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ORIGINAL RESEARCH REPORTS
Year : 2006  |  Volume : 6  |  Issue : 1  |  Page : 1-5

Awareness and Acceptance of the National Health Insurance Scheme among Health Care Providers in Urban Local Governments in Lagos State


1 Clearline International Limited. ( HMO), Nigeria
2 Department of Community Health, College of Medicine, University of Lagos, Nigeria

Correspondence Address:
K A Odeyemi
Department of Community Health, College of Medicine, University of Lagos
Nigeria
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Source of Support: None, Conflict of Interest: None


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Background and Objectives: Health providers have reacted in both positive and negative ways since the introduction of managed care by Health Maintenance Organizations (HMOs) in Lagos. This study sought to find out the awareness of health providers about the National Health Insurance Scheme (NHIS) and to determine their acceptance and commitment to the scheme. Methods: Using a cross-sectional descriptive design, 379 registered health facilities in Lagos state were randomly selected. A self-administered questionnaire was used to collect data from the medical directors or their representative. Results: Almost all (99.6%) of the providers were aware of the NHIS, but only 33.1 % knew at least four objectives of the scheme. Only about half (55%) of the respondents knew how the capitation system works. Out of the 91 respondents who had been approached by HMOs, 37(40.7%), accepted the offers. "Unrealistic offer" and "unwillingness of HMO to negotiate" were the major reasons why the others rejected offers. Most providers claimed the capitation fee obtained was inadequate in almost all months. Conclusion: Given the level of knowledge by respondents about the NHIS and the dissatisfaction expressed by many of the providers who have contracts with HMOs, it is recommended that seminars/workshops need to be organized for health providers to enlighten them about the NHIS and they should be involved in negotiation to fix the value of capitation.


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