PATIENT-CENTERED EVIDENCE ON AWARENESS, UTILIZATION, AND EXPERIENCE OF NIGERIA'S BASIC HEALTH CARE PROVISION FUND: FINDINGS FROM A NATIONAL BASELINE KAP SURVEY
Author(s)
Peter S. Oshaji, MHA.
Director of Research, NOIPOLLS, Abuja, Nigeria.
Director of Research, NOIPOLLS, Abuja, Nigeria.
OBJECTIVES: Nigeria’s Basic Health Care Provision Fund (BHCPF) aims to expand access to a Basic Minimum Package of Health Services through primary health care and financial risk protection. This study assessed patient-centered evidence on awareness, enrolment, utilization, perceived service quality, satisfaction, and barriers to BHCPF services among Nigerian adults.
METHODS: A national baseline knowledge, attitude, and practice survey was conducted from 11-20 November 2024 using computer-assisted telephone interviews. Respondents aged ≥18 years were sampled from a database covering 12 states across six geopolitical zones. A standardized questionnaire was administered in English, Pidgin, Hausa, Yoruba, or Igbo. Descriptive analysis summarized patient-reported access, insurance awareness, service use, satisfaction, and implementation challenges.
RESULTS: Of 1,490 completed interviews, public facilities were the usual source of care for most respondents (72%), compared with private facilities (13%). Overall, 54.3% reported improved primary health care service delivery, while 23.3% reported no improvement. Among respondents with a primary health care facility in their community, 51% had accessed services within the previous year, and 60% reported no access challenges. Key barriers included shortages of staff/equipment (18.1%) and inadequate or low-quality drugs (12.2%). Health insurance coverage remained limited: 78% reported no health insurance, and only 4% reported BHCPF coverage. Only 25% had heard of BHCPF, 12% were enrolled, and 6% had utilized BHCPF services. Among enrollees, only 28% knew the benefit package. Reported services included malaria treatment (42%), general tests (40%), and free medicines (32%). Satisfaction among BHCPF users was high, with 94% satisfied with services received.
CONCLUSIONS: BHCPF demonstrates strong perceived value among users, but low awareness, enrolment, benefit-package knowledge, and medicine availability limit patient-centered access. Strengthening communication, entitlement literacy, supply readiness, and feedback systems may improve utilization and equity
METHODS: A national baseline knowledge, attitude, and practice survey was conducted from 11-20 November 2024 using computer-assisted telephone interviews. Respondents aged ≥18 years were sampled from a database covering 12 states across six geopolitical zones. A standardized questionnaire was administered in English, Pidgin, Hausa, Yoruba, or Igbo. Descriptive analysis summarized patient-reported access, insurance awareness, service use, satisfaction, and implementation challenges.
RESULTS: Of 1,490 completed interviews, public facilities were the usual source of care for most respondents (72%), compared with private facilities (13%). Overall, 54.3% reported improved primary health care service delivery, while 23.3% reported no improvement. Among respondents with a primary health care facility in their community, 51% had accessed services within the previous year, and 60% reported no access challenges. Key barriers included shortages of staff/equipment (18.1%) and inadequate or low-quality drugs (12.2%). Health insurance coverage remained limited: 78% reported no health insurance, and only 4% reported BHCPF coverage. Only 25% had heard of BHCPF, 12% were enrolled, and 6% had utilized BHCPF services. Among enrollees, only 28% knew the benefit package. Reported services included malaria treatment (42%), general tests (40%), and free medicines (32%). Satisfaction among BHCPF users was high, with 94% satisfied with services received.
CONCLUSIONS: BHCPF demonstrates strong perceived value among users, but low awareness, enrolment, benefit-package knowledge, and medicine availability limit patient-centered access. Strengthening communication, entitlement literacy, supply readiness, and feedback systems may improve utilization and equity
Conference/Value in Health Info
2026-11, ISPOR Europe 2026, Vienna, Austria
Value in Health, Volume 29, Issue 12S
Code
PCR104
Topic
Health Policy & Regulatory, Patient-Centered Research
Topic Subcategory
Health State Utilities
Disease
No Additional Disease & Conditions/Specialized Treatment Areas