Given the general poor state of health care and the devastating effect of user fee, the National Health Insurance Scheme (NHIS) was instituted as a health financing policy with the main purpose to ensure universal access for all Nigerians. However, since NHIS became operational in 2005, only members of scheme are able to access health care both in the public and in private sectors, representing about 3% of Nigerian population. The thesis therefore examines the design and implementation policy of NHIS in Oyo state, Nigeria. Key design issues conceptual framework guides the analysis of data. The framework identifies three health interrelated financing functions namely revenue collection, risk pooling and purchasing. Data was collected from the NHIS officials, employees of the Health Maintenance Organisations (HMOs) and the Health Care Providers (HCPs) using key informant interview. In addition, in-depth interview and semi structure questionnaire were used to gather data from the enrolees and the nonenrolees. Empirical findings show that NHIS is fragmented given the existence of several programmes. In addition, there is no risk pooling neither redistribution of funds in the scheme. Revenue generated through contributions from the enrolees was not sufficient to fund health care services received by the beneficiaries because of the small percentage of the Nigerian population that the scheme covers. Further findings indicate that enrolled federal civil servants have not commenced monthly contribution to the NHIS. They pay 10% as co-pay in every consultation while federal government as an employer subsidised by 90%. Majority (76.8%) of the respondents agreed that they were financially protected from catastrophic spending. However, the overall benefit package was rated moderate because of exclusion of some priority and essential health care needs. Although above half (57%) of the respondents concurred that HMOs are accessible, in the overall, (47.6%) of the respondents were not satisfied with their services. In the case of the HCPs, majority (61.9%) of the respondents claimed that there is no excessive waiting time for consultation. Furthermore, (64.3%) rated their interpersonal relationship with the HCPs to be good. However, more than half of the respondents (54%) disagreed on availability of prescribed drugs in NHIS accredited health facilities. For the nonenrolees, findings show that most of the respondents (72.9%) were willing to enrol, but significant proportion (47.5%) indicated financial constraint as impediment to enrolment. / Sociology / D. Phil. (Sociology)

The purpose of this study was to describe factors that influence the enrolment of dairy farmers to a Community Health Insurance scheme for better access to healthcare. Quantitative, descriptive, contextual, cross-sectional research was conducted and the Health Insurance for the Poor framework was used to describe these factors. Data collection was done using a structured interview guide. The sample consisted of 135 farmers who supplied milk to a dairy cooperation in western Kenya. Among the sample were respondents (n=17) who were enrolled to the Tanykina Community Healthcare Plan (TCHP). The findings revealed that lack of information and unfamiliarity with TCHP, lack of affordability and the distance from the TCHP centres might prevent farmers from registering for the Tanykina Community Healthcare Plan. Improved marketing strategies and establishing more health centres which are more accessible are among the recommendation made to increase the membership to the TCHP / Health Studies / M.A. (Public Health)

The main target of this Master thesis is to find out health insurance company's possibilities in creating marketing plans and their implementation. The health insurance company is a specific subject which has different marketing tools as well as other responsibilities and legislative limitations. First part describes theoretical principles, methods and tools of marketing. Those are later applied to the field of public health insurance. Basic information about health insurance, its creation, formation and development concludes this passage. Second section deals with analysis of particular health insurance company, its marketing plan, budget, strategy, etc. An evaluation survey which depicts general public awareness of health insurance companies and their activities is also included in this part.

<p>This dissertation deals with a comparison of social policy in South Korea and Taiwan. By tracing the historical origins of the modern social security institutions, as well as the historical process of modernization of medical care in Korea and Taiwan, this study can identify the extension of entitlement to health insurance as one of the most contentious social policy issues in the two countries. </p><p>Using a historical institutional approach, this study shows that, in both Korea and Taiwan, the direct presidential elections as well as the diffusion of international norms have been two important factors affecting the historical process of the extension of entitlement to health insurance. </p><p>The significance of the direct presidential election factor should be understood in the light of the distinctive political culture in Korea and Taiwan, where the political decision-making has been highly concentrated around the major political leaders and their personalities have assumed a prominent role in sociopolitical development. The significance of international norms should be understood with regard to the particular status of the two states, Korea and Taiwan. Both Korea and Taiwan belong to the states that have sought to build up their respective nations to be comparable to the industrially advanced countries in West during the post World War II era. In more recent years, this has been attempted through the development of social policy programs, even if many areas still need improvement.</p>

This dissertation deals with a comparison of social policy in South Korea and Taiwan. By tracing the historical origins of the modern social security institutions, as well as the historical process of modernization of medical care in Korea and Taiwan, this study can identify the extension of entitlement to health insurance as one of the most contentious social policy issues in the two countries. Using a historical institutional approach, this study shows that, in both Korea and Taiwan, the direct presidential elections as well as the diffusion of international norms have been two important factors affecting the historical process of the extension of entitlement to health insurance. The significance of the direct presidential election factor should be understood in the light of the distinctive political culture in Korea and Taiwan, where the political decision-making has been highly concentrated around the major political leaders and their personalities have assumed a prominent role in sociopolitical development. The significance of international norms should be understood with regard to the particular status of the two states, Korea and Taiwan. Both Korea and Taiwan belong to the states that have sought to build up their respective nations to be comparable to the industrially advanced countries in West during the post World War II era. In more recent years, this has been attempted through the development of social policy programs, even if many areas still need improvement.

Source: Dissertation Abstracts International, Volume: 70-03, Section: B, page: 1622. Adviser: Stephen H. Linder. Includes bibliographical references.

Adviser: Stephen H. Linder. UMI number 3350227. Includes bibliographical references (p. 130-134).

Originally presented as the author's Thesis (doctoral)--Universität Frankfurt am Main, 2002. / Includes bibliographical references (p. [xxi]-xliv).

published_or_final_version / Public Administration / Master / Master of Public Administration

Thesis (Ph.D.)--Mississippi State University. Department of Political Science and Public Administration. / Title from title screen. Includes bibliographical references.