Perception of community-based health insurance scheme in Ogun State, Nigeria

Adeneye AK*, Musa AZ, Afocha EE, Adewale B, Ezeugwu SMC, Yisau J, Raheem TY, Akande DO, Akinremi AO, Runsewe OA and Mafe MA

This exploratory qualitative research is focused on perception of Community-Based Health Insurance Scheme (CBHIS) for the successful implementation, sustainability and effective operations of the scheme from the viewpoint of the target populations, preparatory to its rolling out in Abeokuta North and Ijebu Ode LGAs of Ogun State, Nigeria. The study was conducted through in-depth interviews and Focus Group Discussions (FGDs) with community members, community leaders, opinion leaders and Board of Trustees (BoT) members in the communities. Poor understanding of the concepts of CBHIS principles with little sense of community control and ownership of the scheme were largely demonstrated in the communities studied. Factors critical for their patronage of the scheme were identified as infrastructural improvement at the designated CBHIS health facilities, accountability and transparency in management of the scheme, availability of adequate number of the various cadres of health workers and availability of essential drugs. Other critical issues such as community acceptability and willingness to pay for CBHIS, and perceived ways of effectively operating the scheme were captured in the study. The study provides useful policy lessons with insights for improved planning and implementation of the scheme and also highlights the need to take cognizance of potential enrollees’ expectations in its planning and execution to increase patronage and guarantee sustainability.

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Published on: Feb 4, 2021 Pages: 1-12

Full Text PDF Full Text HTML DOI: 10.17352/2455-5363.000039
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