Acta Scientific Medical Sciences (ISSN: 2582-0931)

Research Article Volume 5 Issue 10

Knowledge, Acceptability, Enrollment, and willingness to support health insurance Program among traders in an Urban Community in Abia State

Prince Ezenwa Onyemachi1, Nneka Chioma Okoronkwo2* and Chukwuemeka Ngozi Onyearugha2

1Consultant Community Physician/Senior Lecturer, Department of Community Medicine, Abia State University Teaching Hospital, Aba, Abia State, Nigeria
2Consultant Paediatrician/Reader, Department of Paediatrics, Abia State University Teaching Hospital, Aba, Abia State, Nigeria

*Corresponding Author: Nneka Chioma Okoronkwo, Consultant Paediatrician/Reader, Department of Paediatrics, Abia State University Teaching Hospital, Aba, Abia State, Nigeria.

Received: September 02, 2021; Published: September 24, 2021

Citation: Nneka Chioma Okoronkwo., et al. “Knowledge, Acceptability, Enrollment, and willingness to support health insurance Program among traders in an Urban Community in Abia State". Acta Scientific Microbiology 5.10 (2021): 137-143.


Background: The desire to provide equitable access to healthcare delivery in Nigeria led the Federal Government of Nigeria to introduce National Health Insurance Scheme (NHIS). For this program to succeed, there must be adequate knowledge, acceptability, enrollment, and willingness to support national health insurance program among the masses.

Objectives: To assess the knowledge and acceptability of health insurance among traders in Umuahia, Abia State, Nigeria. To assess their level of enrollment and suggested voluntary monetary contribution to a community-based health insurance program.

Methods: This study took place in Umuahia, the capital city of Abia State, Nigeria. A pre-tested interviewer-administered questionnaire was used to collect information on socio-demographic data and knowledge of health insurance from a group of traders selected by simple random sampling at an urban market. Following collection of data on baseline knowledge of health insurance, the Universal health coverage and Community-based health insurance schemes were explained to respondents and responses were obtained. Results were analyzed using SPSS Version 24.

Results: A total of 564 traders were interviewed out of which 39% were aware of national health insurance scheme. Amongst these group that are aware of the program, 68% knew about National Health Insurance scheme, while 27% were aware of only community-based health insurance. Only 5.3% of the traders were enrolled in a health insurance scheme. Following education and public enlightenment on universal health coverage and community-based health insurance, over 80% of respondents believed health insurance was beneficial to achieving universal health coverage. Overall, 83.5% of respondents would be willing to support a community-based health insurance scheme if introduced in their communities. The mean amount suggested by respondents as monthly contribution to a community health insurance was nine hundred and twenty naira (N920.00)

Conclusion: Awareness of health insurance, especially community health insurance is low. However, acceptability is high. It is imperative that greater awareness be created in communities to enhance enrollment. Government subsidies will also be necessary to ensure sustainability.

Keywords: Knowledge; Acceptability; Health Insurance; Traders; Umuahia


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Copyright: © 2021 Nneka Chioma Okoronkwo., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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