The Impact of Delta State Contributory Health Scheme on Workers Health Attitude, Behaviour and Practice in Delta State Civil Service, Asaba.
CHAPTER ONE
Objective of the study
The objectives of the study are;
- To determine the health attitude of Civil Servants in Delta state on Contributory Health scheme.
- To determine the behaviour of Civil Servants in Delta state on Contributory Health scheme programme.
- ascertain the practice of Civil Servants in Delta state on Contributory Health scheme programme.
- To find out the differences in the opinion of users and the non-users of the Contributory Health scheme programme among Civil Servants in Delta state.
CHAPTER TWO
LITERATURE REVIEW
Contributory Health Scheme
The Delta State Contributory Health Commission is a Healthcare Financing organization established by the Delta State Government to ensure access to quality healthcare services for all residents of Delta State irrespective of their socio-economic status and geographical location, in an effort to achieve the United Nations’ Sustainable Development Goal 3 in the year 2030.
The United Nations’ Sustainable Development Goal 3 [Ensure Healthy Lives and Promote Well-being for all at all Ages] has the attainment of Universal Health Coverage (UHC) as one of its key deliverables.
According to the World Health Organization, Universal Health Coverage (UHC) means that every person and community can have access to the promotive, preventive, curative, rehabilitative and palliative health services they need, of sufficient quality to be effective, while also ensuring that the use of these services does not expose the user to financial hardship.
During the United Nations Sustainable Development Summit in 2015, world leaders agreed to achieve UHC by 2030. UHC is also firmly envisaged in the WHO constitution of 1948 declaring health a fundamental human right and on the “Health for All” agenda set by the Alma Ata declaration in 1978.
Universal Health Coverage has three fundamental component objectives, namely:
– Equity in Access to Health Services where everyone who needs healthcare should get them, not only those who can pay for them.
– The quality of health services should be good enough to improve the health of those receiving services.
– People should be protected against financial-risk, ensuring that the cost of using the healthcare services does not put people at risk of financial harm.
In Nigeria, the National Health Insurance Scheme (NHIS) was established as the vehicle to achieve Universal Health Coverage in the country. The Scheme was signed into law in 1999 and officially launched on 6th June, 2005. It commenced service delivery to enrollees in September, 2005, and currently has about 5% of Nigerians covered under the Scheme in 15 years.
In Delta State, the journey towards achieving Universal Health Coverage (UHC) commenced with the transmission of an Executive Bill to the Delta State House of Assembly on the 22nd of June, 2015, to establish the Delta State Contributory Health Commission. The Bill went through a first reading on the 24th of June, 2015, second reading on the 12th August, 2015, and a public hearing on the 26th August, 2015. The Bill had its third reading and was passed by the Delta State House of Assembly on the 9th December, 2015. The Bill establishing the Delta State Contributory Health Commission was signed into Law by His Excellency Senator Dr Ifeanyi Okowa, Governor of Delta State, on the 4th of February, 2016.
The Law established The Delta State Contributory Health Commission (DSCHC), The Delta State Contributory Health Scheme (DSCHS) and other Matters Connected Thereto, as well as, a Governing Board for the DSCHC which will regulate, supervise, implement and ensure an effective administration of a “Mandatory” Delta State Contributory Health Scheme for all residents of Delta State.
CHAPTER THREE
RESEARCH METHODOLOGY
Research design
The researcher used descriptive research survey design in building up this project work the choice of this research design was considered appropriate because of its advantages of identifying attributes of a large population from a group of individuals. The design was suitable for the study as the study sought to examine the impact of Delta state contributory health scheme on workers health attitude, behavior and practices in Delta state civil service, Asaba
Sources of data collection
Data were collected from two main sources namely:
- Primary source and
- Secondary source
Primary source:
These are materials of statistical investigation which were collected by the research for a particular purpose. They can be obtained through a survey, observation questionnaire or as experiment; the researcher has adopted the questionnaire method for this study.
Secondary source:
These are data from textbook Journal handset etc. they arise as byproducts of the same other purposes. Example administration, various other unpublished works and write ups were also used.
CHAPTER FOUR
ANALYSIS AND PRESENTATION OF DATA
One hundred and sixty (160) questionnaires were distributed and one hundred and forty (133) were returned. This figure was the sample size. Out of the one hundred and thirty-three, only one hundred and twenty (120) were properly responded to. As a result, the researcher used one hundred and twenty for this study when more than 50% of the respondents agree to the questions, the answer is taken as valid for the purpose of this study. In analyzing the data, the approach that will be adopted is to find out the percentage and positive and negative answers to the question posed.
CHAPTER FIVE
SUMMARY, CONCLUSION AND RECOMMENDATION
Introduction
It is important to ascertain that the objective of this study was to ascertain the impact of Delta state contributory health scheme on workers health attitude, behavior and practices in Delta state civil service, Asaba
In the preceding chapter, the relevant data collected for this study were presented, critically analyzed and appropriate interpretation given. In this chapter, certain recommendations made which in the opinion of the researcher will be of benefits in addressing the challenges of Delta state contributory health scheme on workers health attitude, behavior and practices in Delta state civil service, Asaba
Summary
This study was on the impact of Delta state contributory health scheme on workers health attitude, behavior and practices in Delta state civil service, Asaba. Four objectives were raised which included: To determine the health attitude of Civil Servants in Delta state on Contributory Health scheme, to determine the behaviour of Civil Servants in Delta state on Contributory Health scheme programme, ascertain the practice of Civil Servants in Delta state on Contributory Health scheme programme and to find out the differences in the opinion of users and the non-users of the Contributory Health scheme programme among Civil Servants in Delta state. In line with these objectives, four research questions were formulated and answered. The total population for the study is 200 civil servants of Delta state civil service. The researcher used questionnaires as the instrument for the data collection. Descriptive Survey research design was adopted for this study. A total of 133 respondents made directors, administrative staff, senior staff and junior staff were used for the study. The data collected were presented in tables and analyzed using simple percentages and frequencies
Conclusion
From the foregoing this study has been able to examine the knowledge and perception of Civil Servants in Delta state towards contributory health scheme. The study has identified the attitude of the federal civil servants on contributory health scheme. The civil servants had fair knowledge of contributory health scheme and civil servants who are graduates had good knowledge of the scheme. The workers have negative behaviour towards contributory health scheme which further explains why many of them have participated in the scheme. A high level of satisfaction was expressed by many of them after utilization of the scheme. Workers who participated had a better perception of the scheme than those who are yet to utilize the scheme.
Recommendation
- Government and other stakeholders in the scheme need to continue to organize awareness programmes that will enhance the interest among workers in the formal sector.
- Intensified campaign should emphasize on the objective, and benefits of the scheme, using the mass media as a way of reaching a vast majority of the workforce.
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