Critical Analysis And Opportunity For Service Improvement Through Change In National Health Insurance Scheme (NHIS) In Nigeria

Registration ID: IJNRD_209238

Published ID: IJNRD2312115

DOI: Click Here to Get

Ibukun Fatunmibi

National Health Insurance, Public Health Service Improvement, Public Health Leadership, Health Policy, Occupational Health, Universal Health Coverage,

This paper critically analyzes the National Health Insurance Scheme (NHIS) in Nigeria, focusing on its establishment to address healthcare challenges, particularly in the face of increasing costs and limited access. Despite its inception in 2005, the NHIS predominantly covers only 5% of the formal sector, leaving out the majority of the population, including the informal sector, poor, and vulnerable groups. This study emphasizes the urgent need for service improvement through a change in the legal framework and operational approach of the NHIS to encompass a broader demographic. The proposed change process involves a strategic and collaborative effort among government, legislative bodies, healthcare professionals, civil society, and other stakeholders. Drawing on Kotter's model, the study advocates for a sense of urgency, the creation of a presidential steering committee, clear vision communication, stakeholder engagement, and capacity building. The implementation of a short-term pilot scheme is suggested as a tangible demonstration of the envisioned improvements, followed by consolidation and institutionalization of the new approach. The implications of the change process are carefully examined, highlighting both strengths and weaknesses of using Kotter's model in a public sector context. While the model offers a predictable and manageable approach, its applicability to governmental organizations, especially those marked by bureaucracy and political intricacies, raises concerns. The study concludes by underscoring the significance of addressing these challenges to achieve a repositioned NHIS that ensures universal health coverage and equitable access to healthcare services for all Nigerians.

Published Paper   E-Certificate

Ibukun Fatunmibi (December-2023). Critical Analysis And Opportunity For Service Improvement Through Change In National Health Insurance Scheme (NHIS) In Nigeria. INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT, 8(12), a959-a967. https://ijnrd.org/papers/IJNRD2312115.pdf

Volume 8 Issue 12, December-2023

Pages : a959-a967

Paper Reg. ID: IJNRD_209238

Published Paper Id: IJNRD2312115

Downloads: 000121985

Research Area: Health Science 

Country: Magboro, Ogun, Nigeria

Published Paper PDF: https://ijnrd.org/papers/IJNRD2312115.pdf

Published Paper URL: https://ijnrd.org/viewpaperforall?paper=IJNRD2312115

Journal Name: INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT(IJNRD)

ISSN: 2456-4184 | IMPACT FACTOR: 8.76 Calculated By Google Scholar | ESTD YEAR: 2016

An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 8.76 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator

Publisher: IJNRD (IJ Publication) Janvi Wave | IJNRD.ORG | IJNRD.COM | IJPUB.ORG

This work is licensed under a Creative Commons Attribution 4.0 International License and The Open Definition

Call For Paper - Volume 10 | Issue 10 | October 2025

IJNRD is a Scholarly Open Access, Peer-reviewed, and Refereed Journal with a High Impact Factor of 8.76 (calculated by Google Scholar & Semantic Scholar | AI-Powered Research Tool). It is a Multidisciplinary, Monthly, Low-Cost Journal that follows UGC CARE 2025 Peer-Reviewed Journal Policy norms, Scopus journal standards, and Transparent Peer Review practices to ensure quality and credibility. IJNRD provides indexing in all major databases & metadata repositories, a citation generator, and Digital Object Identifier (DOI) for every published article with full open-access visibility.

The INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT (IJNRD) aims to advance applied, theoretical, and experimental research across diverse fields. Its goal is to promote global scientific information exchange among researchers, developers, engineers, academicians, and practitioners. IJNRD serves as a platform where educators and professionals can share research evidence, models of best practice, and innovative ideas, contributing to academic growth and industry relevance.

Indexing Coverage includes Google Scholar, SSRN, ResearcherID-Publons, Semantic Scholar (AI-Powered Research Tool), Microsoft Academic, Academia.edu, arXiv.org, ResearchGate, CiteSeerX, ResearcherID (Thomson Reuters), Mendeley, DocStoc, ISSUU, Scribd, and many more recognized academic repositories.

How to submit the paper?

By Our website

Click Here to Submit Paper Online

By Mail

Send your paper to editor@ijnrd.org

Important Dates for Current issue

Paper Submission Open For: October 2025

Current Issue: Volume 10 | Issue 10 | October 2025

Impact Factor: 8.76

Last Date for Paper Submission: Till 31-Oct-2025

Notification of Review Result: Within 1-2 Days after Submitting paper.

Publication of Paper: Within 01-02 Days after Submititng documents.

Frequency: Monthly (12 issue Annually).

Journal Type: IJNRD is an International Peer-reviewed, Refereed, and Open Access Journal with Transparent Peer Review as per the new UGC CARE 2025 guidelines, offering low-cost multidisciplinary publication with Crossref DOI and global indexing.

Subject Category: Research Area

Call for Paper: More Details