Acta Scientific Pharmaceutical Sciences (ASPS)(ISSN: 2581-5423)

Research Article Volume 4 Issue 3

Effect of Health Insurance Program in Social Security in Kailali District, Nepal

Saraswati Kumari Joshi1, Durga Kumari Joshi1, Sita Kumari Joshi1, Nisha Adhikari2, Shristi Joshi3 and Dirgha Raj Joshi4*

1Kailali Multiple Campus, Campus Road, Dhangadhi, Kailali, Nepal
2College of Pharmacy, Gachon University, Incheon, Republic of Korea
3School of Engineering, Pokhara University, Kaski, Nepal
4College of Pharmacy, Yonsei University, Incheon, Republic of Korea

*Corresponding Author: Dirgha Raj Joshi, College of Pharmacy, Yonsei University, Incheon, Republic of Korea.

Received: January 04, 2019; Published: January 07, 2020

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Abstract

Background: Nepal has made several significant efforts on health protection and promotion over the past several years. In 2016, the government of Nepal (GoN) launched a health insurance (HI) program with the aim of equitable and universal access to health services for all around the people of Nepal. At first, GoN started HI in 3 districts (Kailali, Baglung, and Ilam). Later extended to other districts and by the year 2020 GoN aims to reach all 77 districts with HI program. This study aimed to evaluate the effectiveness of the HI program in social security in the Kailali district.

Methods: A cross-sectional study was performed with 2158 randomly selected HI having peoples in the Kailali district and the data were collected and analyzed.

Results: Of total 2158 respondents, 55.56% express positive effects of HI in social security, 27.8% negative and 16.6% express both. Only 42% are willing to encourage others to do HI. Around 67% visited the hospital after having HI, and 93% think that the insurance has somewhat benefits. All respondents think the HI has benefited by 1.7%, 11.5% and 86.6% in concern of social aspect, economic aspect and both respectively. Only 46% felt easy in receiving medicine. The treatment process response is easy (22.7%), complex (39.7%) and same as before (37.5%).

Conclusion: Mixed positive and negative perception among the population having HI. Still, more awareness is needed to make clear about the HI to all the people. Increasing the quality of services, and easy treatment process will attract more people.

Keywords: Health Insurance; Social Security; Nepal; Safety; Health Service; Medicines; Kailali

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References

  1. von Schirnding Y. “Health and sustainable development: can we rise to the challenge?” The Lancet 360.9333 (2002): 632-637.
  2. https://povertydata.worldbank.org/poverty/country/NPL
  3. Social health security program operation rules (second amendment). Kathmandu: Social Health Security Deveopment Committee (2017).
  4. Stoyanov S. A theory of human motivation: Macat Library (2017).
  5. Bärnighausen T and Sauerborn R. “One hundred and eighteen years of the German health insurance system: are there any lessons for middle-and low-income countries?” Social Science and Medicine 54.10 (2002): 1559-1587.
  6. Social Health Security Programme: Annual Report FY 2073/74 (2016/17). Kathmandu.
  7. Ghimire P., et al. “Factors associated with enrolment of households in Nepal’s national health insurance program”. International Journal of Health Policy and Management 8.11 (2019): 636.
  8. Annual Report for FY 2073/74. Kathmandu: Social Health Security Development Committee (2017).
  9. Rai D. National social health insurance in Nepal: What will it take to make it work? (2017).
  10. Ghimire R. “Community based health insurance practices in Nepal”. International Research and Reviews, An International Research Refereed 2.4 (2013).
  11. KOICA-Nepal Health Insurance Support Project [NHISP]. Comprehensive district assessment for health insurance in Kailali district. Lalitpur, Kathmandu (2014).
  12. Prasai DP. A review of studies on Nepal’s national free health care programme. Kathmandu: Primary Health Care Revitalization Division, Department of Health Services, Ministry of Health and Population (GoN) (2013).
  13. https://cbs.gov.np/wp-content/upLoads/2019/03/District-Profile-Kailali.pdf
  14. Braveman P and Gruskin S. “Poverty, equity, human rights and health”. Bulletin of the World Health Organization 81 (2003): 539-545.
  15. Kelarijani SEJ., et al. “Evaluation of factors influencing patient satisfaction in social security hospitals in Mazandaran province, North of Iran”. Caspian Journal of Internal Medicine 5.4 (2014): 232.
  16. Adhikari N., et al. “Factors affecting enrolment in the community based health insurance scheme of Chandranigahapur hospital of Rautahat district”. Journal of Nepal Health Research Council 16.41 (2018): 378-384.
  17. De Allegri M., et al. “Understanding enrolment in community health insurance in sub-Saharan Africa: a population-based case-control study in rural Burkina Faso”. Bulletin of the World Health Organization 84 (2006): 852-858.
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Citation

Citation: Dirgha Raj Joshi., et al. “Effect of Health Insurance Program in Social Security in Kailali District, Nepal". Acta Scientific Pharmaceutical Sciences 4.3 (2020): 02-06.




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