Factors Determining Enrollee's Choice of Private and Public Healthcare Providers of Community Based Health Insurance Scheme in Edu Lga Kwara State

Authors

  • Sheshi Idris Mohammed
  • Agbana Emmanuel Busayo
  • Sani Mohammed Dambam
  • Jiya Samuel Ndagi
  • Liman Abbas Shu'aibu

DOI:

https://doi.org/10.47672/ejhs.1289

Keywords:

Choice, private and public healthcare providers, community based health insurance scheme.

Abstract

Purpose: Private sector is the major providers of Primary health care for the poor in many low- and middle-income countries. In the public healthcare providers, the health facilities are built by the government and the healthcare workers, draw their salaries from government treasuries. In the private providers, the health facilities are owned by individual or a group of people and the salaries of the workers are paid from the resources generated in the facilities. They are either for profit or non-profit making. Enrollees are given freehand to choose either of the providers, but the information available to them is not enough to make decision on which of the providers to choose. This study aimed at determining the enrollee's choice of private and public healthcare providers of community-based health insurance scheme in Edu LGA Kwara state.

Methodology: The design was descriptive cross-sectional study. Sample size of 400 was used in each of the provider. The respondents were recruited by systematic sampling method among private healthcare provider while multistage sampling method was adopted in public healthcare providers. Data was collected using semi structured questionnaire. Focus Group Discussion was also carried out. Data collected were analyzed using SPSS version 23.0. Results were tabulated and logistic regression was adopted to determine level of significance. Level of Significance was set at P<0.05

Findings: Nine- point-five (9.5%) of the respondents of the private healthcare provider and 5.7% of the respondents of the public healthcare providers had good knowledge score of community based health insurance scheme. The difference in knowledge score was statistically significant as the p=0.035. Mode of premium collection had Odd ratio 2.99 (CI =1.934- 4.622), P<0.001; Trust of the system Odd ratio 2.987 (CI = 1.884-4.733); Quality of health care Odd ratio 2.673 (CI = 1.757-4.065) P<0.001; Proximity to health facility Odd ratio 2.225 (CI = 1.412-3.506) P=0.001. Mode of joining the scheme Odd ratio 0.400 (CI = 0.290-0.552) P<0.001 and cost of accessing care Odd ratio 0.577 (CI = 0.42-0.779) P<0.001.

Recommendation: It was recommended that private health facilities should be maintained which will improve access to health care for the enrollees. The government should also improve the quality of health care in the public healthcare providers.

Downloads

Download data is not yet available.

Author Biographies

Sheshi Idris Mohammed

Department of Health Research, Niger State Ministry of Health, Minna

Agbana Emmanuel Busayo

Department of Community Medicine, College of Health Science, Kogi State University Anyigba

Sani Mohammed Dambam

Department of Community Medicine, Abubakar Tafawa Balewa University Bauchi.

Jiya Samuel Ndagi

Department of Disease Control and Immunization, Niger State Primary Healthcare Agency, Minna

Liman Abbas Shu'aibu

Department of Public Health, Niger State Ministry of Health, Minna

References

Shantayanan Devarajan, Ritva Reinikka. Wor;ld development report. Making services work for poor people. Washington (District of Columbia) World Bank and Oxford University press. 2004. Available at www.inf.org/external/pubs/ft/fandd/2003/09/pdf/dearasja.pdf Last accessed June 2020

Murray CJ. Lopez AD, Alternative projection of mortality and disability by cause 1990-2020. Global Burden of Disease study. Lancet 1997;349:1498-1504

Bloom G. Standing H, Liod R. Markets information asymmetry and health care towards new social contracts. Soc. Sci. Med 2008; 66:2076-2087

Ama P Fenny, Felix A, Asante, Ulrika Enemark, Kristian S Hansen. Treatment seeking behavior and social health insurance in Africa, the case of Ghana under NHIS, Global Journal of Health Science. 2014;7(1):296-314

Araoye MO. Research Methodology with statistic for health and social science. Mathadex publishers, 2003;(1):118-120

Babatunde OA, Babatunde OO, Salaudeen AG, Aderibigbe SA, Adewoye KR, Alao TA, Idowu OA, Atoyebi OA. Knowledge of community health insurance among household heads in rural communities of Ilorin. International Journal of Science Management, 2014;3(3):800-810

Christian Ogbe. Knowledge and perception of rural communities in Abuja, Nigeria on community-based health insurance scheme. South American Journal of Public Health. 2014;2(4):534-560

Bamidele JO, Adebimpe WO. Awareness, Attitude and willingness of Artisan in Osun state, south western Nigeria to participate in community based health insurance. Journal of community Medicine and Primary Health Care. 2013;24(1&2): 1-11

Banwat ME, Agbo HA, Hassan Z, Lassa S, Osagie LA, Ozoilo JU, Ogbonna C, Community bassed health insurance knowledge and willingness to pay: A survey of a rural community in North Central zone of Nigeria. Jos Journal of Medicine 2012; 6(1):54-59

Fotaki M, Roland M, Boyd A, McDonald R, Scheaff R, Smith. What benefit will choice bring to patient? Literature review and assessment of implication. J Health Serv Res Policy 2008;13:178-184

Halasa Y. Nande A, K Kumar. Factor determining choice of health care provider in Jordan. Eastern Med Health Journal. 2009;15(1):53-6Sx

Stephen Russel. (2008) Demand side factor affecting health seeking behavior in Ghana. GU Journal of Health Science, 5, No, 1. Available at https:/blogs.commons.georgetown.edu/journal-of-health-sciences/issues-2/previous-volumes/vol-5-no-1april-2008/demand-side-factors-affecting-health-seeking-behavior-in-ghana/ Last accessed in 2020

Sachiko Ozawa, Damian G Walker. Comparism of trusty in public vs private health care provider in rural Cambodia. 2011;2(suppl 1):20-39

Elizabeth H, Shayo Kesheri, P Senloro, Romanus Momburi, Jeans Byskov, Samuel A Makundi. Access and utilization of health care services in rural Tanzania. A comparism of public and non public facilities using quality equity and trust dimension. International Journal for Research, policy and practice. 2016;11(4):407-422

Elizabeth A, Harlie, Christian R, Critchley. Public perception of Australia doctor, hospital and health system. Med J Australia 2008;189(4):210-214

OC Uchendu, OS Ilesanmi, AE Olumide. Factors influencing the choice of health care providing facility among workers in a local government secretariat in south western Nigeria. Ann Ib postgrad Med. 2013;11(2):87-95.

Oni OA, Agboje IA, Determinants of choice of healthcare provider among farming and non-farming household. Evidence from selected rural area of Ibadan Oyo state. Nig J of Agriculture, Food & Environment. 2014;6(1&2):33-46

Osuchukwu Nelson, C Osonwa, Kalu O, Eko Jimmy E, Uwanene CC, Abeshi SE, Offiong Dominic A. Evaluating the impact of national health insurance scheme on health care consumer in calabar metropolis southern Nigeria. International J of Learning and Devt. 2013;3(4):30-45

Combier E, Zeitlin J, de Courcel N, Vasseur S, Lalouf A, Amat Roze Jet al. Choosing where to deliver. Decision criteria among women with low risk pregnancies in France. Soc Scie Med. 2004;58(11):2279-89

Idrissa Beogo, Chieh Yu Liu, Ying Jang, CVhouChuam, Yu Chan, Nicvole Huang. (2014)Health seeking pattern in the emerging private sector in Burkina Faso. A popular based study of Urban Adult resident in Ouagadogou. PLos ONE 9(5):e97521

Downloads

Published

2022-11-24

How to Cite

Mohammed, S. I. ., Busayo, A. E. ., Dambam, S. M. ., Ndagi, J. S. ., & Shu'aibu, L. A. . (2022). Factors Determining Enrollee’s Choice of Private and Public Healthcare Providers of Community Based Health Insurance Scheme in Edu Lga Kwara State. European Journal of Health Sciences, 7(6), 34–44. https://doi.org/10.47672/ejhs.1289