Utilization of social health security scheme among the households of Illam district, Nepal.
<h4>Background</h4>Nepal has implemented the social health security program in certain health facilities to improve access to quality health services. The aim of the study is to understand the utilization pattern of social health security schemes and community's perception of the so...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2022-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0265993 |
| _version_ | 1818473474535981056 |
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| author | Sanjeeb Shah Nilambar Jha Vijay Kumar Khanal Gyanu Nepal Gurung Babita Sharma Mausam Shrestha |
| author_facet | Sanjeeb Shah Nilambar Jha Vijay Kumar Khanal Gyanu Nepal Gurung Babita Sharma Mausam Shrestha |
| author_sort | Sanjeeb Shah |
| collection | DOAJ |
| description | <h4>Background</h4>Nepal has implemented the social health security program in certain health facilities to improve access to quality health services. The aim of the study is to understand the utilization pattern of social health security schemes and community's perception of the social health security program.<h4>Method</h4>A descriptive cross-sectional mixed-method study was conducted among 300 households of Illam district who had enrolled in the social health security scheme. A multi-stage random sampling method was used. A semi-structured questionnaire was used to collect quantitative data whereas focus group discussions (FGDs) were conducted for qualitative data. Descriptive analysis, bivariate and multivariate analysis was done. FGDs were transcribed and thematic analysis was done.<h4>Findings</h4>The utilization rate of social health security scheme was 88.7%. Factors associated with the utilization of program included: presence of under-five children and chronic illness in households, sex and age group. Focus group discussion revealed that people were aware of social health insurance and pleased with program implemented by government. However, the hospitals under the social health insurance were not able to meet their expectations.<h4>Conclusion</h4>Although the utilization of social health security scheme was high, people were dissatisfied with the service 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. |
| first_indexed | 2024-04-14T04:24:34Z |
| format | Article |
| id | doaj.art-d3f3aaaca2224f20b305cc8971faeac2 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-14T04:24:34Z |
| publishDate | 2022-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-d3f3aaaca2224f20b305cc8971faeac22022-12-22T02:12:23ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01175e026599310.1371/journal.pone.0265993Utilization of social health security scheme among the households of Illam district, Nepal.Sanjeeb ShahNilambar JhaVijay Kumar KhanalGyanu Nepal GurungBabita SharmaMausam Shrestha<h4>Background</h4>Nepal has implemented the social health security program in certain health facilities to improve access to quality health services. The aim of the study is to understand the utilization pattern of social health security schemes and community's perception of the social health security program.<h4>Method</h4>A descriptive cross-sectional mixed-method study was conducted among 300 households of Illam district who had enrolled in the social health security scheme. A multi-stage random sampling method was used. A semi-structured questionnaire was used to collect quantitative data whereas focus group discussions (FGDs) were conducted for qualitative data. Descriptive analysis, bivariate and multivariate analysis was done. FGDs were transcribed and thematic analysis was done.<h4>Findings</h4>The utilization rate of social health security scheme was 88.7%. Factors associated with the utilization of program included: presence of under-five children and chronic illness in households, sex and age group. Focus group discussion revealed that people were aware of social health insurance and pleased with program implemented by government. However, the hospitals under the social health insurance were not able to meet their expectations.<h4>Conclusion</h4>Although the utilization of social health security scheme was high, people were dissatisfied with the service 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.https://doi.org/10.1371/journal.pone.0265993 |
| spellingShingle | Sanjeeb Shah Nilambar Jha Vijay Kumar Khanal Gyanu Nepal Gurung Babita Sharma Mausam Shrestha Utilization of social health security scheme among the households of Illam district, Nepal. PLoS ONE |
| title | Utilization of social health security scheme among the households of Illam district, Nepal. |
| title_full | Utilization of social health security scheme among the households of Illam district, Nepal. |
| title_fullStr | Utilization of social health security scheme among the households of Illam district, Nepal. |
| title_full_unstemmed | Utilization of social health security scheme among the households of Illam district, Nepal. |
| title_short | Utilization of social health security scheme among the households of Illam district, Nepal. |
| title_sort | utilization of social health security scheme among the households of illam district nepal |
| url | https://doi.org/10.1371/journal.pone.0265993 |
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