scholarly journals Association of information, education, and communication; and enrollment in health insurance: A case of Nepal

2019 ◽  
Author(s):  
Devaraj Acharya ◽  
Bhimsen Devkota ◽  
Kamal Gautam ◽  
Radha Bhattarai
Keyword(s):  
Health Insurance ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Background Characteristics ◽  
Wealth Status ◽  
Cross Sectional ◽  
Related Information ◽  
The Family ◽  
The Government ◽  
Workshop Discussion

Abstract Background Most of the studies have indicated that various programmes were failing due to lack of appropriate information, education, and communication [IEC] to the target audiences. But still unanswered that which methods or means of communication could be the most powerful for changing behaviour, decision making, and or desired action. The paper aims to assess the effects of IEC on the enrollment of health insurance [HI] in Nepal.Methods A cross-sectional study, with randomly selected 810 [405 enrolled and 405 not-enrolled] households, was conducted at Baglung and Kailali districts of Nepal in 2018 using pretested structured interview tool. Background characteristics of family and respondents, and exposure to the means of communication were independent variables; and enrollment of HI was the dependent variable. Univariate, bivariate, and multivariate analyses were done to interpret the data.Results Data show that socio-demographics and exposure to HI related information were associated with the enrollment of HI. Demographic characteristics of the respondents and households particularly age, wealth status, and presence of chronic diseases in the family were significantly associated with the enrollment of HI. Similarly, exposure to communication and media such as heard about HI and knowledge of contribution amount of HI, having HI related books or guidelines, participation in training and workshop, discussion with peers and neighbours, exposure to HI related messages from radio and television, seen hoarding board, newspaper, and HI related pamphlet, brochure, and posters were significantly associated with enrollment in HI. Heard about HI and knowledge of contribution amount, having HI related books and guidelines, and discussion with peers and neighbours appeared to be the positive and significant predictors for enrollment in HI.Conclusion Communication and interaction with peers and neighbours about HI scheme of the government could lead to higher participation in HI programme. It would be better to incorporate this strategy while planning policies and interventions on HI.

scholarly journals Role of information, education, and communication in enrollment of health insurance: A case of Nepal

2019 ◽  
Author(s):  
Devaraj Acharya ◽  
Bhimsen Devkota ◽  
Kamal Gautam ◽  
Radha Bhattarai
Keyword(s):  
Health Insurance ◽  
Household Head ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Background Characteristics ◽  
Wealth Status ◽  
Cross Sectional ◽  
The Family ◽  
Insurance Programme ◽  
The Government

Abstract Background Most of the studies have indicated that various programmes were failing due to lack of appropriate information, education, and communication [IEC] to the target audiences. But still unanswered that which methods or means of communication could be the most powerful for changing behaviour, decision making,and or desired action. The paper aims to assess the effects of IEC on the enrollment of health insurance in Nepal.Methods A cross-sectional study, with randomly selected 810 [405 enrolled and 405 not-enrolled] households, was conducted at Baglung and Kailali districts of Nepal in 2018 using pretested structured interview tool. Background characteristics of family and respondents, and exposure to the means of communication were independent variables; and enrollment of health insurance was the dependent variable. Univariate, bivariate, and multivariate analyses were done to interpret the data.Results Data show that socio-demographics and exposure to communication were associated with the enrollment of health insurance. Demographic characteristics of the respondents and households particularly household head, age, wealth status, ability to feed the family, and presence of chronic diseases in the family were significantly associated with the enrollment of health insurance. Similarly, exposure to communication and media such as knowledge on health insurance and contribution amount of health insurance, having health insurance related books or guidelines, participation in training and workshop, discussion with peers and neighbours, exposure to health insurance related messages from radio and television, seen hoarding board, newspaper, and health insurance related pamphlet, brochure, and posters were significantly associated with enrollment in health insurance. Knowledge about health insurance and contribution amount, having health insurance related books and guidelines, and discussion with peers and neighbours appeared to be the positive and significant predictors for enrollment in health insurance scheme.Conclusion Communication and interaction with peers and neighbours about health insurance scheme of the government could lead to higher participation in health insurance programme. It would be better to incorporate this strategy while planning policies and interventions on health insurance.

scholarly journals Willingness to Pay for Family Health Insurance: Evidence from Baglung and Kailali Districts of Nepal

2018 ◽  
Vol 10 (12) ◽  
pp. 144 ◽  
Author(s):  
Devaraj Acharya ◽  
Bhimsen Devkota ◽  
Ramesh Adhikari
Keyword(s):  
Health Insurance ◽  
Willingness To Pay ◽  
Mother Tongue ◽  
Family Health ◽  
Cross Sectional Study ◽  
Wealth Status ◽  
Cross Sectional ◽  
Household Headship ◽  
The Government ◽  
Mean Differences

INTRODUCTION: The Government of Nepal introduced a health insurance programme in three districts in 2016. However, it seems that there has not been systematic evidence on whether the current contribution amount (CCA) needed for enrolling in health insurance (HI), is acceptable for those who are willing to enroll. This article aims to assess the respondents' willingness to pay (WTP) for HI. METHODS: A cross-sectional study was conducted with 810 randomly selected households in Baglung and Kailali districts and the data was collected using a validated schedule. The socio-demographic characteristics were considered as independent and the WTP as dependent variables respectively. Univariate, bivariate and multivariate analysis were performed. RESULTS: Of the total respondents, 74 percent expressed that they could pay nearly three times as much as the CCA. Mean differences in WTP for HI were observed in terms of districts (p<0.001), sex of the respondents (p<0.01), household headship (p<0.05), mother tongue (p<0.001), wealth status (p<0.001), presence of chronic diseases in the family(p<0.05), enrollment in HI(p<0.01), exposure to the radio/FM(p<0.05) and TV(p<0.01), and access to health facilities (p<0.01). The lieklyhood of WTP for HI were lower in Kailali than in Baglung (b= –0.178, p<0.001); with females than with males(b= –0.076, p<0.05); and with the age group £37 years than > 37 years(b= –0.090, p<0.05). CONCLUSION: The WTP for HI was nearly three times as high as the CCA for all health services if available to them. More than one fourth of the respondents did not know about HI. Therefore, appropriate interventions are needed for awareness raising which may support the WTP as well as enrollment in HI.

scholarly journals Association of information, education, and communication with enrolment in health insurance: a case of Nepal

2020 ◽  
Vol 78 (1) ◽  
Author(s):  
Devaraj Acharya ◽  
Bhimsen Devkota ◽  
Kamal Gautam ◽  
Radha Bhattarai
Keyword(s):  
Health Insurance ◽  
Structured Interview ◽  
Control Group ◽  
Background Characteristics ◽  
Decision Making Capacity ◽  
The Family ◽  
Insurance Programme ◽  
The Government ◽  
Household Heads ◽  
Health Programmes

Abstract Background Many studies indicate that various health programmes have been failed because of the lack of appropriate information, education, and communication [IEC] for the target audiences. It is still unanswered which methods/means of communication could be the most powerful for changing behaviour or decision-making capacity. The paper aims to assess the effects of IEC on family enrolment in health insurance programme [HIP] in Nepal. Methods We employed a household-based observational study with a control group. Altogether 810 household interviews were conducted in Baglung and Kailali districts of Nepal in 2018. The study used a validated structured interview schedule. Background characteristics of the family and respondents and their exposure to the means of communication were the independent variables while enrolment in health insurance [HI] was the dependent variable. Results Data showed that 72% of the respondents heard about the HI and 66% knew the contribution amount for enrolment in HI. In the total enrolled households, 53% were household heads, 59% belonged to the age group 41–60 and 68% were above 60 years. More than half (56%) of rich compared to 46 and 49% of middle and poor (p < 0.05); 60% of the family member suffering from the chronic disease were enrolled in the HI. Similarly, 68% of those who heard about HI compared to 4 % who did not hear were enrolled (p < 0.001). A vast majority (69%) of those knowing contribution amount, 73% who interact with peer neighbour compared to 39% who did not, and 62% of those who listened to the radio and 63% of those who watched TV were enrolled in HI (p < 0.001). However, heard about HI (aOR = 21.18, 95%CI: 10.17–44.13, p < 0.001), knowledge about contribution amount (aOR = 5.13, 95%CI: 3.09–8.52, p < 0.001), having HI related books or guidelines (aOR = 4.84, 95%CI: 2.61–8.98, p < 0.001), and interact with peer or neighbours (aOR = 1.74, 95%CI: 1.34–2.65, p < 0.01) were appeared to be positive and significant predictors for enrolment in HI. Conclusion Knowledge about HI and interaction with peers and neighbours about the HI scheme of the government could lead to higher participation in the HIP. It would be better to incorporate this strategy while planning interventions for increasing enrolment in the HIP.

scholarly journals Relational technologies as instruments of care in the Family Health Strategy

2017 ◽  
Vol 70 (5) ◽  
pp. 981-987 ◽  
Author(s):  
Tatiana Fernandes Kerches de Abreu ◽  
Fernanda Amendola ◽  
Monica Martins Trovo
Keyword(s):  
Family Health ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Daily Work ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Final Consideration ◽  
Basic Health Units

ABSTRACT Objective: This article aims to identify the relational technologies used by Family Health Strategy nurses in their daily work when treating patients. Method: Descriptive and cross-sectional study with qualitative approach; conducted between May and July 2015, in three Basic Health Units of the Southern Region of the Municipality of São Paulo, with 19 nurses of the Family Health Strategy. Data were collected through a semi-structured interview, and the speeches were fully transcribed and analyzed according to the technique of content analysis. Results: From the speeches of the participants, three categories emerged, showing the unawareness of the concept, but the valorization of its use; which are the relational technologies used by the participating nurses (communication, listening, empathy and welcoming reception), as well as the report of barriers to the use of relational technologies. Final consideration: Although the nurses value the use of relational technologies, the participants denoted unawareness of the nomenclature and its associated concepts, suggesting superficiality in the understanding and use of these instruments in the context of care in the Family Health Strategy.

scholarly journals Factors Influencing Nonrenewal of Health Insurance Membership in Ejisu-Juaben Municipality of Ashanti Region, Ghana

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Kwawukume Mawumenyo Aku ◽  
Kofi Akohene Mensah ◽  
Peter Twum ◽  
Peter Agyei-Baffour ◽  
Daniel Opoku ◽  
...  
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Statistical Significance ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Factors Influencing ◽  
Systemic Factors ◽  
The Government

Background. In the quest to prevent households from making catastrophic expenditures at the point of seeking healthcare, the government of Ghana introduced the National Health Insurance in 2003. However, people are reluctant to renew their membership. This study was, therefore, conducted to identify factors influencing the nonrenewal of National Health Insurance membership in the Ejisu-Juaben Municipality. Methods. A cross-sectional study was conducted among 427 respondents in the Ejisu-Juaben Municipality to ascertain factors influencing the nonrenewal of health insurance membership status. Data were entered and analyzed using Stata version 14. Univariate and multivariate analyses were performed to determine sociodemographic factors, household factors, and systemic factors influencing the nonrenewal of health insurance status. Statistical significance for all testing was set as p ≤ 0.05 . Results. Sociodemographic factors such as gender (AOR = 0.531; CI = 0.287–0.985) and educational level (AOR = 5.268; CI = 1.130–24.551)) were associated with the nonrenewal of health insurance membership. Income levels in Ghana Cedis were 500–1000 (AOR = 0.216; CI = 0.075–0.617) and 1001–2000 (AOR = 0.085; CI = 0.019–0.383). Systemic decision on factors such as clients’ satisfaction (AOR = 0.149; CI = 0.035–0.640), making copayment (AOR = 0.152; CI = 0,068–0.344), acquiring all prescribed drugs (AOR = 4.191; CI = 2.027–8.668), and awareness of mobile renewal (AOR = 3.139; CI = 1.462–6.739) was associated with nonrenewal of membership. Conclusions. The nonrenewal of health insurance membership was influenced by sociodemographic, household, and systemic factors. Therefore, the Municipal Health Directorate and the National Health Insurance Authority have to work on these factors to reach the target of 100% active coverage in the municipality.

scholarly journals Analysis Socioeconomic Influence on the Utilization of Health Service in the Inpatient Room of Faisal Islamic Hospital Makassar

2021 ◽  
Vol 10 ◽  
pp. 1567-1571
Author(s):  
Muhammad Alwy Arifin ◽  
Amaliah Amriani. AS ◽  
Muh. Yusri Abadi ◽  
Anwar Mallongi ◽  
Dian Saputra Marzuk
Keyword(s):  
Health Insurance ◽  
Health Services ◽  
Cross Sectional Study ◽  
Probit Analysis ◽  
P Value ◽  
Distribution Analysis ◽  
Cross Sectional ◽  
Utilization Of Health Services ◽  
The Government ◽  
The City

Hospitals in carrying out their role cannot be separated from problems, both from within and from outside that can interfere with the mechanism of work of the hospital in providing health services for the community. Faisal Islamic Hospital Makassar is one of the private hospitals in the city of Makassar which in the last 3 years has decreased the value of BOR. The purpose of this study was to find out the socio-economic influence on the utilization of health services in the inpatient room of Faisal Islamic Hospital Makassar. This research is a cross-sectional study. A total of 99 people were sampled in the inpatient room of Faisal Islamic Hospital Makassar by taking a sample using the purposive sampling method. Data is collected by conducting interviews with respondents. Data processing is done by frequency distribution analysis and univariate and multivariate analysis with the Binary Regression approach namely logit and probit analysis. Based on the results of the study, it was obtained that socioeconomic variables that have an influence on the utilization of health services in the Faisal Islamic Hospital Makassar is the ownership of health insurance with the results of p-value< 0.1 is logit 0.299 and probit of 0.000. For the government to evaluate the ownership of health insurance, because there are still respondents who do not have health insurance where this is not in accordance with the objectives of the National Health Insurance program.

scholarly journals Attitude towards and utilization of health insurance in a metropolitan city: a cross-sectional study

2019 ◽  
Vol 6 (9) ◽  
pp. 3922
Author(s):  
Jerome G. Thampi ◽  
Rujuta Hadaye
Keyword(s):  
Health Insurance ◽  
Household Survey ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Risk Pooling ◽  
The Public ◽  
Community Risk ◽  
Patterns Of Utilization

Background: Data on attitudes towards and utilization of health insurance in Mumbai is lacking. The aim of the study was to assess the level of awareness about health insurance, the factors influencing the decision to subscribe and the patterns of utilization of health insurance.Methods: 201 principal earning members of households belonging to the 25-45 years age group were interviewed in a community-based household survey in a conveniently selected ward in Mumbai with the help of a pretested, semi-structured interview schedule.Results: The level of awareness about health insurance was 65.3%. 33.8% of the respondents had utilized or subscribed to some form of health insurance. 27.9% had used Government health insurance while 13.4% had used private health insurance. 7.5% had access to both Government and private health insurance.Conclusions: A concerted effort is necessary to sensitize the public about health insurance with strategic use of sentiment regarding community risk pooling.

scholarly journals Awareness and perception of health insurance among rural population in Kancheepuram district, Tamil Nadu

2019 ◽  
Vol 6 (9) ◽  
pp. 3808
Author(s):  
Raja T. K. ◽  
Buvnesh Kumar M. ◽  
Muthukumar T. ◽  
Anisha Pannakal Mohan
Keyword(s):  
Health Insurance ◽  
Rural Areas ◽  
Rural Population ◽  
Tamil Nadu ◽  
Nuclear Family ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Chief Minister ◽  
The Family

Background: Health insurance awareness and perception is most preliminary and people are getting familiar of it. Still the utilization of health insurance has not reached the rural areas due to lack of awareness among rural population. The present study was done with an aim of assessing individual’s awareness and perception of the health insurance.Methods: The study was a community based cross sectional study conducted for a period of 6 months among villages which is field practice area of a medical college in Kancheepuram district, Tamil Nadu. 310 houses were interviewed. Line listing of the houses was done and data collected through semi structured questionnaire either from the head of the family or the family member who was available in the house. Data collected was statistically analyzed by SPSS version 21.Results: In this study, among 310 participants majority were females (62%), middle class (31%), nuclear family (83%). 51% were aware about health insurance, source of awareness was mostly from television (38.3%). 48% of study participants were aware of Chief Minister Health Scheme.Conclusions: Majority of the people who were aware about the Chief Minister Health Scheme were not aware about the complete benefits and details of the scheme, which emphasis on the need for creating more awareness about health insurance to avoid unpredictable health expenses in case of illness and injuries.

scholarly journals Utilization, satisfaction, out of pocket expenditure and health seeking behaviour among the insured residents of rural field area: a cross sectional study

2020 ◽  
Vol 7 (3) ◽  
pp. 1047
Author(s):  
Netra G. ◽  
B. A. Varadaraja Rao ◽  
Prakash Kengnal
Keyword(s):  
Health Insurance ◽  
Cross Sectional Study ◽  
Health Seeking Behaviour ◽  
Health Seeking ◽  
Chi Square ◽  
Cross Sectional ◽  
Medical College ◽  
The Family ◽  
Field Practice ◽  
Out Of Pocket Expenses

Background: Health insurance is also called as medical insurance offering coverage that pays for unexpected medical and surgical expenses to the policyholder. A health insurance plan is one of the most secured and safest way to provide financial coverage to the insured family. Objective of this study was to assess utilization, satisfaction, out of pocket expenses and to determine the health seeking behaviour of the insured residents of the rural field practice area of SSIMS and RC, Davanagere.Methods: The study was done in the rural field practice area of the medical college, Davangere from January 2016 to December 2016. A sample of 600 families were studied by systematic random sampling and data was collected from the head of the family using structured questionnaire by house to house interview. Statistical analysis was carried out by SPSS v10, percentages, proportions and Chi-square tests were applied to find the association among the variables.Results: The utilization of health insurance in the present study was 50.2% and satisfaction regarding the health insurance schemes was 93.4%.Conclusions: The study reveals that the out of pocket expenses is high among the uninsured families compared to the insured families. The Insurance policies should be revived to do favour the patients so that more families will be encouraged to enrol and utilize so that the out of pocket expenses will be reduced.

scholarly journals Types of health insurance and its utilization in a primary, secondary and tertiary care setting in coastal Karnataka

2017 ◽  
Vol 4 (5) ◽  
pp. 1758
Author(s):  
Sharon Baisil ◽  
Shreyaswi Sathyanath ◽  
Rashmi Kundapur
Keyword(s):  
Health Insurance ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Private Hospitals ◽  
Health Card ◽  
Validated Questionnaire ◽  
Hospital Visits ◽  
The Government ◽  
Tertiary Care Setting

Background: Health insurance as a tool to finance health care has very recently gained popularity in India. While health insurance has a long history, the upsurge in breadth of coverage can be explained by a serious effort by the Government to introduce health insurance for the poor in last four years. Objective of this study is to determine the types of health insurance prevalent in coastal Karnataka and to study its advantages in decreasing out of pocket expenditure.Methods: A cross sectional study was done among 450 patients by administering a validated questionnaire on health insurance with details, coverage amount, presence of APL or BPL card and utilization pattern with advantages to the patient from scheme.Results: Out of the 450 patients have been surveyed, 57% had availed health insurance. 35% of patients were benefited by sampoorna suraksha and 27.5% patients used KSHEMA health card. ESI and kadamba were least used. Unlimited slab was seen with aarogya bhagya and yashaswini schemes. 65% of APL category and only 35% of BPL had health insurance. 92.5% of the patients with health insurance surveyed used private hospitals for health assistance. In 25% of people, hospital visits increased due to health insurance. In 15% of patients the total expenditure on health has increased after obtaining health insurance.Conclusions: 57% of the patients had some form of health insurance. Sampoorna suraksha was the most commonly used scheme and health insurance was most commonly used for in patient care.

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