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