Healthcare Service Payment Methods and Coping Strategies of Nomads and Labor Migrants in Oyo State, Nigeria
| dc.contributor.author | Obembe, Taiwo A. | |
| dc.contributor.author | Bankole, Oluwayomi T. | |
| dc.contributor.author | Abbas, Gbolahan | |
| dc.contributor.author | Ajayi, IkeOluwapo O. | |
| dc.date.accessioned | 2021-06-28T11:38:43Z | |
| dc.date.available | 2021-06-28T11:38:43Z | |
| dc.date.issued | 2020-05 | |
| dc.description | Staff Publication | en_US |
| dc.description.abstract | Nomads and labor migrants constitute a vulnerable group beset with high healthcare costs due to lack of health insurance coverage. Their inability to pay for health care constitutes a threat to their well-being and health risk to the host community as they have higher morbidity from diseases and serve as a reservoir of infective agents. This study investigated how nomads and labor migrants pay and cope with necessary healthcare costs. A cross-sectional study was carried out among 323 migrants in four local government areas of Oyo State, which were selected purposively. A pretested semi-structured questionnaire that sought information on respondents’ sociodemographics, healthcare payment methods and coping strategies were employed. Data were analyzed using descriptive statistics and chi-square test to test the association between categorical variables at P ≤ 0.05. The mean age of the respondents was 34.4 ± 1.4 years and 53.2% were farmers. Of the 200 respondents who had used the formal healthcare system, 13 (6.5%) obtained free services via the National Health Insurance Scheme (NHIS) and 187 (93.2%) paid out of pocket for service. Coping with health bills, 115 (62.2%) paid from savings, 34 (18.4%) borrowed money, and 58 (31.4%) sold property. Those with formal education were more likely to pay through NHIS (χ2 = 9.7, P = 0.002). Nomads/migrants in this study have demonstrated the inability to cope with payment of health bills, suggesting the need to look into the policy on healthcare funding/support to migrants and educationally disadvantaged persons. The creation of prepaid pooled payment systems such as social and community health insurance schemes is suggested. | en_US |
| dc.identifier.citation | Obembe TA, Bankole OT, Abbas G, Ajayi IO. Healthcare Service Payment Methods and Coping Strategies of Nomads and Labor Migrants in Oyo State, Nigeria. Am J Trop Med Hyg. 2020 May;102(5):1022-1029. doi: 10.4269/ajtmh.18-0615. PMID: 32228788; PMCID: PMC7204587. | en_US |
| dc.identifier.uri | doi:10.4269/ajtmh.18-0615 | |
| dc.identifier.uri | http://repository.elizadeuniversity.edu.ng/handle/20.500.12398/1183 | |
| dc.language.iso | en | en_US |
| dc.publisher | American Journal of Tropical Medicine and Hygiene | en_US |
| dc.title | Healthcare Service Payment Methods and Coping Strategies of Nomads and Labor Migrants in Oyo State, Nigeria | en_US |
| dc.type | Article | en_US |