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ORIGINAL ARTICLE
Year : 2022  |  Volume : 27  |  Issue : 4  |  Page : 337-343

Tertiary Institutions’ Social Health Insurance Program: Awareness, knowledge, and utilization for dental treatment among students of a Nigerian University


1 Department of Preventive Dentistry, Faculty of Dentistry, College of Medicine University of Nigeria, Enugu Campus, Nigeria; Health Policy Research Group, Department of Pharmaco-therapeutics, College of Medicine, University of Nigeria, Enugu Campus, Nigeria
2 Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, College of Medicine, University of Nigeria Enugu Campus, Enugu Campus, Nigeria
3 Health Policy Research Group, Department of Pharmaco-therapeutics, College of Medicine, University of Nigeria, Enugu Campus, Nigeria
4 Health Policy Research Group, Department of Pharmaco-therapeutics, College of Medicine, University of Nigeria, Enugu Campus, Nigeria; Department of Social Work, Faculty of Social Sciences, University of Nigeria, Nsukka, Nigeria
5 Health Policy Research Group, Department of Pharmaco-therapeutics, College of Medicine, University of Nigeria, Enugu Campus, Nigeria; Department of Community Medicine, Faculty of Medical Sciences College of Medicine University of Nigeria, Enugu Campus, Nigeria
6 Department of Child Dental Health, Faculty of Dentistry, College of Medicine University of Nigeria, Enugu Campus, Enugu, Nigeria
7 Department of Preventive Dentistry, Faculty of Dentistry, College of Medicine University of Nigeria, Enugu Campus, Nigeria

Correspondence Address:
Chibuzo C Uguru
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, College of Medicine, University of Nigeria, Enugu Campus
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmh.ijmh_20_22

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Background: Awareness and knowledge can play key roles in influencing the utilization of health insurance programs in Nigeria. Objectives: This study aims to investigate the awareness and use of the Tertiary Institutions/Voluntary Participant Social Health Insurance Program (TISHIP) for undergraduate dental services. Materials and Methods: A cross-sectional descriptive study was conducted in the Enugu Campus of the University of Nigeria and the study population comprised full-time undergraduate students of the institution with a total sample size of 400. Results: Majority (66.7%) of the respondents were aware of the TISHIP, but 37% were aware that it covered dental treatments, and 16.1% had received dental treatment under TISHIP. Fifty point eight percent (50.8%) of the respondents were not registered under the insurance program. The reason respondents had not registered was because majority (49.7%) were not aware of the compulsory registration into the scheme. Respondents agreed that TISHIP would promote equity in healthcare delivery (57.5%), promote improved health facilities (39.4%), and 52.5% were willing to participate in the scheme while 47.9% were undecided on whether TISHIP was worth the financial contribution. Presumed high cost of dental treatment (51.9%) and non-availability of materials for dental treatment at dental facilities (50.8%) were factors that affected the utilization of TISHIP (P < 0.05). Conclusion: Despite the positive effect of TISHIP in cushioning the cost of dental care, utilization is poor, thus there is a need to scale up awareness among the students’ population.


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