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SUMMARY
Its widely acknowledge that the performance of a national health system is largely
determined by its financing mechanism. Hence, the Federal government through the
NHIS is implementing a social health insurance programme and hopes to achieve a more
flexible, more innovative and more competitive response to the health sector in order to
ensure that every Nigeria has access to quality healthcare, that families are protected from
the financial hardship of huge medical bills, ensure equitable distribution of healthcare
costs among different income groups, improve and harness private sector participation in
the provision off health services, equitable distribution of healthcare facilities within the
federation, ensure availability of funds to the health sector for improved services.
The study was conducted to assess the Knowledge and quality of outpatient care from
the perspective of the NHIS clients, health providers and health managers under the
scheme at Barau Dikko Specialist Hospital Kaduna. Five years after the commencement
of the scheme, although the level of awareness is very high, 41.7% of the NHIS enrollees,
48.6% of the healthcare providers and 55.6% of the healthcare managers of the facility
were knowledgeable on various aspects of the operation of NHIS. The NHIS enrollees
and healthcare providers of the facility rated positive staff attitude, adequate
information/communication about services and technical competence of the healthcare
provider as the most important quality indicator in the outpatient care whereas the
healthcare managers are looking at quality of care in the direction of improved funding,
provision of physical infrastructure and having adequate trained personnel. Majority of
the enrollees said that past experience and high expectations are the main reasons for
choosing the hospital during registration. The of rate utilization of outpatient care of 38%
per annum by NHIS clients shows some improvement while the pattern of utilization is
more of re-visit with the referrals very low. The level of NHIS enrollees’ satisfaction
with outpatient care services in facility is 43%. The awareness of the existence of the
scheme was very encouraging; however, this was not translated into knowledge of the
xiii
principles of the operation of the scheme, these therefore call for an aggressive publicity
drive and intensive educational campaigns. This study showed that client satisfaction
with outpatient care under NHIS is largely determined by the knowledge of the
rudimentary principles of the operation of the scheme.
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CHAPTER ONE
INTRODUCTION
Health care financing and health sector reform have engaged the attention of policy
makers in the World with the focus centred on reviewing the
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SIMILAR PUBLIC HEALTH FINAL YEAR PROJECT RESEARCH TOPICS
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1. THE EFFECT OF COMMUNICATION ON THE ATTITUDES OF MOTHERS TOWARDS CHILDHOOD KILLER DISEASES AND NATIONAL PROGRAMME ON IMMUNIZATION
» CHAPTER ONE INTRODUCTION BACKGROUND OF THE STUDY Many family lost their children to any one of these childhood killer diseases in the past, this dashi...Continue Reading »Item Type & Format: Project Material - Ms Word | 58 pages | Instant Download | Chapter 1-5 | PUBLIC HEALTH DEPARTMENT
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2. EFFECT AND IMPLICATION OF FLUORIDE ON DRINKING WELL WATER (A CASE STUDY OF IREE COMMUNITY, BORIPE LOCAL GOVERNMENT, OSUN STATE)
» ABSTRACT Analysis of well water sample was carried out using colorimetric method to determine the amount of fluoride in fifteen wells water samples in...Continue Reading »Item Type & Format: Project Material - Ms Word | 52 pages | Instant Download | Chapter 1-5 | PUBLIC HEALTH DEPARTMENT
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3. immunization coverage of children at Kudan Town, Kudan L.G.A., Kaduna
» CHAPTER ONE INTRODUCTION 1.1 BACKGROUND INFORMATION Immunization can be termed as the process of protecting a person from a specific disease. It is th...Continue Reading »Item Type & Format: Project Material - Ms Word | 52 pages | Instant Download | Chapter 1-5 | PUBLIC HEALTH DEPARTMENT
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4. INFLUENCE OF PARENTING STYLES ON ADOLESCENTS’ SELF-ESTEEM IN SELECTED SECONDARY SCHOOLS IN ABEOKUTA NORTH LOCAL GOVERNMENT, ABEOKUTA, OGUN STATE, NI...
» ABSTRACT The concept of self esteem is an area of psychology that has gained considerable attention, but for many years has also caused much confusion...Continue Reading »Item Type & Format: Project Material - Ms Word | 77 pages | Instant Download | Chapter 1-5 | PUBLIC HEALTH DEPARTMENT
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5. AN EVALUATION ON THE IMPACT OF POLIO IMMUNIZATION AMONG CHILDREN UNDER FIVE YEARS IN PALI TOWN OF ALKALERI LOCAL GOVERNMENT AREA OF BAUCHI STATE.
» CHAPTER ONE 1.0 INTRODUCTION After two (2) decades of focused efforts to eradicate polio. The impact of eradication activities on health system contin...Continue Reading »Item Type & Format: Project Material - Ms Word | 50 pages | Instant Download | Chapter 1-5 | PUBLIC HEALTH DEPARTMENT
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6. IMPROVING THE DIETARY INTAKE OF DIABETIC PATIENTS IN IKWO LOCAL GOVERNMENT AREA OF EBONYI STATE
» Abstract The main purpose of this work is improving the dietary intake of diabetic patients in Ikwo local government area of Ebonyi State. To achieve ...Continue Reading »Item Type & Format: Project Material - Ms Word | 52 pages | Instant Download | Chapter 1-5 | PUBLIC HEALTH DEPARTMENT
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7. DETERMINANTS OF ADHERENCE TO STANDARD PRECAUTIONS FOR THE PREVENTION OF BLOODBORNE INFECTIONS AMONG MEDICAL LABORATORY SCIENTISTS IN LAGOS STATE, NIGE...
» ABSTRACT Standard precautions are guidelines recommended by the Centre for Disease Control for reducing the risk of transmission of blood borne pathog...Continue Reading »Item Type & Format: Project Material - Ms Word | 65 pages | Instant Download | Chapter 1-5 | PUBLIC HEALTH DEPARTMENT
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8. THE KNOWLEDGE AND PRACTICE OF STANDARD PRECAUTIONS AMONG HEALTH CARE WORKERS IN PUBLIC SECONDARY HEALTH FACILITIES IN ABUJA, NIGERIA
» ABSTRACT Standard precautions are a set of guidelines that aim to protect health care workers from infections from blood, body fluids, secretions, exc...Continue Reading »Item Type & Format: Project Material - Ms Word | 52 pages | Instant Download | Chapter 1-5 | PUBLIC HEALTH DEPARTMENT
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9. CHILD-SURVIVAL MESSAGE-COMMUNICATION SKILLS, ATTITUDE OF HEALTH WORKERS AND MOTHERS’ READINESS TO ADOPT SURVIVAL STRATEGIES AMONG ATTENDEES IN ADEOY...
» ABSTRACT Child mortality remains a major concern of public health because high rate of child mortality persists in developing and under developed coun...Continue Reading »Item Type & Format: Project Material - Ms Word | 67 pages | Instant Download | Chapter 1-5 | PUBLIC HEALTH DEPARTMENT
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10. BASELINE ANTIBODY TITRE TO SALMONELLA TYPHI AND SALMONELLA PARATYPHI A AMONG APPARENTLY HEALTHY INDIVIDUALS IN ZARIA, KADUNA STATE, NIGERIA
» ABSTRACT Typhoid fever is endemic in the tropics and sub tropical regions of the world. It is a major public health problem in most developing countri...Continue Reading »Item Type & Format: Project Material - Ms Word | 78 pages | Instant Download | Chapter 1-5 | PUBLIC HEALTH DEPARTMENT