AN ASSESSMENT OF THE HEALTH INSURANCE SCHEME IN NIGERIAN (THE CASE STUDY OF FEDERAL CIVIL SERVANTS IN ONDO STATE)



ABSTRACT
The research study an assessment of the National Health Insurance Scheme (NHIS) in Nigeria; a case study of Federal Civil Servant in Ondo State. With the following objective, To investigate the history and evolution of National Health Insurance Scheme (NHIS) in Nigeria
1.               To find out the commencement of the National Health Insurance Scheme (NHIS) in Ondo State, Nigeria.
The research work also go a long way showing the historical background of National Health Insurance Scheme (NHIS) in Nigeria.
          The study will also enable the citizens of Nigeria to know the types of National Health Insurance Scheme (NHIS) in Nigeria.
          The research work will also serve as a reference point and guild line for future researchers, federal workers and the general public.
          The study will update the existing body of knowledge on National Health Insurance Scheme (NHIS) in Nigeria.
Both primary and secondary sources of data collection were employed in this study. Furthermore, a self –designed questionnaire was adopted to obtain information for this study. The questionnaire was  designed in two (2) section; A and B section A deals with the socio – economic characteristics of respondents while section B deals with the objectives of the study.

TABLE OF CONTENTS
Title Page                                                                                     i
Certification                                                                                 ii
Dedication                                                                                   iii
Acknowledgments                                                                       iv
Abstract                                                                                       vi
Table of Contents                                                                        vii
CHAPTER ONE
1.1     Background of the Study                                                   1
1.2     Statement of the Problem                                                   3
1.3     Objectives of the Study                                                      5
1.4     Justification of the Study                                                   6
1.5     Scope and Limitation of the Study                                     7
1.6     Organisation of the Study                                                  7
References                                                                         9
CHAPTER TWO
2.1     Literature Review                                                               10
2.1.1   History/Evolution of National Health Insurance
Scheme (NHIS)                                                                  11
2.1.2   Objectives of National Health Insurance Scheme (NHIS)        13
2.1.3     Types of National Health Insurance Scheme (NHIS)               15
2.1.4   Implementation of National Health Insurance
Scheme (NHIS)                                                                      17
2.1.5   Operations of National Health Insurance Scheme (NHIS)
In Nigeria.                                                                              18
2.1.6   Achievement of the National Health Insurance
Scheme (NHIS)                                                                      21
2.1.7   Challenges of National Health Insurance Scheme (NHIS)      22
2.2     Theoretical Framework                                                          25
References                                                                              27
CHAPTER THREE: RESEARCH METHODOLOGY
3.1     Introduction                                                                             28
3.2     Research Design                                                                      28
3.3     Study Population                                                                     29
3.4     Sampling Technique/Sample Size                                            29
3.5     Method of Data Collection /Research Instrument                     30
3.6     Administration of the Instrument                                             31
3.7     Method of Data Analysis                                                         31
References                                                                              32
CHAPTER FOUR: DATA PRESENTATION AND INTERPRETATION
4.1           Introduction                                                                       33
CHAPTER FIVE: SUMMARY, CONCLUSION AND RECOMMENDATIONS
5.1     Summary                                                                           46
5.2     Conclusion                                                                        50
5.3     Recommendations                                                             51
          References                                                                         52
          Bibliography                                                                      53
Questionnaire                                                                    54

CHAPTER ONE
1.1     BACKGROUND OF THE STUDY
          In 1990, total health spending from less than $ 10 per capital in several African and Asian Countries to more than $ 2,700 per capital in the U.S.A. (World Health Organization, 2009). As a result of this, the ability of government especially in the 

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