scholarly journals Nepal’s Free Health Care Policy in Practice: Perspectives from Community Stakeholders, Providers and Users of Health Services in Myagdi District

2015 ◽  
Vol 9 ◽  
pp. 224-236
Author(s):  
Shiva Subedi
Keyword(s):  
Health Care ◽  
Health Facility ◽  
Health Care Policy ◽  
Service Providers ◽  
Health Workers ◽  
Service Users ◽  
Care Policy ◽  
Community Stakeholders ◽  
Free Health Care ◽  
Free Care

Government of Nepal has introduced Free Health Care Policy (FHCP) through different tiers of health delivery system in 2007. With the objective of understanding the perspectives of community stakeholders, health service providers, and the services users towards free care policy, a qualitative-quantitative study was conducted in selected communities of Myagdi district from December 2010 to January 2011. Although the majority of user group thought that free care service is good but only two-third of them had received free care. Shortage of free essential drugs at health facility centers, absence of health workers   and lack of clear information about free services or counseling on free services available at health facility centers are the most repeated issues raised by the service users. Similarly, the service providers had similar experiences and perceptions on FHCP. The majority of the community stakeholders also had positive perception on this implemented policy. They have observed that many facilities had shortage of drugs and people are not having free health care. Many health facilities lacked interaction on FHCP, and service users did not have equitable access to the services provided. Overall, though the free care was perceived to be good policy, its satisfactory implementation remains one of the challenges. Many of the areas relating to service delivery need to be strengthened. A reliable supply system of drugs and its regular monitoring mechanism can ensure the effective implementation of free health care services.

scholarly journals Health Insurance Cards and Health Care Services Utilization: Evidence From Children in Mountainous Regions of Vietnam

2019 ◽  
Vol 6 ◽  
pp. 2333794X1984391 ◽  
Author(s):  
Nhu Van Ha ◽  
Van Thi Anh Nguyen ◽  
Bui Thi My Anh ◽  
Thanh Duc Nguyen
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Associated Factors ◽  
Health Care Services ◽  
Health Care Policy ◽  
Care Policy ◽  
Insurance Reform ◽  
Care Services ◽  
Free Health Care ◽  
Services Use

Health insurance reform for children younger than 6 years of age was implemented in 2005. The study aimed to describe the health insurance card status, health care services use, and associated factors. The cross-sectional study was conducted with 210 Hmong mothers of children younger than 6 years of age, and of those, 118 mothers having an ill child in the previous 4 weeks were selected in this study. Descriptive statistics and multiple logistic regression were applied to predict the associated factors. In all, 42.9% of children had health insurance cards and 45.8% ill children accessed public health facilities. The factors included children’s age, mothers’ knowledge of the free health care policy, mothers’ knowledge about one sign of lung infection of their children associated with health insurance status, and health care services use. In conclusion, the 2005 reform of child health insurance policy has brought a modest impact on insurance coverage of children younger than 6 years of age and health care services use. Mothers’ knowledge of free health care policy should be improved.

scholarly journals Pengembangan Model Kebijakan Pelayanan Gratis di Puskesmas

2014 ◽  
pp. 319
Author(s):  
Iskandar Syah ◽  
Eryati Darwin ◽  
Hafni Bachtiar Bachtiar ◽  
Vera Pujani
Keyword(s):  
Health Care ◽  
Qualitative Data ◽  
Health Care Policy ◽  
Health Workers ◽  
Model Development ◽  
Health Agency ◽  
City Government ◽  
Policy Model ◽  
Free Service ◽  
Free Health Care

Dengan adanya Peraturan Daerah Nomor 05 tahun 2009 lahirlah kebijakan pelayanan kesehatan gratis di kota Padang. Pelayanan kesehatan gratis ini merupakan dukungan pemerintahan kota kepada warganya untuk menyadari bahwa kesehatan merupakan kebutuhan dasar dan kebijakan ini mendapat dukungan dari Bazda (Badan Zakat Daerah). Tujuan dari penelitian ini adalah untuk menganalisis model pengembangan kebijakan pelayanan kesehatan gratis di kota Padang. Penelitian ini dilakukan dengan menggunakan pendekatan kualitatif dan kuantitatif. Data kualitatif diperoleh dari Dinas Kesehatan Kota Padang. Sedangkan data kuantitatif diperoleh melalui wawancara dan focus group disscussion (FGD). Enam pimpinan puskesmas dan tenaga kesehatan merupakan informan yang diwawancarai untuk mengidentifikasi variabel yang diselidiki. Pimpinan pemerintahan yang terkait dengan kebijakan ini juga dilibatkan untuk memperoleh data yang dibutuhkan, sedangkan kepuasan pasien tentang pelayanan kesehatan gratis ini diperoleh melalui FGD. Analisis terhadap semua data yang diperoleh dari informan dalam penelitian ini dilakukan secara multicase analisis. Penelitian ini menemukan bahwa pengembangan model kebijakan pelayanan kesehatan gratis yang ditawarkan adalah model pelayanan yang dapat memberikan manfaat maksimal bagi semua pihak yang terlibat termasuk pasien, puskesmas dan tenaga kesehatan.According to Peraturan Daerah Nomor 05 tahun 2009 toward the free health service in Padang city implied that the free service of health care was driven by the consideration of the city government as basic public needs and financially suported by Bazda (Badan Zakat Daerah). The objective of the study is to analyze the development of free health care policy model in Padang. The study was conducted by using quatitative and qualitative data. The quantitative data was obtained from the health agency office in Padang. Hence the qualitative data was obtained through interview and fofocus group discusion (FGD). The six puskesmas managers and health workers as the research informant were interviewd to identify the investigated variable. The related goverment leaders also were involved to make data collection comprehensivelly. In the meantime, satisfaction patients related to service delivery were investigated using FGD. All informant obtained were transcriped as picture for this research in the multicase analysis. This study found that the model development of free service policy offered is a model of service that can provide the maximum benefits for all aspects involved including patients, health centers, and health professionals.

General practitioner networks matter in primary health care team service provision

2009 ◽  
Vol 15 (4) ◽  
pp. 312 ◽  
Author(s):  
Lucio Naccarella
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Validation Study ◽  
Health Care Policy ◽  
Service Providers ◽  
Communication Styles ◽  
Care Providers ◽  
Care Policy ◽  
Work Related ◽  
Primary Health

Australia is undergoing significant primary health care policy reforms in response to concerns about quality of care, increasing burden of complex and chronic diseases, and workforce shortages. Governments are encouraging multidisciplinary teamwork between general practitioners (GP) and other primary health care service providers. Essential elements of teamwork have been addressed in policy initiatives, yet important dimensions of the way GP develop and use their work-related relationships in their practice remain unrecognised. This paper draws upon a doctoral thesis that explored the types and the qualities of GP work-related relationships. A qualitative research methodology combined with a relational perspective was used. Data were collected from a pilot, main and a validation study. Fifty interviews were conducted, including: GP, clinic staff, service providers, support organisation personnel and policymakers. A complex web of interdependent work-related relationships exist between GP and other health care providers. Four main types of GP work-related relationships emerged: clinical problem solving, obtaining metaknowledge, obtaining legitimisation, and validation. Key qualities of GP work-related relationships included the nominated providers’ competence, accessibility, goodwill, honesty, consistency and communication styles. A validation study verified research findings. The research provides evidence that the nature of GP work-related relationships have implications for other practitioners who need to work with GP. The findings challenge the current primary health care policy emphasis on using structural reforms such as prescribed service delivery processes and financial incentives to encourage teamwork.

scholarly journals Free Health Care Policy in Nepal: Recent Trend and Challenges

1970 ◽  
Vol 7 (2) ◽  
pp. 138-139
Author(s):  
G Gurung
Keyword(s):  
Health Care ◽  
Health Care Policy ◽  
Public Health Services ◽  
Care Policy ◽  
Health Care Need ◽  
Access To Health ◽  
Community Monitoring ◽  
Free Health Care ◽  
Use Of Services ◽  
Health Research Council

The willingness to pay for services can not be equated with ability to pay for it. Despite of Alma-Ata declaration in 1978, developing countries have numerous challenges to meet the goal of health for all. In the quest for increasing access to health for all, Government of Nepal has recently introduced free health care policy. The efficacy of its implementation, operational challenges and issues related to the free health care, need to be reviewed. The unnecessary use of services, quality of care, risk of medicalization of public health services, mismanagement of drugs and health worker resistance towards the policy are some of its key challenges. To overcome these, community awareness and participation to monitor implementation of the policy is necessary and long term efficacy of this service has yet to be observed. Key words: community monitoring system; free health care policy; participation DOI: 10.3126/jnhrc.v7i2.3024 Journal of Nepal Health Research Council Vol.7(2) Apr 2009 138-139

Integration for coexistence? Implementation of intercultural health care policy in Ghana from the perspective of service users and providers

2017 ◽  
Vol 15 (1) ◽  
pp. 44-55 ◽  
Author(s):  
Razak Mohammed Gyasi ◽  
Adjoa Afriyie Poku ◽  
Simon Boateng ◽  
Padmore Adusei Amoah ◽  
Alhassan Abdul Mumin ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Policy ◽  
Service Users ◽  
Care Policy ◽  
Intercultural Health
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