Journal of Public Administration and Governance ISSN 2161-7104 2019, Vol. 9, No. 3 http://jpag.macrothink.org 239 Extent of Healthcare Provider Adherence to National Health Insurance Scheme (NHIS) Operational Guidelines: The Nigeria Experience Ikechukwu Vincent Obi (Corresponding Author) Department of Health Administration and Management, University of Nigeria, Enugu campus, Enugu, Nigeria. E-mail: ivcobi@yahoo.com Ijeoma Lewechi Okoronkwo Department of Nursing Services, University of Nigeria, Enugu campus, Enugu, Nigeria. E-mail: ijeoma.okoronkwo@unn.edu.ng Emmanuel Chukwunonye Azuike Department of Community Medicine, Chukwuemeka Odumegwu Ojukwu University,Awka, Anambra, Nigeria. E-mail: emmanazuike@yahoo.com Kamtoochukwu Maduneme Obi Aguata Diocesan Center for Community Health and Development, Ekwulobia, Anambra, Nigeria. E-mail: kamtoobi@yahoo.com. Ifunanya Rosemary Obi Department of Physical and Health Education, Federal College of Education (Technical), Umunze, Anambra, Nigeria. E-mail: ifunanyakamtoo@gmail.com Received: Aug. 18, 2019 Accepted: Sep. 16, 2019 Online published: Sep. 19, 2019 doi:10.5296/jpag.v9i3.15279 URL: https://doi.org/10.5296/jpag.v9i3.15279 Abstract The main objective of the National health insurance programme is to improve the health status of the populace in Nigerians. The healthcare provider provision of services in the