Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
Home Print this page Email this page
Users Online:: 1069
ORIGINAL ARTICLE
Year : 2016  |  Volume : 19  |  Issue : 2  |  Page : 69-73

Impact of national health insurance scheme on blood pressure control in Zaria


1 Department of Medicine, Cardiology Unit, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria
2 Department of Paediatrics, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria

Correspondence Address:
Albert Imhoagene Oyati
Department of Medicine, Cardiology Unit, Ahmadu Bello University Teaching Hospital, Zaria
Nigeria
Login to access the Email id


DOI: 10.4103/1118-8561.186037

Rights and Permissions

Background: National Health Insurance Scheme (NHIS) was commenced in Nigeria in 2001 to ensure wider access to health care services. This study determined the impact of NHIS implementation on blood pressure (BP) control among patients with systemic hypertension, regularly attending the Cardiac Clinic, Ahmadu Bello University Teaching Hospital, Shika, Zaria, Nigeria. Materials and Methods: Patients with systemic hypertension, both NHIS and non-NHIS beneficiaries attending a tertiary health facility in Zaria, Nigeria, were seen in a prospective cross-sectional study. Demographic and clinical characteristics were obtained. Access to treatment and relevant investigations were compared. BP levels were analyzed and compared in both groups at enrollment in the clinic and at the point of this study. Results: Sixty-five percent, (70/107) of the clinic attendees were on the NHIS scheme and were significantly younger than non-NHIS patients (t = 2.03, P = 0.03). Mean body mass index (BMI) was equally high (t = −1.222, P = 0.22) and there was similar access to medications (χ2 = 0.08, P = 0.77). Mean systolic BP (SBP) and diastolic BP (DBP) at enrollment were significantly higher in NHIS patients (t = −3.064, P = 0.003 for mean SBP and t = −4.115, P = 0.0001 for mean DBP), respectively. However, BP control in both groups at the end of the study did not show any significant difference (χ2 = 0.02, P = 0.89). Conclusion: NHIS uptake among these patients is high. There was no difference in BP control among the insured and nonbeneficiaries. A study of a larger number of patients over a longer period is suggested.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed2162    
    Printed13    
    Emailed0    
    PDF Downloaded157    
    Comments [Add]    

Recommend this journal