**7. Conclusion**

This study proved the capitation payment system in social health insurance financing positively impacted the Scheme, in the healthcare facilities availability, and the health of enrollees themselves. This study also showed that capitation had increased the revenue of the healthcare facilities in Yobe state. The findings obtained here suggest that the fund generated by capitation is mainly used to pay for the provision of drugs, consumables, and the infrastructural development. Capitation payment appears to have improved competition among the healthcare facilities for enrollees and to retain the existing ones. Moreover, capitation seems to reduce out-ofpocket healthcare expenses of the enrollees in Yobe state. Finally, despite limitations, the present study provides an overall framework that can be utilized to guide future research and data collection efforts for evaluating the result of capitation payment not only in Yobe State but in the country at large.

Based on the findings of this study, the following recommendations are provided to the National Health Insurance Scheme:

