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Willingness and status of social health insurance among people of Pokhara Lekhnath, Nepal.

By:

Adhikari,Manju

Material type: Text

TextPublication details: c2017.Description: xiii,59pSubject(s):

NLM classification:

THS-00506

Online resources:

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Summary: ABSTRACT: Background: Social health insurance program was implemented in Nepal with the aim to achieve universal health coverage by removing health and financial barriers to access health care. Still, number of people didn't have access to health care. Almost all people paid treatment cost from out of pocket. Catastrophic health expenses is gradually increasing in the urban areas of Nepal. This study was performed to assess the willingness and status of social health insurance among people of Pokhara Lekhnath, Nepal. Materials and Methods: A cross-sectional study wasper formed using mixed method in Pokhara Lekhnath, Nepal from July 25 to December 31 2017. Quantitative study was conducted among 339 participants using interview schedule and qualitative among 27 participants using focus group discussion guidelines. Quantitative data was entered in Epi-data 3.1 version and analyzed in Statistical Package for Social Sciences 20 version. Chi-square tests were used to explore associations. Qualitative data was analyzed thematically keeping verbatim. Results: None of them had good knowledge, 23.3% participants family were enrolled. 50.9% were willing to pay with median amount RS 2500. 76.9% were willing to continue with median amount RS 2500. The main reason for willing to pay and continue was provision of free health services. One third of enrolled participants were thinking about discontinuation due to lack of quality services. Education (0.003) and Presence of illness (0.026) influence awareness level. Age (<0.001), family type (0.01), family size (0.002), presence of chronic illness (0.002) and awareness level (<0.001) were significantly associated with enrollment. WTP was determined by education (0.002) and awareness level (0.013). Maximum amount WTC with is significantly associated with sex (0.037) Conclusion and Recommendations: Only half of the participants were willing to pay. Majority of participants weren't enrolled but majority of enrolled participants were willing to continue. Awareness was making significant influence over willingness to pay and enrollment. Lack of quality service was affecting willingness. Thus, the program should focus on raising awareness and quality improvement of services. Keywords: Social Health Insurance, Willingness, Awareness, Nepal

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Holdings
Item type	Current library	Call number	Status	Date due	Barcode
Thesis Report	Nepal Health Research Council	THS00506/ADH/2017 (Browse shelf(Opens below))	Available		THS-00506

Thesis Report.

ABSTRACT:

Background: Social health insurance program was implemented in Nepal with the aim to achieve universal health coverage by removing health and financial barriers to access health care. Still, number of people didn't have access to health care. Almost all people paid treatment cost from out of pocket. Catastrophic health expenses is gradually increasing in the urban areas of Nepal. This study was performed to assess the willingness and status of social health insurance among people of Pokhara Lekhnath, Nepal.

Materials and Methods: A cross-sectional study wasper formed using mixed method in Pokhara Lekhnath, Nepal from July 25 to December 31 2017. Quantitative study was conducted among 339 participants using interview schedule and qualitative among 27 participants using focus group discussion guidelines. Quantitative data was entered in Epi-data 3.1 version and analyzed in Statistical Package for Social Sciences 20 version. Chi-square tests were used to explore associations. Qualitative data was analyzed thematically keeping verbatim.

Results: None of them had good knowledge, 23.3% participants family were enrolled. 50.9% were willing to pay with median amount RS 2500. 76.9% were willing to continue with median amount RS 2500. The main reason for willing to pay and continue was provision of free health services. One third of enrolled participants were thinking about discontinuation due to lack of quality services. Education (0.003) and Presence of illness (0.026) influence awareness level. Age (<0.001), family type (0.01), family size (0.002), presence of chronic illness (0.002) and awareness level (<0.001) were significantly associated with enrollment. WTP was determined by education (0.002) and awareness level (0.013). Maximum amount WTC with is significantly associated with sex (0.037)

Conclusion and Recommendations: Only half of the participants were willing to pay. Majority of participants weren't enrolled but majority of enrolled participants were willing to continue. Awareness was making significant influence over willingness to pay and enrollment. Lack of quality service was affecting willingness. Thus, the program should focus on raising awareness and quality improvement of services.

Keywords: Social Health Insurance, Willingness, Awareness, Nepal

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