Cost of wound dressing: Implication for enrollment into the National Health Insurance scheme, Nigeria.

Kolawole D Ogundeji, Patrone R Risenga, Gloria Thupayagale-Tshweneagae
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Abstract

Background:  Enrollment into the National Health Insurance scheme (NHIS) still poses a challenge in Nigeria despite the established Group, Individual and Family Social Health Insurance Programme (GIFSHIP) during the coronavirus disease 2019 (COVID-19) pandemic.

Objectives:  This study examined the direct cost of wound dressing and enrollment into the health insurance scheme among hospitalised patients.

Method:  A descriptive cross-sectional research design was utilised to investigate the cost of wound dressing and enrollment into health insurance scheme among hospitalised patients in three selected hospitals of South-West Nigeria. The study was conducted from March 2021 to June 2021, and 190 patients were recruited via an interviewer-administered questionnaire. Ethical approvals were obtained from the hospitals while COVID-19 preventive protocols and ethical principles of autonomy, confidentiality and non-maleficence were observed.

Results:  Majority of the respondents (91%) were not on any healthcare insurance scheme, only 4.2% were enrolled in NHIS while over 70% could not personally pay for their wound dressing. The minimum average cost of wound dressing materials per week and per acute care episode was ₦10 000.00 (Nigerian naira) and ₦50 000.00, respectively, while the minimum average cost for hospitalisation per week and per acute care episode was ₦18 000.00 and ₦130 000.00, respectively, ($1.00 equaled ₦600.00, June 2022).

Conclusion:  A lack of health insurance coverage is a precursor of 'out of pocket' payment. A political will is required to scale up enrollment of the indigenous population into the NHIS in Nigeria.Contribution: Many hospitalised patients are not enrolled in the NHIS and they are at a higher risk of catastrophic healthcare expenditure.

伤口敷料的费用:对加入尼日利亚国家健康保险计划的影响。
背景:尽管在2019冠状病毒病(新冠肺炎)大流行期间建立了团体、个人和家庭社会健康保险计划(GIFSHIP),但加入国家健康保险计划在尼日利亚仍然是一个挑战。目的:本研究调查了住院患者伤口敷料和健康保险计划的直接成本。方法:采用描述性横断面研究设计,调查尼日利亚西南部三家选定医院住院患者的伤口敷料和健康保险计划的费用。该研究于2021年3月至2021年6月进行,通过访谈者管理的问卷招募了190名患者。获得了医院的伦理批准,同时遵守了新冠肺炎预防方案和自主、保密和非强制性的伦理原则。结果:大多数受访者(91%)没有参加任何医疗保险计划,只有4.2%的人参加了NHIS,而超过70%的人无法亲自支付伤口敷料的费用。伤口敷料材料每周和每次急性护理的最低平均成本分别为10 000.00奈拉和50 000.00奈拉·,而住院治疗每周和每次急诊的最低平均费用分别为18 000.00和130 000.00,(1.00美元等于₦600.00,2022年6月)。结论:缺乏医疗保险是“自付”的前兆。需要有政治意愿来扩大尼日利亚国家健康保险系统的土著人口登记人数。贡献:许多住院患者没有登记在国家健康保险计划中,他们面临更高的灾难性医疗支出风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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