Browsing by Author "Opeloyeru, O. S."

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Equity in healthcare financing in Nigeria
(Sciedu Press, 2016) Lawanson, A. O.; Opeloyeru, O. S.
Using both graphical and geometric analyses, this paper examines the extent of inequity in healthcare finance among the Nigerian population. One of the acclaimed plans in healthcare in this teeming community is the mix method of financing but the system in practise is dominated with Out-of-Pockets (OOPs) meanwhile the degree of income inequality still remain high. Using the Nigerian Living Standard Survey (NLSS) data conducted in 2004, the framework for this study relies on Kakwani Progressivity Index (KPI). A decomposition of the groups into lower and upper bound however, reveal that health payment for lower bound is regressive while payment for upper bound is progressive. Although, the upper bound result dominates the entire result which finally suggests a progressive system arising from the spending habit of the rich in seeking for healthcare services abroad.
Healthcare financing in Nigeria: the analysis of the inequity perspective
(2019) Lawanson, A. O.; Opeloyeru, O. S.
The volume and quality of healthcare needs vary from one individual to another but promoting access to the use of healthcare is germane to reduce/eliminate inequity in healthcare. This paper examines the extent of equity in healthcare financing in Nigeria, and determine the relative progressivity of each source of healthcare financing in the country using waves 2 and 3 of the General Household Survey. Kakwani and Modified Kakwani (MDK) indexes were used to estimate progressivity of out of pocket payment (OOP) and social health insurance. Overall result indicates a vertical inequity favouring the non-poor (pro-rich), OOP as a source of financing was regressive and social health insurance was moderately progressive. Given that a more progressive healthcare financing approach tends to promote welfare and improve health status of the population, Nigeria will be better off promoting health insurance as a means of eliminating inequity in healthcare financing.
Inequity in healthcare utilization: analysis of the Nigeria situation
(Center for Promoting Ideas (CPI), USA, 2016-05) Lawanson, A. O.; Opeloyeru, O. S.
This paper analysis the extent of inequity in the utilization of healthcare services in Nigeria, and the determinants of healthcare utilization inequity. Applying the concept of horizontal inequity, the paper used the Nigeria Living Standard Survey (NLSS) 2010 data set to investigate the disproportionality in healthcare utilization. The result shows that inequity in utilization of healthcare in the country is generally skewed against the poor, as the analysis established evidence about the poor with similar medical needs as the rich having access to lesser healthcare service. The observed inequality in utilization of healthcare is mainly driven by the differences in health expenditure, residence location (rural or urban), and morbidity rate. The utilization rate of healthcare services is found to be positively related to household expenditure It is recommended that government should intensify greater equity measure to guarantee healthcare to all with minimal discrimination. While the private facilities may not be attracted to rural area, due to weak patronage arising from the poor economic fortune of the people, government will be in better position to argument and fill the deficiency gap in the rural area. Utilization of healthcare services, especially by rural dwellers can be promoted by establishing more health facilities in the rural areas.