Browsing by Author "Taiwo, P. A"

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National Health Insurance Scheme dispensing outreach and maintenance of health status In Oyo State
(2013) Owumi, B. E..; Adeoti, A. B.; Taiwo, P. A
This study examined the dispensing outreach programme of the National Health Insurance Scheme (NHIS) and its influence on the health status of users. It specifically examined the influence of the organizational structure of NHIS on the referral process in the utilization of health care services by clients, documented the satisfaction client’ derived from NHIS service. It adopted a descriptive survey design through the use of qualitative and quantitative methods of data collection with four hundred and thirty-five enrollees. Sixteen In-depth interview was conducted with representatives of Health care International at Ibadan office. Data was analysed using the descriptive approach (method while qualitative data from the key informant interviews was content analyzed. Approximately 80% of the respondents preferred the NHIS services because it reduces the out-of-pocket expenses borne by the service users. Motivation for use of NHIS services stemmed from perceived services quality, drug availability, sophisticated pharmacy and the laboratory equipment. In terms of service expectation 57.1% of the respondents had their desires met as NHIS bore the bulk of health care cost, subsidized drugs and laboratory fees. Sixty percent of the studied population were thus satisfied with NHIS services though a reasonable proportion of 40% were dissatisfied with the way and manner their challenges were handled. Also, dissatisfying issues were associated with the delay in processing authorization code by Health Management Organization (HMO) when respondents were referred to secondary or tertiary health facility. The study recommended among others that government should improve on existing measures such as effective monitoring of the scheme implementation, facilitate the processing of authorization codes, ensure equity in access of all enrollees and the enforcement of adequate medical personnel and equipment for effective service delivery.
Utilization of traditional bone-setters in the treatment of bone fracture in Ibadan North Local Government
(2013) Owumi, B. E.; Taiwo, P. A; Olorunnisola, A. S.
The World Health Organization had recommended the integration of traditional and modern medicine. However traditional medicine as well as traditional bone-setting had received poor recognition in Nigeria. This notwithstanding traditional bone-setters still enjoys patronage from the populace in Ibadan and the practitioners abound in almost every part of the country. This study focused on the causes of fracture and utilization of traditional bone setters in Ibadan under the explanation of the functionalism and modernization theories. The study adopted the quantitative and qualitative method, with the survey of eighty-eight (88) patients and In-depth interview administered to eight (8) traditional bone setters and (4) patients. Majority (69.5 percent) of the respondents fall within the age range of 18-47 years. Findings revealed that there were more (55.7%) male patients than female (44.3%). A huge majority (85.7 percent) reported by that the major causes of fractures of the respondents was road traffic accidents, especially through the motor-cycle, while friends had major influence in the selection of traditional bone setting as a form of treatment among the patients. All the patients responded that they are willing to recommend the traditional bone-setter who treated them to others. Traditional bonesetters are well patronized and found to be relevant in the treatment of fractures in especially in Ibadan and in other communities in Nigeria. The study recommends maximum support and funding from governments in the training and establishment of traditional bone-setters in Nigeria. Integration of traditional medicines as well as traditional bone-setting with modern medicine should be encouraged in Nigeria.