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Title: Evaluation of Nepal’s Free Health Care Scheme from Health System Perspective: A Qualitative Analysis
Authors: Adhikari, Shiva Raj
Sapkota, Diksha
Thapa, Arjun
Pandey, Achyut Raj
Citation: AdhikariS. R., SapkotaD., ThapaA., & PandeyA. R. (2019). Evaluation of Nepal’s Free Health Care Scheme from Health System Perspective: A Qualitative Analysis. Journal of Nepal Health Research Council, 16(41), 372-377.
Issue Date: 2018
Publisher: Nepal Health Research Council
Keywords: Access to medicine
Financial risk
Free health care
Series/Report no.: Oct-Dec 2018;
Abstract: Abstract Background: Access to high quality medicines is often considered as one of the main obstacle in achieving health for all. With the objective of increasing access to health services of poor segment of population, government of Nepal has implemented free health care program. However, there is strong need for evaluating the performance and coverage of free health Care scheme. In this context, this study aims to provide better understanding on the implementation status of free health care scheme in context of Nepal. Methods: It is a qualitative study conducted in 7 districts of Nepal. Total of 14 focused group discussion were conducted among service providers and service users. All the discussions were carried in neutral and natural setting making sure that each of participants feels free to express their opinion. Focused group discussions were transcribed, translated into English, coded and analyzed manually. Results: Participants shared that free health care has contributed positively in making essential health services reachable, affordable and accessible to all specially benefiting poor segment of population. However, multitude of factors like geographical access, perception of community people towards health services, availability of medicines, laboratory services and human resources come into play determining the utilization of health services. Service providers recommended that there need to be improvements in procurement and supply system for uninterrupted supply of services. Conclusions: Despite having some problems in availability of medicines, human resource and diagnostic services, free health care has improved access to health services specially for poor population. Decentralizing the procurement process can be one promising option to overcome the inappropriate supply of medicines. Keywords: Access to medicine; financial risk; free health care; Nepal; poor.
Description: Original Article
ISSN: Print ISSN: 1727-5482; Online ISSN: 1999-6217
Appears in Collections:Vol. 16 No. 4 Issue 41 Oct - Dec 2018

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