Thesis Abstract

Abstract
The National Health Insurance Scheme (NHIS) in Nigeria was established in 1999 with the aim of providing affordable healthcare services to all citizens. Over the years, the scheme has faced numerous issues and challenges that have hindered its effectiveness and efficiency. This research project delves into the management of the NHIS in Nigeria, focusing on the issues, problems, and prospects that have been identified. The study utilizes a mixed-method approach, combining both qualitative and quantitative research methods to gather data. Interviews with key stakeholders in the healthcare sector, including NHIS officials, healthcare providers, and beneficiaries, are conducted to gain insights into the management of the scheme. Additionally, data from reports, policy documents, and academic publications are analyzed to provide a comprehensive overview of the current state of the NHIS in Nigeria. The findings reveal several key issues affecting the management of the NHIS in Nigeria. These include poor funding, inadequate infrastructure, lack of transparency and accountability, and inefficiencies in the system. The scheme also faces challenges related to enrollment and coverage, with many Nigerians still not covered by health insurance. Furthermore, there are concerns about the quality of healthcare services provided under the NHIS, as well as issues related to fraud and corruption within the scheme. Despite these challenges, there are prospects for improving the management of the NHIS in Nigeria. The study identifies potential solutions, such as increasing funding for the scheme, investing in healthcare infrastructure, and enhancing transparency and accountability in the management of funds. Strengthening regulatory mechanisms and improving the quality of healthcare services are also essential for the success of the NHIS. Additionally, expanding coverage and enrollment through targeted outreach programs and awareness campaigns can help extend the benefits of health insurance to more Nigerians. In conclusion, the management of the NHIS in Nigeria faces various challenges that need to be addressed to improve the effectiveness and efficiency of the scheme. By implementing the recommended solutions and strategies, there is potential for enhancing the management of the NHIS and ensuring that all Nigerians have access to affordable and quality healthcare services.

Thesis Overview

The aim of this study is to find out how the National Health Insurance Scheme is managed. This is against the background of the need to highlight its strengths and identify sources of its shortcomings. Data were then collected from both primary and secondary sources. The main instrument used in collecting the data is questionnaire. The data were then presented in tables as frequency distribution. The techniques of frequency and percentage were applied in analysing the data. The following are the major findings of the study: The NHIS was introduced against the background of poor state of the national healthcare system. The scheme aims at giving all Nigerians access to good healthcare services, ensure equitable distribution of healthcare costs and facilities and high standard of Healthcare services. The scheme is funded through joint contributions by government and workers. The NHIS regulates the scheme while the managers are the HMOS. Clinical and laboratory services are provided by HSPs.