ArticlePloS one2022
Utilization of social health security scheme among the households of Illam district, Nepal.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Primary healthcare system readiness for the prevention and management of non-communicable diseases in Nepal.Discover public health · 2026Article
- Experiences and effect of implementing social health insurance (SHI) program in Nepal-A mixed method study.PLOS global public health · 2025Article
- Navigating Nepal's health financing system: A road to universal health coverage amid epidemiological and demographic transitions.PloS one · 2025Article
- Factors influencing the utilisation of National health insurance program in urban areas of Nepal: Insights from qualitative study.PLOS global public health · 2024Article
- User satisfaction with the National Health Insurance Program: A community-based survey from the Ilam district of Nepal.PloS one · 2024Article
- The inclusion of diagnostics in national health insurance schemes in Cambodia, India, Indonesia, Nepal, Pakistan, Philippines and Viet Nam.BMJ global health · 2023Article
- Factors affecting health insurance utilization among insured population: evidence from health insurance program of Bhaktapur district of Nepal.BMC health services research · 2023Article
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6 authors.
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Abstract
backgroundNepal 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.
methodA 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.
findingsThe 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.
conclusionAlthough 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.
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