Challenges of Implementing Tertiary Institution Social Health Insurance Programme: Empirical Evidence From Southwest Nigeria

Habdul Hakeem Sule

Abstract


Managed care is still prematurely implemented in tertiary institutions in Nigeria. This study then examined the challenges of implementing Tertiary Institution Social Health Insurance Programme (TISHIP) in federal universities in southwest Nigeria between 2005 and 2019. Primary and secondary data were used for this study, while University of Ibadan (U.I.) and Obafemi Awolowo University (O.A.U.) were purposively selected from the study population. The study concluded that the following challenges confront the implementation of TISHIP in southwest Nigeria, and these include: irregular feedback in the implementation of TISHIP (RII=3.52), failure to educate students about the benefits of implementing TISHIP (RII=3.50), lack of public advocacy to generate support for the objectives of TISHIP (RII=3.45), lack of transparency in the collection and remmitance of the sickness fund (RII=3.01), and poorly constituted TISHIP management committee. The recommendations of the study suggest a robust funding for implementing TISHIP to enhance the capacity of the Scheme to provide accessible and affordable health care services for students of federal universities in southwest Nigeria.


Keywords


Social health insurance; Health maintenance organization; Capitation payment; Health care utilization; Health centre

Full Text:

PDF

References


Agbor, T. (2015, October 21). How OAU fresh student bled to death struggling, pleading with unseen object. The Gazelle News. Retrieved from www.thegazellenews.com-2015/10/21

American Hospital Association (1999). Accountability: The pathway to restoring public trust for hospitals and other health care organizations. Retrieved from www.aha.org.content-AHAPrinciples

American Safety & Health Institute (2016). ASHI Health Counseling and Training. Florida. Retrieved from www.ashihealth.edu.safety

Awodipe, T. (2015, September 19). University of Ibadan clinic not living up to expectation, Guardian. Newspaper. http://www.mguardian.ng-saturday-magazine

Balise, A., & Devine, K. (2011). How health care reform really affects student health plans. University Risk Management and Insurance Association Journal, University Health Plans, Inc. Retrieved from www.urmia.org

Brinkerhoff, D. (2003). Accountability and health systems: Overview, framework, and strategies. Partners for Health Reformplus Project. US Agency for International Development (USAID). Retrieved from www.PHRplus.org

Colorado State University (2013). CSU Health Network. Colorado. Retrieved from www.health.colostate.edu

Das, J., Holla, A., Mohpal, A., & Muralidharan, K. (2016). Quality and accountability in health care delivery: audit-study evidence from primary care in India. American Economic Review, 106(12), 3765–3799, http://dx.doi.org/10.1257/aer.20151138

Deutscher Akademischer Austauschdienst or German Academic Exchange Service (2015). Organizing health insurance: The German Experience. Retrieved from http://www.daad de-deutscheland-regain.

Dutch Social Security Institute (2016). Social security system in the Netherlands. Retrieved from www.expatica.com-about-Dutchsocial

Gallagher, A. J. (2014). Healthcare reform for students and campus administrators: Student Health and Special Risks. Retrieved from www.healthcare.gov

Hadiza, A. A., & Elizabeth, O. O. (2014). Assessment of Tertiary Institution Social Health Insurance Programme at the University of Jos. Journal of Biological and Chemical Research, 31(1), 253-259, Society for Advancement of Sciences.

Health Policy Project (2004). Capacity development resource guide: Accountability systems. Futures Group.

James, C. & Savedoff, W. (2010). Risk pooling and redistribution in health care: An empirical analysis of attitudes towards solidarity. Background Paper, No. 5, W.H.O, Geneva.

John Hopkins University Student Health Benefit Plan (2015): Schools of Arts, Sciences and Engineering. Retrieved from www.chpstudent.com

LiveWellNYU (2012). A comprehensive public health framework to improve student’s health throughout the global network university. New York University. Retrieved from www.nyu.edu/live-well-nyu

Lund University (2016). Student health centre and general medical services, Lund University, Sweden. Retrieved from www.lunduniversity.lu.se_student life

National Health Bill (2014). Nigeria (Online). Retrieved from http://www.herfon.org/docs/Harmonised-NATIONAL-HEALTH-BILL2011%20doc.pdf

O’Hagan J., & Persaud, D. (2009). Creating a culture of accountability in health care. The Health Care Manager, 28(2), 124–133.

Obama Care and its Mandates Fact Sheet. (2010). Affordable Care Act. Retrieved from http://www.alliancedefendingfreedom.org/obamacare

Odeyemi, I. A. (2014). Community based health insurance programmes and the national health insurance scheme of Nigeria: Challenges to Uptake and Integration. International Journal for Equity in Health. http;//www.equityhealth.com/content/13/1/

Omotai, L. O. & Nwakwo, N. C. (2012). A Review of the Nigerian health care funding system and how it compares to that of South Africa, Europe and America. Journal of Medicine and Medical Sciences, 3(4), 226–231.

Orozco, V. & Mayo, L. (2010). Keeping students enrolled: How community college are boosting financial resources for their students. Demo Public Policy Research, New York. Retrieved from http://www,demos.org

Osuchukwu, N. C., Osonwa, K. O., Eko, J. E., Uwanede, C. C., Abeshi, S. E., & Offiong, D. A. (2013). Evaluating the impact of national health insurance scheme on health care consumers in Calabar metropolis, Southern Nigeria. International Journal of Learning and Development, 3(4).

Poterba, J. M. (1996). Government intervention in the market for education and health care: How and why? University of Chicago Press, 277-308.

Princeton University (2015). Princeton university’s students health plan document. Retrieved from http://www.aetnastudenthealth.com/

Reginato, E., Nonnis, C., & Pavan, A. (2011). Modern public internal control system and accountability in health care organizations. Business and Management Sciences International Quarterly Review, 2(4), 381–396.

Scott, C. (2001). Public and private roles in health care systems: Reform experience in seven OECD Countries. Open University Press.

Shagaya, Y. J. (2015). Assessment of students’ satisfaction and quality of patient care under the Nigerian tertiary institution social health insurance programme (TISHIP). European Journal of Business and Management, Department of Business Administration, Ahmadu Bello University, Zara, 7(6).

Sorensen R. & Iedema, R. (2007). Redefining accountability in health care: managing the plurality of medical interest. An Interdisciplinary Journal for Social Study of Health, Illness and Medicine. Retrieved from http://dx.doi.org/10.1177/1363459307083699

Swerge (2016). Health insurance and medical care: Study in Sweden. Retrieved from https://sudyinsweden.se-life-in-sweden

Technische Universitat Munchen (2016). TUM Mandatory Health Insurance, Germany. Retrieved from www.turn.de.application-and-acceptance

Tsouros, A. D. (1998). From the healthy city to the healthy university: Project development and networking in Health promoting universities: Concept, experience and framework for action Organizational Development Century Health Policy. W.H.O, Regional Office for Europe, Copenhagen.

Universite de Nantes. (2016). Health care and health coverage. Retrieved from www.univ-nantes.frhealthcare-coverage.

Usoroh, E. E. (2012). Achieving health coverage in Nigeria: The national health insurance as a tool. 48th International Course in Human Development (ICHD). Royal Tropical Institute, Amsterdam. Retrieved from www.bibalex.org/search4dev/..../455718...

Zweifel, P. (2005). The purpose and limit of social health insurance: Contribution Prepared for the Annual Meeting of the Verein for socialpolitik, University of Zurich, Bonn. Retrieved from www.socialpolitik.de/.../




DOI: http://dx.doi.org/10.3968/11735

Refbacks

  • There are currently no refbacks.


Copyright (c) 2020 Canadian Social Science

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Reminder

  • How to do online submission to another Journal?
  • If you have already registered in Journal A, then how can you submit another article to Journal B? It takes two steps to make it happen:

1. Register yourself in Journal B as an Author

  • Find the journal you want to submit to in CATEGORIES, click on “VIEW JOURNAL”, “Online Submissions”, “GO TO LOGIN” and “Edit My Profile”. Check “Author” on the “Edit Profile” page, then “Save”.

2. Submission

Online Submissionhttp://cscanada.org/index.php/css/submission/wizard

  • Go to “User Home”, and click on “Author” under the name of Journal B. You may start a New Submission by clicking on “CLICK HERE”.
  • We only use four mailboxes as follows to deal with issues about paper acceptance, payment and submission of electronic versions of our journals to databases: caooc@hotmail.com; office@cscanada.net; ccc@cscanada.net; ccc@cscanada.org

 Articles published in Canadian Social Science are licensed under Creative Commons Attribution 4.0 (CC-BY).

 

Canadian Social Science Editorial Office

Address: 1020 Bouvier Street, Suite 400, Quebec City, Quebec, G2K 0K9, Canada.
Telephone: 1-514-558 6138 
Website: Http://www.cscanada.net; Http://www.cscanada.org 
E-mail:caooc@hotmail.com; office@cscanada.net

Copyright © Canadian Academy of Oriental and Occidental Culture