Practice and Determinants of Medical Tourism in Nigeria


Authors : Apiyanteide F; Digban K; Nwose EU

Volume/Issue : Volume 8 - 2023, Issue 12 - December

Google Scholar : http://tinyurl.com/mpumkyt3

Scribd : http://tinyurl.com/yeywrnfj

DOI : https://doi.org/10.5281/zenodo.10639816

Abstract : For a nation that seeks economic growth and development including improvement in the health outcomes of its population, it is a tragedy for medical tourism to become a norm that is even supported by the government. This study sought to assess the practice and determinants of medical tourism in Nigeria. A cross sectional survey design was employed for this study. This was done through a questionnaire designed on Google Sheet and was shared to participants who gave consent across the nation. Our team pre-tested the questionnaire and found it to be valid and reliable before it was adopted for the study. The instrument has 19 items divided into four sections – socio-demographics of respondents, practice of medical tourism, determinants of medical tourism and recommendation needed to make Nigeria a hub for medical tourism. Six data collectors from the six geopolitical zones of Nigerian were trained on how to collect data from respondents after consent was seek and obtained. The process of the data collection including the pre-test took upto three months before the target population for the study was actualized. The data collected was download into Excel Sheet and thereafter reviewed, thematically transcribed before using SPSS windows version 26 to analyzed and obtain descriptive and inferential statistics for the study. The result revealed that a total of 440 respondents across the six geopolitical zones in Nigeria participated in the study. The mean age was 38.7±4.5 with a male to female ratio of 1.4:1. 43(9.8%) of the respondents have gone for treatment abroad, 383(87.0%) have not and 13(3.0%) did not respond to the question. Among those that went for medical tourism, 5(11.6%) experienced a complication, 20(46.5%) had a successful experience, 15(34.9%) had a very successful experience while 3(7.0%) did not respond. The drivers of medical tourism in our study are 107(46.1%) was due to high quality of care provided at the destination country, 81(34.9%) was due to the availability of experts using current innovations in medicine in the destination country, 23(9.9%) was personal undisclosed reasons, 7(3.0%) was because it was sponsored by Government/Donor, 7(3.0%) was due to a tourist package, 3(1.3%) low cost of care, 2(0.5%) was due to the presence of health insurance, 1 (0.3%) was as a result of availability of adequate information and marketing of services they provide, and 1(0.3%) was due to poor attitude of healthcare workers in Nigeria. The common conditions Nigerians seek abroad are: 13(34.2%) routine medical check-up, 4(10.5%) was due to heart condition, 3(7.9%) due to breast and prostate cancer, 2(5.3%) due to Childbirth, 1(2.6%) due to appendix, 1(2.6%) due to ulcer, 1(2.6%) due to fracture, 1(2.6%) due to kidney failure while 12(31.6%) due to undisclosed (other) reasons. At 95% Confidence Interval (CI), Difference (Df = 8), Chi-square (X2 ) = 23.978, P = 0.0023, there was a statistically significant relationship between practice of medical tourism and wealth quintile of participants. The impact of medical tourism to Nigeria is enormous and therefore calls for a collective effort from all stakeholders to address this menace.

Keywords : Medical Tourism, Government, Medical Care and Treatment, Abroad.

For a nation that seeks economic growth and development including improvement in the health outcomes of its population, it is a tragedy for medical tourism to become a norm that is even supported by the government. This study sought to assess the practice and determinants of medical tourism in Nigeria. A cross sectional survey design was employed for this study. This was done through a questionnaire designed on Google Sheet and was shared to participants who gave consent across the nation. Our team pre-tested the questionnaire and found it to be valid and reliable before it was adopted for the study. The instrument has 19 items divided into four sections – socio-demographics of respondents, practice of medical tourism, determinants of medical tourism and recommendation needed to make Nigeria a hub for medical tourism. Six data collectors from the six geopolitical zones of Nigerian were trained on how to collect data from respondents after consent was seek and obtained. The process of the data collection including the pre-test took upto three months before the target population for the study was actualized. The data collected was download into Excel Sheet and thereafter reviewed, thematically transcribed before using SPSS windows version 26 to analyzed and obtain descriptive and inferential statistics for the study. The result revealed that a total of 440 respondents across the six geopolitical zones in Nigeria participated in the study. The mean age was 38.7±4.5 with a male to female ratio of 1.4:1. 43(9.8%) of the respondents have gone for treatment abroad, 383(87.0%) have not and 13(3.0%) did not respond to the question. Among those that went for medical tourism, 5(11.6%) experienced a complication, 20(46.5%) had a successful experience, 15(34.9%) had a very successful experience while 3(7.0%) did not respond. The drivers of medical tourism in our study are 107(46.1%) was due to high quality of care provided at the destination country, 81(34.9%) was due to the availability of experts using current innovations in medicine in the destination country, 23(9.9%) was personal undisclosed reasons, 7(3.0%) was because it was sponsored by Government/Donor, 7(3.0%) was due to a tourist package, 3(1.3%) low cost of care, 2(0.5%) was due to the presence of health insurance, 1 (0.3%) was as a result of availability of adequate information and marketing of services they provide, and 1(0.3%) was due to poor attitude of healthcare workers in Nigeria. The common conditions Nigerians seek abroad are: 13(34.2%) routine medical check-up, 4(10.5%) was due to heart condition, 3(7.9%) due to breast and prostate cancer, 2(5.3%) due to Childbirth, 1(2.6%) due to appendix, 1(2.6%) due to ulcer, 1(2.6%) due to fracture, 1(2.6%) due to kidney failure while 12(31.6%) due to undisclosed (other) reasons. At 95% Confidence Interval (CI), Difference (Df = 8), Chi-square (X2 ) = 23.978, P = 0.0023, there was a statistically significant relationship between practice of medical tourism and wealth quintile of participants. The impact of medical tourism to Nigeria is enormous and therefore calls for a collective effort from all stakeholders to address this menace.

Keywords : Medical Tourism, Government, Medical Care and Treatment, Abroad.

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