Utilisation of staff clinic facility in a Northwest Nigeria hospital: emerging challenges for the National Health Insurance Scheme

Abstract

Background: The health status of workers and their families affects workplace productivity. The National Health Insurance Scheme (NHIS) objective of improving healthcare accessibility to Nigerians has increased service utilization but may pose new challenges to existing facilities. This study was to describe the pattern of clinic utilization, disease entities of subjects, use of excuse duty certificate and identify points of delay. Methods: A prospective cross-sectional study of 352 subjects randomly selected over 6 weeks among patients attending the Aminu Kano Teaching Hospital Staff clinic. Results: Most subjects (307, 87.2%) had insurance and were predominantly (227, 64.5%) dependents. Most subjects (190, 55%) had used the clinic once to thrice in the preceding 12 weeks and were predominantly (85, 24.2%) hospital attendants. Infectious disease (204, 58%) was the commonest reason for clinic encounter. Their mean waiting and consultation times were 77.3 (SD± 43) and 9.6 (SD±4.5) minutes respectively. Only 52 (14.8%) of subjects were seen within 30 minutes of clinic arrival. Few subjects (3, 0.9%) received excuse duty certificate in the preceding 12 weeks mainly for malaria. Conclusion: High clinic utilisation and acute infectious disease burden are major challenges for the clinic while prolonged clinic waiting time was suffered by clinic users. Prolonged waiting time may affect workplace availability and productivity. Proactive improvements in the causal factors for prolonged clinic waiting time may be required. (Full text available online at www.medpharm.tandfonline.com/ojfp) S Afr Fam Pract 2016; DOI: 10.1080/20786190.2015.1079014