ASSESSMENT OF HEALTH SEEKING BEHAVIOUR AND HEALTHCARE PAYMENT OPTIONS IN NIGERIA

Authors

  • UCHENNA EUGENES EWELIKE Informal Sector Department, National Health Insurance Scheme, Abuja, Nigeria.
  • OBINNA ONWUJEKWE Faculty of Health Sciences and Technology, University of Nigeria, Enugu State, Nigeria.
  • IJEOMA OKORONKWO Faculty of Health Sciences and Technology, University of Nigeria, Enugu State, Nigeria.
  • ERIC OBIKEZE Faculty of Health Sciences and Technology, University of Nigeria, Enugu State, Nigeria.
  • KENNETH OGBU Department of Human Resource, National Health Insurance Scheme, Awka, Nigeria.

Keywords:

health seeking behaviour, payment options, out-of-pocket payment, urban Slums and Abuja

Abstract

Availability of resources, location of residence, and other health related factors affects the health seeking behaviour of people in Nigeria especially people in poor settlements. Many of the citizens pay for their healthcare needs through the regressive out-of-pocket payment method thus this could be a hindrance to seeking better healthcare. This study assessed the health seeking behaviour and payment options of slum dwellers using a one month recall period. Data was collected using a well-structured interviewer-administered questionnaire. The quantitative statistical tools used in the study analysis were tabulations, frequencies and testing of means. The findings showed that about 32.8% of the heads of households and 25% of other household members were sick one month prior to the interview. The major illnesses was presumptive malaria (54.9%) and (55.1%) for heads of household and other household members respectively. Majority of the head of households and other household members first sought for treatment from patent medicine vendors. The major payment option available for slum dwellers to pay for their health needs was through the out-of-pocket and it was used by 62.1% of heads of households and 73.2% of other household members. Only about 3% of the household heads and about 3.9% of other household members had any form of health insurance. The policy implication is the poor health seeking patter where majority seeks care at patent medicine vendors may be improved with a good financial risk protection mechanism such as health insurance, which will improve access.

References

Department of Economic and Social Affairs (2014): 2014 revision of the world urbanization prospects. – United Nations Official Portal. Available on:

https://www.un.org/en/development/desa/publications/2014-revision-world-urbanization-prospects.html

Feder, J., Moon, M., Scanlon, W. (1987): Medicare reform: nibbling at catastrophic costs. – Health Affairs 6(4): 5-19.

Federal Ministry of Health (2019): National Health Account 2017. – Federal Ministry of Health, Nigeria 84p.

Federal Republic of Nigeria (2009): Federal Republic of Nigeria Official Gazette. – The Federal Government Printer, Abuja, Nigeria 44p.

National Bureau of Statistics (NBS) (2021): Living Standards Survey 2018-2019. – The World Bank Data 448p.

Nigerian Urban Reproduction Health Initiative (NURHI) (2013): Rapid Abuja FCT: Building a thriving city that contributing to Nigeria’s development success. – Nigerian Urban Reproduction Health Initiative 57p.

Taher, M.T., Ibrahim, A. (2014): Transformation of slum and squatter settlements: a way of sustainable living in context of 21st century cities. – American Journal of Civil Engineering and Architecture 2(2): 70-76.

The World Bank Official Portal (2016): Rural population (Percentage of total population). – The World Bank Official Portal. Available on:

https://data.worldbank.org/indicator/SP.RUR.TOTL.ZS

Xu, K., Evans, D.B., Kawabata, K., Zeramdini, R., Klavus, J., Murray, C. (2003): Household catastrophic health expenditure: a multicountry analysis. – The Lancet 362(9378):111-117.

World Health Organization (2005): Improving health system financing in low income countries. – World Health Organization 13p.

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Published

2021-10-03

How to Cite

EWELIKE, U. E., ONWUJEKWE, O., OKORONKWO, I., OBIKEZE, E., & OGBU, K. (2021). ASSESSMENT OF HEALTH SEEKING BEHAVIOUR AND HEALTHCARE PAYMENT OPTIONS IN NIGERIA. Quantum Journal of Medical and Health Sciences, 1(5), 11–19. Retrieved from https://qjmhs.com/index.php/qjmhs/article/view/25

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