Utilization of social health security scheme among the households of Illam district, Nepal. (Record no. 2771)
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| fixed length control field | 03176nam a22002297a 4500 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | OSt |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20230814134828.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 190731b ||||| |||| 00| 0 eng d |
| 040 ## - CATALOGING SOURCE | |
| Description conventions | NLM |
| 060 ## - NATIONAL LIBRARY OF MEDICINE CALL NUMBER | |
| Classification number | THS-00523 |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Shah,Sanjeeb. |
| 9 (RLIN) | 2414 |
| 245 ## - TITLE STATEMENT | |
| Title | Utilization of social health security scheme among the households of Illam district, Nepal. |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | c2019. |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | viii,108p. |
| 500 ## - GENERAL NOTE | |
| General note | Thesis Report. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | ABSTRACT: <br/><br/> Introduction: Health insurance is one of the methods of health care financing. Types of health insurance are social health insurance, private health insurance and community-based-health insurance. Nepal has implemented Social health insurance program which is also known as Social Health Security program (SHS) to ensure access to quality health services and to protect from financial hardship and reduce out-of-pocket payments. The study aims to assess the utilization pattern of social health security scheme among the households of Illam district. <br/><br/>Methodology: A cross-sectional mixed method study was conducted among the three hundred households of Illam district who has utilized the social health security scheme. Multi-stage sampling method was used. Both quantitative and qualitative methods were done during the study. A semi-structured questionnaire was used to collect quantitative data. For qualitative data focus group discussion was conducted using focus group discussion guidelines. Descriptive analysis, bivariate and multivariate analysis was done. FGDs were transcribed and thematic analysis was done. <br/><br/>Results: The utilization rate of social health security scheme was 88.7%. The utilization rate of receiving drugs, Out-Patient service, Laboratory service, In- patient service and Emergency service were 96.2%, 89.4%, 67.7% 10.4% and 0.4% respectively. Only 13% of households had to go for catastrophic health expenditure. Presence of under five children and chronic illness in households, sex, age group, educational status, occupation of household members were significantly associated with the utilization of social health security scheme. A total of three FGDs were conducted. It revealed that people were aware of social health insurance and satisfied with program implemented by government. However, the hospitals under the social health insurance were not able to meet their expectation. Moreover, unavailability of service in hospital and poor behavior by hospital staff had developed negativity among people. <br/><br/>Conclusion: Although the utilization of social health security scheme was higher, people were unsatisfied with the service and facility provided by the hospital under the social health security scheme. Therefore, the social health insurance board should closely monitor the hospitals and develop a feedback mechanism from the users. <br/><br/>Keywords: Social Health Insurance, Utilization of Service, Catastrophic Health Expenditure |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | Social Health Insurance. |
| 9 (RLIN) | 1831 |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | Utilization of Service. |
| 9 (RLIN) | 2415 |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | Catastrophic Health Expenditure. |
| 9 (RLIN) | 2416 |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="http://nhrc.gov.np/contact/">http://nhrc.gov.np/contact/</a> |
| Link text | Visit NHRC Library |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | National Library of Medicine |
| Koha item type | Thesis Report |
| Withdrawn status | Lost status | Source of classification or shelving scheme | Damaged status | Not for loan | Home library | Current library | Date acquired | Total Checkouts | Full call number | Barcode | Date last seen | Price effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| National Library of Medicine | Nepal Health Research Council | Nepal Health Research Council | 07/31/2019 | THS00523/SHA/2019 | THS-00523 | 07/31/2019 | 07/31/2019 | Thesis Report |