ArticleBMC health services research2022
Factors affecting the healthcare utilization from Shasthyo Suroksha Karmasuchi scheme among the below-poverty-line population in one subdistrict in Bangladesh: a cross sectional study.
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed.
- Implementation challenges for achieving universal health coverage through social health protection scheme: what can we learn from Bangladesh?International journal of qualitative studies on health and well-being · 2026Article
- Implementation Effect of a Pilot Urban Primary Health Care Model on the Usage of Health Care From Medically Trained Providers for Chronic Diseases Among Slum Populations in Bangladesh: Findings From an Implementation Research Study.JMIR public health and surveillance · 2026Article
- Financial burden of noncommunicable diseases on households in Bangladesh: a quasi-experimental analysis using national survey data.Health economics review · 2026Article
- Factors Affecting Utilization of Healthcare Services Among Nasahablood and Ayah 4 Internally Displaced Persons in Hargeisa, Somaliland.Public health challenges · 2025Article
- Influence of a pilot urban primary healthcare model on the use of medically trained healthcare providers among the low-income slum populations in Bangladesh: findings from an implementation research study.International journal for equity in health · 2025Article
- Effect of a public health protection scheme for the below-poverty-line population on out-of-pocket inpatient care expenditure in Bangladesh: findings from a quasi-experimental study.BMC health services research · 2025Article
- Health insurance coverage among men and women in six countries within the Southeast Asia Region (2015-2022): a multilevel analysis of DemographicThe Lancet regional health. Southeast Asia · 2025Article
- Prevalence and correlates of health care utilization for non-communicable diseases in Bangladesh.BMC health services research · 2025Article
- Health related quality of life among the below poverty line population in Bangladesh: A cross-sectional study.PLOS global public health · 2025Article
- The Impact of Moral Hazard on Healthcare Utilization in Public Hospitals from Romania: Evidence from Patient Behaviors and Insurance Systems.Healthcare (Basel, Switzerland) · 2024Article
- Patient Satisfaction With the Health Care Services of a Government-Financed Health Protection Scheme in Bangladesh: Cross-Sectional Study.JMIR formative research · 2024Article
- The effectiveness of a government-sponsored health protection scheme in reducing financial risks for the below-poverty-line population in Bangladesh.Health policy and planning · 2024Article
- South Asia's unprotected poor: A systematic review of why social protection programs fail to reach their potential.PLOS global public health · 2024Article
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Abstract
backgroundFinancing healthcare through out-of-pocket (OOP) payment is a major barrier in accessing healthcare for the poor people. The Health Economics Unit (HEU) of the Ministry of Health and Family Welfare of the government of Bangladesh has developed Shasthyo Suroksha Karmasuchi (SSK), a health protection scheme, with the aim of reducing OOP expenditure and improving access of the below-poverty-line (BPL) population to healthcare. The scheme started piloting in 2016 at Kalihati sub-district of Tangail District. Our objective was to assess healthcare utilization by the enrolled BPL population and to identify the factors those influencing their utilization of the scheme.
methodA cross-sectional household survey was conducted from July to September 2018 in the piloting sub-district. A total of 806 households were surveyed using a semi-structured questionnaire. Information on illness and sources of healthcare service were captured for the last 90 days before the survey. Multiple logistic regression models were applied to determine the factors related to utilization of healthcare from the SSK scheme and other medically trained providers (MTPs) by the SSK members for both inpatient and outpatient care.
resultA total of 781 (24.6%) people reported of suffering from illness of which 639 (81.8%) sought healthcare from any sources. About 8.0% (51 out of 639) of them sought healthcare from SSK scheme and 28.2% from other MTPs within 90 days preceding the survey. Households with knowledge about SSK scheme were more likely to utilize healthcare from the scheme and less likely to utilize healthcare from other MTPs. Non-BPL status and suffering from an accident/injury were significantly positively associated with utilization of healthcare from SSK scheme.
conclusionAmong the BPL population, healthcare utilization from the SSK scheme was very low compared to that of other MTPs. Effective strategies should be in place for improving knowledge of BPL population on SSK scheme and the benefits package of the scheme should be updated as per the need of the target population. Such initiative can be instrumental in increasing utilization of the scheme and ultimately will reduce the barriers of OOP payment among BPL population for accessing healthcare.
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