Authors :
Dr. Nawa Raj Subba
Volume/Issue :
Volume 9 - 2024, Issue 2 - February
Google Scholar :
http://tinyurl.com/3vb6ay8s
Scribd :
http://tinyurl.com/2prv44ac
DOI :
https://doi.org/10.5281/zenodo.10643072
Abstract :
This study reviews the health insurance
program concerning Universal Health Access in Nepal.
This investigation aims to assess the country's strengths
and weaknesses and identify any roadblocks that can
slow its progress towards the Sustainable Development
Goals by 2030. The methodology includes a SWOT
analysis, narrative Analysis, and synthesis techniques,
incorporating data from public reports, websites,
research, social media data, and stakeholder interviews.
The survey indicates that 70 per cent of Nepal's
populace possesses health insurance; nonetheless, there
exists a disparity between urban and rural regions,
resulting in protracted queues and inadequate
availability of medications. Nepal's health funding must
match the World Health Organization's out-of-pocket
expenses and comprehensive health coverage
projections. The study recommends increasing
healthcare spending from 2.4 per cent of GDP to 5-6 per
cent and ensuring healthcare and its efficient
mobilization receive 10-15 per cent of Nepal's budget.
Nevertheless, the program's investigations uncover
deficiencies in quality, ineffectiveness, and fraudulent
problems, which jeopardize its sustainability in the long
run.
The study concludes with recommendations for
scholars and policymakers, including enhancing
resource allocation, monitoring and supervision, and
implementing procedures to improve quality and
decrease corruption. There is a need to ensure a
technical audit of the program works, prescriptions,
and bills regularly; there should be a public hearing
once a year and a support center.
Keywords :
Health Insurance, Nepal, Universal Coverage, Coverage, Challenges.
This study reviews the health insurance
program concerning Universal Health Access in Nepal.
This investigation aims to assess the country's strengths
and weaknesses and identify any roadblocks that can
slow its progress towards the Sustainable Development
Goals by 2030. The methodology includes a SWOT
analysis, narrative Analysis, and synthesis techniques,
incorporating data from public reports, websites,
research, social media data, and stakeholder interviews.
The survey indicates that 70 per cent of Nepal's
populace possesses health insurance; nonetheless, there
exists a disparity between urban and rural regions,
resulting in protracted queues and inadequate
availability of medications. Nepal's health funding must
match the World Health Organization's out-of-pocket
expenses and comprehensive health coverage
projections. The study recommends increasing
healthcare spending from 2.4 per cent of GDP to 5-6 per
cent and ensuring healthcare and its efficient
mobilization receive 10-15 per cent of Nepal's budget.
Nevertheless, the program's investigations uncover
deficiencies in quality, ineffectiveness, and fraudulent
problems, which jeopardize its sustainability in the long
run.
The study concludes with recommendations for
scholars and policymakers, including enhancing
resource allocation, monitoring and supervision, and
implementing procedures to improve quality and
decrease corruption. There is a need to ensure a
technical audit of the program works, prescriptions,
and bills regularly; there should be a public hearing
once a year and a support center.
Keywords :
Health Insurance, Nepal, Universal Coverage, Coverage, Challenges.
