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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.
xiv
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. PERCEPTION AND HEALTH SEEKING BEHAVIOUR FOR OBSTETRIC COMPLICATIONS AMONG WOMEN OF REPRODUCTIVE AGE IN ONITSHA METROPOLIS
» CHAPTER ONE INTRODUCTION 1.1 Background to the Study Maternal health and safe motherhood have received significant attention worldwide in the last thr...Continue Reading »Item Type & Format: Project Material - Ms Word | 52 pages |
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2. KNOWLEDGE, ATTITUDE AND PERCEPTION WITH REGARDS TO PREVENTION OF HYPERTENSION AMONG BANKERS IN MUSHIN LOCAL GOVERNMENT AREA, LAGOS, NIGERIA
» ABSTRACT Hypertension is a major public health problem which is the third leading risk factor contributing to mortality and morbidity rate in the worl...Continue Reading »Item Type & Format: Project Material - Ms Word | 85 pages |
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3. EFFECT OF COUNSELING ON THE PSYCHOLOGICAL ADJUSTMENT OF PEOPLE LIVING WITH HIV/AIDS
» Abstract The human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) epidemic is in its third decade and has reached to alarming pr...Continue Reading »Item Type & Format: Project Material - Ms Word | 52 pages |
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4. LEVEL OF ACCEPTANCE OF PROSTATE CANCER SCREENING AMONGS ADULT MALES IN ELELE, RIVERS STATE
» CHAPTER ONE INTRODUCTION 1.1 BACKGROUND OF THE STUDY The World Health Organization (WHO) has shown that early diagnosis of cancer greatly affects trea...Continue Reading »Item Type & Format: Project Material - Ms Word | 52 pages |
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5. NUTRITIONAL KNOWLEGDE AND PRACTICE AMONG EXPECTANT MOTHERS
» CHAPTER ONE INTRODUCTION 1.1 BACKGROUND TO THE STUDY Nutritional knowledge has been proven to play a very vital role in adopting optimal nutrition pra...Continue Reading »Item Type & Format: Project Material - Ms Word | 52 pages |
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6. FACTORS ASSOCIATED WITH HEALTH CARE-SEEKING BEHAVIOUR REGARDING PRE-ECLAMPSIA AMONG PREGNANT WOMEN ATTENDING ANTENATAL CENTRES IN SAGAMU, OGUN STATE, ...
» ABSTRACT Women die from a wide range of complications in pregnancy, childbirth or after delivery, and amidst these complications is pre eclampsia, whi...Continue Reading »Item Type & Format: Project Material - Ms Word | 81 pages |
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7. DETERMINANTS AND PREVALENCE OF CHILDHOOD LEAD POISONING IN KAWAYE VILLAGE, ANKA LOCAL GOVERNMENT AREA, ZAMFARA STATE; 2013
» SUMMARY Lead poisoning remains one of the most significant and prevalent diseases of environmental origin globally, accounting for 0.6% of the global ...Continue Reading »Item Type & Format: Project Material - Ms Word | 142 pages |
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8. DETERMINANTS OF RESPONSIVE EMERGENCY OBSTETRIC REFERRALS AND REFERRAL INTENTIONS AMONG TRADITIONAL BIRTH ATTENDANTS IN LAGELU LGA, OYO STATE, NIGERIA
» ABSTRACT Despite all efforts to reduce maternal mortality rate during the Millennium Development Goals (MDGs) initiative, maternal mortality remains u...Continue Reading »Item Type & Format: Project Material - Ms Word | 73 pages |
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9. ASSESSMENT ON THE AWARENESS OF PREVENTION OF WATER BORNE DISEASE AMONG ADULT IN SAGBAMA LOCAL GOVERNMENT AREA, BAYELSA STATE
» CHAPTER ONE INTRODUCTION 1.1 Background of Study Waterborne diseases are conditions caused by pathogenic micro organisms that are transmitted in water...Continue Reading »Item Type & Format: Project Material - Ms Word | 52 pages |
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10. PREVALENCE OF MALARIA AND USE OF LONG LASTING INSECTICIDE TREATED NETS IN CHILDREN AGED 6 – 59 MONTHS AT INTERNALLY DISPLACED PERSONS CAMPS ABUJA
» ABSTRACT Globally there has been an increase in Internally Displaced Persons (IDP). IDPs are a disadvantaged population and prone to numerous challeng...Continue Reading »Item Type & Format: Project Material - Ms Word | 82 pages |
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