Scheme while 86% were neither registered nor participating.
Lack of integration among health care providers, lack of prescription from
hospitals, need for cumbersome data, inadequate funding and training, lack of
capitation for pharmacists were seen as the major hindrances to their
Conclusion: The study revealed poor knowledge,
attitude, perception and practice of the Health Insurance Scheme, among Community
Pharmacists. Adequate training of community pharmacists and funding of the
scheme, modifying the payment system to capitation as well as improving
coordination, integration and standard of operation of the Health Insurance
Scheme will improve their involvement.
Community Pharmacists, Knowledge, Attitude, Perception, Practice, Health
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