scholarly journals Awareness Regarding Health Insurance Policy Scheme of Government of Nepal among Local Residents of Dharan Sub-Metropolitan City

2021 ◽  
Vol 4 (1) ◽  
pp. 32-36
Author(s):  
Roshni Thapa ◽  
Shyam Lamsal ◽  
Angur Badhu ◽  
Sharmila Shrestha
Keyword(s):  
Health Insurance ◽  
Service Providers ◽  
Financial Burden ◽  
Family Members ◽  
Demographic Variables ◽  
Sources Of Information ◽  
Insurance Policy ◽  
Quality Health Care ◽  
Cross Sectional ◽  
Metropolitan City

Background: An expensive care discourages people from using health services. The health insurance policy scheme of the government of Nepal aims to provide quality health care services without a financial burden to its citizens. We aimed to assess its awareness among local people of Dharan and also find its acceptance and association with various demographic variables. Methods: This cross-sectional study was conducted among 249 households in 5 wards of Dharan sub-metropolitan city. Using a semi-structured questionnaire, a face-to-face interview was taken either from the financial decision maker/ financial supporter of the family. The socio-demographic characteristics, awareness and perception towards the health insurance policy scheme and its acceptance were assessed. The chi-square test was used to find the association of their awareness with different demographic variables. Results: The majority (70.7%) of the families were aware of the health insurance policy scheme. The most frequent source of knowledge was their friends/ family members (43.7%) followed by insurance service providers (32.4%). Only 36.6% of the families were enrolled in the health insurance policy scheme while 34.1% were not enrolled despite their knowledge about the scheme. Elderly (> 60 years), dependent, those without formal education, or those living below the poverty line were less aware regarding the health insurance policy (p < 0.05). Conclusion: About 29% of families had no idea about health insurance policy scheme and 34.1% were not enrolled in it despite being aware of the scheme. Friends/ family members and insurance service providers were common sources of information.

scholarly journals Awareness, Enrollment and Utilization of Health Insurance among Adults of Pokhara

2021 ◽  
Vol 17 (2) ◽  
pp. 109-116
Author(s):  
Dibya Sharma ◽  
Priyanka Basnet ◽  
Ramchandra Kafle
Keyword(s):  
Health Insurance ◽  
Chronic Illness ◽  
Formal Education ◽  
Financial Burden ◽  
Cross Sectional Study ◽  
Demographic Variables ◽  
Cross Sectional ◽  
History Of ◽  
Medical Emergencies ◽  
Community People

Introduction Procuring a health insurance is important because medical care is expensive, especially in private sector. Hospitalization nowadays is very expensive. Financial burden while being sick can be managed wisely by paying a small annual premium which would lessen stress in case of medical emergencies. The objective of study is to assess awareness, enrollment and utilization of health insurance and find out association between awareness and enrollment with demographic variables. Material and methods A descriptive cross sectional study was conducted to assess awareness, enrollment and utilization of health insurance among adult of Phulbari-11, Pokhara. The study was conducted during the period from June – August 2019 among 153 adult using purposive sampling. The data was analyzed using descriptive and inferential statistics using Statistical Package for Social Science(SPSS) version 18.0. Result: Nearly 61% were young adult. About 2/3rd (66%) were female. Majority (82.4%) had received some form of formal education. About 57% were aware about health insurance and 40% had enrolled in it. Among them, more than 2/3rd (69%) had procured service at least once. Respondent's awareness is statistically significant with ethnicity. Enrollment in health insurance is significantly associated with age, ethnicity, marital status, history of chronic illness, family history of chronic illness and awareness of health insurance. Conclusion: Awareness about health insurance is low. Enrollment and utilization of the scheme is not as expected. The enrollment in this scheme can further be enhanced through government effort to increase awareness among community people with the help of health care personnel and media.

scholarly journals Health Insurance Uptake and Affordability of Care Among Patients with Hypertension in a Federal Teaching Hospital in Southwestern Nigeria

2021 ◽  
Author(s):  
Tope Michael Ipinnimo ◽  
Demilade Olusola Ibirongbe ◽  
Motunrayo Temidayo Omowaye ◽  
Paul Oladapo Ajayi ◽  
Taiwo Samuel Ogunleye
Keyword(s):  
Health Insurance ◽  
Teaching Hospital ◽  
Financial Burden ◽  
Insurance Coverage ◽  
Sampling Technique ◽  
Southwestern Nigeria ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Significance Level ◽  
Insurance Cover

This study aims to assess health insurance uptake and affordability of care among patients with hypertension in a Federal Teaching Hospital in Southwestern Nigeria. This was a cross sectional study involving 138 hypertensive patient selected through systematic random sampling technique from the cardiology clinic of a Federal Teaching Hospital. A semi-structured, interviewer administered questionnaire was used to collect data. Analysis was done using Statistical Package for Social Sciences (SPSS) version 21. A significance level of 5% was used. The mean age (standard deviation) of the patients was 57.4 (12.8) years with median (interquartile range) monthly income of ₦46,500.00 (₦55,000.00) [US$129 (US$152.78)]. The health insurance uptake among them was 26.8%. Out of those who had no health insurance cover, 87.2% of them believed it could make their financial burden less and wish to be registered. Hypertensive patients enrolled under health insurance were significantly less likely to face financial difficulty when paying for drugs (p&lt;0.001) and investigations (p&lt;0.001). Additionally, these patients were significantly less likely to deny or defer project(s) in order to pay for their illness (p=0.004) and to have their source of livelihood being negatively affected by this illness (p=0.002). This study found a low health insurance uptake among hypertensive patients, even though most of the patients who had no health insurance cover were ready to enroll. Additionally, health insurance was identified to promote affordability of care among these patients. It is therefore crucial to put in place measures that will increase health insurance coverage among these patients.

scholarly journals Financial Burden and Health-seeking Behaviors Related to Chronic Diseases Under the National Health Insurance Scheme in Bolikhamxay Province, Lao PDR: A Cross-sectional Study

2021 ◽  
Author(s):  
TOMOO ITO ◽  
Sengchanh Kounnavong ◽  
Chiaki Miyoshi
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Health Expenditure ◽  
Financial Burden ◽  
Lao Pdr ◽  
Health Seeking ◽  
Chronic Patients ◽  
National Health Insurance System ◽  
Cross Sectional

Abstract BackgroundFinancial protection is a key dimension of universal health coverage. In 2016, Lao PDR implemented a National Health Insurance system covering the entire population of certain provinces. This cross-sectional study investigated the health-seeking behavior and financial burden of households, including those with chronic patients, post coverage. MethodThe study was conducted in Bolikhamxay province from January 15 to February 13, 2019. In total, 487 households, selected via stratified random sampling, were surveyed, and questionnaire-based interviews were conducted. Health care service utilization and financial burden were examined.ResultsA total of 370 households had at least one member with some type of self-reported health problem within the last 3 months prior to the interview, while 170 had at least one member with a chronic condition. More than 75% of the households accessed a health facility when a member experienced health problems. The prevalence of catastrophic health expenditure (health expenditure/income between 20% and 40%) was 25.1% (threshold of 20%) and 16.2% (threshold of 40%). Through logistic regression, we found that the major factors determining financial catastrophes owing to health problems were household members with chronic illness, hospitalization, household poverty status, family size (both 20% and 40% thresholds), visiting a private facility (20% threshold), and distance from the province to the referral hospital (40% threshold).ConclusionsThe National Health Insurance system has positively impacted households’ access to health facilities. However, catastrophic health expenditure remains high, especially among chronic patients. Facilities under the National Health Insurance should be strengthened to provide more services, including care for chronic conditions.

scholarly journals Quality of Life of Menopausal Women Residing Dharan Sub-metropolitan City, Nepal

2021 ◽  
Author(s):  
Anu Thapa ◽  
Mangala Shrestha ◽  
Nirmala Pokharel ◽  
Tulasa Basnet
Keyword(s):  
Quality Of Life ◽  
Healthy Aging ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Demographic Variables ◽  
Snowball Sampling ◽  
Cross Sectional ◽  
Metropolitan City ◽  
Menopausal Women

Abstract Background: Menopause poses a big challenge during middle age and to the healthy aging of woman. Majority of women face various problems and disturbances in daily living leading to decrease in quality of life. This study focuses on menopause related symptoms and quality of life in relation to the symptoms. Method: This descriptive cross-sectional study was conducted among 200 women of age 40-60 years at Dharan Sub-metropolitan City of Nepal selected through snowball sampling technique. The data were collected over the period of four weeks. Semi- structured questionnaire for demographic variables and menopause specific quality of life (MENQOL) questionnaire were used to collect data. Interview technique was adapted. Descriptive and inferential statistics were used to interpret data. Result: Mean menopausal age of the study group was 47.14 years. The most common symptoms of vasomotor, psychosocial, physical and sexual domains were hot flushes, experiencing poor memory, feeling tired or worn out and change in sexual desire respectively. The overall score of menopausal quality of life for each domain reported that highest the mean score in sexual domain (3.58 ± 1.62) and least score in vasomotor domain (2.08 ± 1.67). The score of physical domain was significantly high in late postmenopausal group than early postmenopausal group. Significant association was obtained with age, ethnicity, menopause status, physical activity and marital status in relation to the domains of quality of life. Conclusions: The results conclude that all the menopausal women were having at least one menopausal symptom from each domain. The menopausal women scored highest in sexual domain and least in vasomotor domain suggesting decrease quality of life in relation to sexual domain. Menopausal symptoms were associated with decrease in quality of life. Thus awareness regarding the menopausal changes should be focused in premenopausal age group of women

scholarly journals Catastrophic Health Expenditures for Children with Disabilities in Iran: A National Survey

2020 ◽  
Author(s):  
Ghobad Moradi ◽  
Amjad Mohamadi Bolbanabad ◽  
Farman Zahir Abdullah ◽  
Hossein Safari ◽  
Satar Rezaei ◽  
...  
Keyword(s):  
Health Insurance ◽  
Financial Burden ◽  
Health Expenditures ◽  
World Health ◽  
Health Costs ◽  
Financial Protection ◽  
Disabled Children ◽  
World Health Survey ◽  
Cross Sectional ◽  
Catastrophic Health Expenditures

Abstract Background: Higher health costs and financial burden are imposed on people with disabilities due to their health status associated with their disability. Measuring the incidence of catastrophic health expenditures (CHE) can provide good evidence for health policymakers to assess the current state of financial protection of the health system. The aim of this study was to investigate the percentage of households with disabled children aged 0 to 8 years who had faced CHE due to the health costs of these children in Iran.Methods: This cross-sectional study was carried out on 2000 households with disabled children aged 0 to 8 years in five provinces of Iran in 2020. Data were collected using the World Health Survey questionnaire and face-to-face interview. Households whose health expenditures for disabled members in the family were more than 40% of the household payment capacity were included in the group of households with CHE. Determinants of CHE were identified using logistic regression.Findings: 32.7% of households with disabled children had faced CHE. Head of household being female (Adjusted OR=18.89, 95%CI: 10.88- 29.42), poor economic status of the household (Q1: Adjusted OR = 20.26, 95% CI, 11.42-35.94; Q2: Adjusted OR= 8.27, 95%CI, 4.45-15.36; Q3: Adjusted OR= 13.88, 95%CI, 7.89-24.41), lack of supplementary insurance by a child with disabilities (Adjusted OR= 6.13, 95%CI, 3.39-11.26), having a child with mental disability (Adjusted OR= 2.71, 95%CI, 1.60-4.69), and type of basic health insurance [having Iranian Health Insurance: Adjusted OR= 2.20, 95%CI, 1.38-3.49; having Social security insurance: Adjusted OR= 1.66, 95%CI, 1.06-2.61] significantly increased the chances of facing CHE.Conclusion: A significant percentage of households with disabled children had faced CHE because of their disabled child's health costs. The key determinants of CHE should be considered by health policy-makers in order to more financial protection of these households.

scholarly journals Financial Burden and Health-seeking Behaviors Related to Chronic Diseases Under the National Health Insurance Scheme in Bolikhamxay Province, Lao PDR: a Cross-sectional Study

2021 ◽  
Author(s):  
Tomoo Ito ◽  
Chiaki Miyoshi ◽  
Sengchanh Kounnavong
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Health Expenditure ◽  
Financial Burden ◽  
Lao Pdr ◽  
Health Seeking ◽  
Chronic Patients ◽  
National Health Insurance System ◽  
Cross Sectional

Abstract Background: Financial protection is a key dimension of universal health coverage. In 2016, Lao PDR implemented the National Health Insurance system covering the entire population of certain provinces. This cross-sectional study investigated households’ health-seeking behavior and their financial burden with chronic patients, post coverage. Method: The study was conducted in Bolikhamxay province from January 15 to February 13, 2019. In total, 487 households, selected via stratified random sampling, were surveyed, and questionnaire-based interviews conducted. Health care service utilization and financial burden were examined.Results: Totally, 370 households had at least one member with some type of self-reported health problem within the last 3 months prior to the interview, while 170 had at least one member with a chronic condition. More than 75% of the households accessed a health facility when a member experienced health problems. We observed that the prevalence of catastrophic health expenditure (health expenditure/income between 20% and 40%) was 25.1% (threshold of 20%) and 16.2% (threshold of 40%). Through logistic regression, we found that the major factors determining financial catastrophes owing to health problems were household members with chronic illness, hospitalization, household poverty status, family size (both 20% and 40% thresholds), visiting a private facility (20% threshold), and distance from provincial top referral hospital (40% threshold).Conclusions: The National Health Insurance system has positively impacted households’ access to health facilities. However, catastrophic health expenditure remains high, especially among chronic patients. Facilities under National Health Insurance should be strengthened to provide more services, including care for chronic conditions.

scholarly journals Healthcare utilisation and costs for temporomandibular disorders: a descriptive, cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e036768
Author(s):  
Hyejin Seo ◽  
Boyoung Jung ◽  
Jiyoon Yeo ◽  
Koh-Woon Kim ◽  
Jae-Heung Cho ◽  
...  
Keyword(s):  
Health Insurance ◽  
Temporomandibular Joint ◽  
Financial Burden ◽  
Care Facility ◽  
Cross Sectional Study ◽  
Cost Of Care ◽  
Secondary Outcome ◽  
Sectional Study ◽  
Cross Sectional ◽  
Basic Care

ObjectiveTemporomandibular joint disorder (TMD) requires long-term management and can be a financial burden for patients. Here, we investigated the treatment received by people diagnosed with TMD and its relevant costs.DesignA descriptive, cross-sectional study.Setting and participantsWe performed secondary data analysis of health insurance claims data provided by the Health Insurance Assessment and Review (HIRA) of the Republic of Korea. We reviewed the records of 10 041 patients who were diagnosed with TMD and who utilised outpatient healthcare service at least once between January and December 2017.Primary and secondary outcome measuresData on use of medical services, hospitalisations, sociodemographic factors, treatment and medication were retrieved and analysed. Cost was defined as the cost of care incurred by a health insurance beneficiary at a care facility.ResultsWe reported the characteristics as medians, frequencies and percentages and found that most TMD patients were outpatients, women (58.9%) and in their 20s (46.4%). For visit type, 85.9% of all patients had an outpatient dental medical visit, with most visiting dental clinics and dental hospitals. Western medicine (WM; 9.8%) was prescribed more often, followed by Korean medicine (KM; 8.2%). The median expense per patient was highest among those in their 20s (58.00, 23.90, 53.40, 65.90 US$ for overall, WM, dental medicine (DM) and KM, respectively). Consultation fees accounted for the greatest percentage (42.8%) of DM and WM care expenses, while injection/non-surgical intervention fees accounted for the greatest percentage of KM care expenses. The most commonly used treatments for TMD were temporomandibular joint stimulation therapy (51.1%) and acupuncture (19.9%), considered as the most basic care for TMD. Psychosomatic agents (86.4%) were the most commonly used medications in outpatients.ConclusionsWhile people with TMD most commonly received temporomandibular stimulation therapy, the costs and duration of treatment varied significantly for these patients.

scholarly journals Health insurance enrollees’ satisfaction with health maintenance organizations and non-enrollees’ willingness to participate and pay for health insurance in Abuja, Nigeria

2017 ◽  
Vol 4 (11) ◽  
pp. 3976
Author(s):  
Obembe Oluwagbemiga Oladipupo ◽  
Abodunrin Olugbemiga Lanre ◽  
Jegede S. Oluwatosin
Keyword(s):  
Health Insurance ◽  
Health Care Providers ◽  
Service Providers ◽  
Health Maintenance Organizations ◽  
Systematic Sampling ◽  
Willingness To Participate ◽  
Health Coverage ◽  
Care Providers ◽  
Cross Sectional ◽  
Health Maintenance

Background: The Health Maintenance Organizations (HMO) which is shouldered with the responsibility of coordinating the activities of the Health Care Providers (HCP) to ensure good services are rendered to the insured enrollees have been reported to be failing in her responsibilities. This study was conducted to determine enrollees’ satisfaction with HMOs services and the willingness of the non-insured to participate in health insurance scheme in Abuja Metropolis. Methods: A cross-sectional study was conducted among 400 Health Insurance enrollees using systematic sampling method. Data were collected using self-administered semi-structured questionnaires and analyzed using the statistical package for social sciences (SPSS) version 20. Results: This study revealed low satisfaction of enrollees with the services rendered by their HMOs as only a few above half of the study participants 115 (54.8%) reported to have been satisfied with the services received from the health insurance administration, their service providers and the HMOs in charge. Conclusions: Though Health Insurance is a proven way of achieving universal health coverage and Health for all populations, this study showed that enrollee’s dissatisfaction with HMOs services has continually being a hindrance to this key Alma-Ata Declaration. More knowledge among enrollees about the modus operandi of HMOs will help them demand for better services as a right. 

scholarly journals Extension Participation of National Horticulture Mission Beneficiaries of Davanagere District in India

2020 ◽  
pp. 402-407
Author(s):  
J. Raghuraja ◽  
M. Madhumathi ◽  
S. Shashikumar
Keyword(s):  
Sample Size ◽  
Research Design ◽  
Service Providers ◽  
Family Members ◽  
Sources Of Information ◽  
Ex Post ◽  
Karnataka State ◽  
Ex Post Facto ◽  
Training Programmes ◽  
Veterinary Officer

The present study was conducted in all the six blocks (taluks) of Davanagere district of Karnataka state, India. The sample size was 144 randomly selected beneficiaries of National Horticulture Mission from 24 villages. Ex-post facto research design was employed for this study. The results revealed that family members (34.26%), neighbors (33.56%), friends and relatives (33.45) are the major sources of information for the NHM beneficiaries followed by other service providers, fellow beneficiaries and NHM personnel. Among the extension media, the farm magazine (66.21%), radio (57.87%), newspapers (55.10%), internet (44.44%), WhatsApp (42.36%) and mobile SMS (32.27 %) are regularly used by the beneficiaries. In case of contact with extension personnel, 42.82 per cent of beneficiaries had contact with agricultural assistant followed by 36.11 per cent with assistant agriculture officer, 30.09 per cent with veterinary officer and 28.70 per cent had contact with agriculture officer. The extension participation reveals that 33.45 per cent of beneficiaries participated in group meetings whereas, 33.10 per cent in krishi melas, 31.02 per cent in field visits and 28.47 per cent in training programmes. In all, 40.97 per cent of beneficiaries visited town or cities twice in a week while, 38.18 visited once in a week and 16.67 per cent visited once in fortnight. 

Cost Analysis of Maxillofacial Trauma in Shiraz Shahid Rajayee Hospital

2021 ◽  
Author(s):  
Ehsan Aliabadi ◽  
Nima Jalali
Keyword(s):  
Financial Burden ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Demographic Variables ◽  
Maxillofacial Trauma ◽  
Sectional Study ◽  
Cross Sectional ◽  
Maxillofacial Fractures ◽  
And Gender ◽  
Different Parts

Introduction: Accidents are one of the most important cause of morbidity and mortality in different societies. One of the prevalent complications of crash and other accidents is maxillofacial fractures which in addition to abundant difficulties for patients has a high burden for health system of countries. So the aim of this study was analytical evaluation of financial burden of maxillofacial trauma with respect to demographic variables, therefore the costs of maxillofacial traumas were evaluated in Shiraz. Materials & Methods: In this cross-sectional study, records of 200 patients hospitalized for maxillofacial trauma in Shiraz Shahid Rajayee hospital during 2018 to 2019 were evaluated. Costs of different parts of treatment, trauma mechanisms in addition to demographic characteristics (age and gender) were recorded for each patient. Data analysis was carried out by descriptive analysis. Results: Of total of 200 patients were hospitalized due to the maxillofacial injuries, 40 (20 %) were female and 160 (80%) were male. The age average was 39.9 years. The most common cause of trauma was crashes (81.5%). In average, 89272763 Rials was spent for each patient. Conclusion: Results of the current study demonstrated that a huge budget is spent each year for accident patients whom have maxillofacial fractures.

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