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

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.

Factors affecting Medicare affordability

2004 ◽  
Vol 10 (3) ◽  
pp. 144
Author(s):  
Hal Swerissen ◽  
Lucinda Jordan
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Health Care Policy ◽  
Care Policy ◽  
Factors Affecting ◽  
Primary Health ◽  
Access To Health ◽  
Commonwealth Government ◽  
Health Need ◽  
The Relationship

The Commonwealth Government, currently, does not have a primary health care policy. Instead, policy is heavily focused on general practitioners (GPs) and, in particular, on payment arrangements. Since 2000 bulk-billing rates have declined significantly in Australia, raising concerns about affordability and access to health care. This paper examines the relationship between affordability, health need, the supply of GPs, and capacity to pay. Bulk-billing and per capita consultation rates are likely to be higher and co-payments lower in areas where GP supply is higher, health needs are high and capacity to pay is low. Implications for the Commonwealth Government?s new MedicarePlus package are also discussed in light of the findings.

Küme mongen on the Coast: Contexts and Course Changes in Intercultural Health in the South of Chile

2021 ◽  
pp. 0094582X2110081
Author(s):  
Natalia Picaroni Sobrado ◽  
Sebastián Medina Gay ◽  
José Osvaldo Vásquez Reyes
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Health Care Policy ◽  
Good Health ◽  
Care Policy ◽  
Special Health Care ◽  
Intercultural Health ◽  
Access To Health ◽  
Course Changes ◽  
Special Health

The current entanglement of intercultural health and küme mongen (good health or good life) in the Williche territory of Chile is an unstable and contradictory construction that emerged as an ideological and utopian response to three simultaneous processes: the neoliberal acceleration of dispossession and eco-social degradation, the neoliberal implementation of a special health care policy for indigenous peoples, and various forms of lack of access to health care. El entrelazamiento actual de la salud intercultural y el küme mongen (buena salud o buena vida) en el territorio williche de Chile es una construcción inestable y contradictoria que surgió como una respuesta ideológica y utópica a tres procesos simultáneos: la aceleración neoliberal del despojo y la degradación ecosocial, la implementación neoliberal de una política especial de atención de la salud para los pueblos indígenas, y diversas manifestaciones de falta de acceso a la atención médica.

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