Impact of Education on Knowledge and Attitude of Civil Servants in Oyo State Secretariat, Agodi, Ibadan Towards National Health Insurance Scheme


  • Tawose Oluwatomisin Victoria University of Ibadan (Public Health, Health Policy and Management)
  • Muideen Babatunde Olatunji Executive Secretary, Oyo State Primary Healthcare Board
  • Temesgen Atsedu Demeke Consultant, WHO WCO Nigeria, South West Zone, Ibadan
  • Olubunmi Ayinde Oyo State Ministry of Health (Director of Public Health)
  • Ugwu Adaeze Joy Texila American University
  • Kayode Sunday Osundina Adeleke University Ede Osun State, Health Information Management Department
  • Tomnochim Sarauniya Queen University of Ibadan



Introduction: In the challenging landscape of healthcare financing in developing nations like Nigeria, the National Health Insurance Scheme (NHIS) stands as a pivotal solution. This study delves into the perceptions of civil servants within the Oyo State Secretariat, Agodi, Ibadan, regarding NHIS, acknowledging the fundamental role robust healthcare systems play in sustainable socio-economic development. Despite high awareness levels (100%), our research revealed a significant gap in knowledge, with only 41.2% of participants demonstrating an average understanding of NHIS. Attitudes were diverse, with 47.0% showing positivity towards the scheme. Understanding these nuances, particularly in the context of education, is imperative for devising targeted strategies.

Objectives: This research aims to assess the impact of education on NHIS awareness, delve into civil servants' knowledge and attitudes regarding NHIS, analyze educational influences on these attitudes, and investigate the relationship between knowledge and attitudes among civil servants regarding NHIS.

Methods of Analysis: Utilizing a descriptive cross-sectional approach, this study surveyed 300 civil servants in key ministries. ANOVA tests were employed to discern the influence of education on both knowledge and attitudes, revealing significant educational impacts on knowledge (p < 0.001). These findings underscore the critical role education plays in shaping understanding about NHIS among civil servants.

Results: The study paints a demographic picture where the majority of respondents (54.0%) fell within the 21-30 age range, primarily comprising females (64.7%) with diverse educational backgrounds. While NHIS awareness was universal (100%), only 41.2% demonstrated average knowledge levels. Attitudes varied, with 47.0% expressing positivity towards NHIS. Educational qualifications significantly influenced knowledge (F = 6.175, p < 0.001), emphasizing the need for targeted educational interventions.

Conclusion: Awareness of the NHIS is prevalent among civil servants in the Oyo State Secretariat; however, there is a substantial variation in the levels of knowledge. Education appears to be a critical factor influencing this knowledge discrepancy. Comprehending these dynamics is essential for developing well-informed policies and specific interventions aimed at reducing the knowledge disparity.

Recommendations: Implement focused educational initiatives tailored to various educational backgrounds and professional levels within civil service. Collaborate with healthcare facilities to ensure accurate information dissemination about NHIS, emphasizing its benefits and coverage options. Tailor communication strategies to address specific demographic needs, enhancing understanding and positive attitudes towards NHIS. Regularly assess NHIS awareness and knowledge levels among civil servants to inform ongoing educational efforts. Foster public-private partnerships to bolster NHIS implementation, ensuring seamless access to quality healthcare for all. Emphasize the pivotal role of education in shaping public attitudes and knowledge regarding NHIS, fostering a culture of informed decision-making and policy acceptance.


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How to Cite

Victoria, T. O. ., Olatunji, M. B. ., Demeke, T. A. ., Ayinde, O. ., Joy, U. A. ., Osundina, K. S. ., & Queen, T. S. . (2023). Impact of Education on Knowledge and Attitude of Civil Servants in Oyo State Secretariat, Agodi, Ibadan Towards National Health Insurance Scheme. INTERNATIONAL JOURNAL OF HEALTH SYSTEMS AND MEDICAL SCIENCES, 2(11), 31–40.




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