Impact of User and Service Provider Related Variables on Utilisation of Tertiary Institution Social Health Insurance Programme (TISHIP) in the University of Uyo, Nigeria

Abstract

This study examined the impact of user and service provider related variables on utilization of tertiary institution social health insurance programme, TISHIP, in the University of Uyo, Nigeria.Cross sectional data was collected with the use of a questionnaire from 400 full-time undergraduate students in the University of Uyo, Nigeria, to examine the effect of selected user-related and service provider-related variables on utilization of TISHIP.A logistic regression model was used in the analysis and the results were presented as marginal effects.The results showed that students' awareness of TISHIP significantly increased utilization of TISHIP while poor access to health care facility and non-availability of medical consumables significantly reduced utilization of the scheme.These findings suggest the significance of continuous orientation of programme's participants, improved access to service provider and adequacy of relevant consumables to the success of a targeted social support programme.Overall, the study raises important recommendations to inform practice and ensure effectiveness of TISHIP.