Factors Associated with Enrolment of Households in Nepal’s National Health Insurance Program

Nepal has made remarkable efforts towards social health protection over the past several years. In 2016, the Government of Nepal introduced a National Health Insurance Program (NHIP) with an aim to ensure equitable and universal access to healthcare by all Nepalese citizens. Following the first year of operation, the scheme has covered 5 percent of its target population. There are wider concerns regarding the capacity of NHIP to achieve adequate population coverage and remain viable. In this context, this study aimed to identify the factors associated with enrolment of households in the NHIP.

Analysis of integrated health referral systems in the era of regional autonomy in West Sulawesi

According to WHO, Indonesia is committed to end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases and combat hepatitis, water-borne diseases and other communicable diseases by 2030. Emerging and re-emerging communicable diseases place immense strain on health systems, so concerted efforts are required to respond rapidly to urgent needs and to strengthen the development of effective disease control programmes including zoonotic diseases. It has been realized that while emphasizing improved access to services, equal attention also needs to be given to ensure quality, comprehensive and integrated health services for women, children and adolescents. Nutrition, a critical common factor in both mortality and morbidity, remains a key public health problem; further triggered by inadequate food safety and quality. Public health risks posed by tobacco, unhealthy diets, lack of physical activity, unsafe water, inadequate sanitation, traffic congestion, and use of solid fuels for cooking place further demands on the need ...

Community-oriented primary care for National Health Insurance in South Africa

This is a report on Chiawelo Community Practice (CCP) in Ward 11, Soweto, South Africa, a community-oriented primary care (COPC) model for National Health Insurance (NHI) in South Africa, developed by a family physician.

A shift to capitation contracting for primary health care (PHC) under NHI will carry risk for providers – both public and private, especially higher number of patient visits. Health promotion and disease prevention, especially using a COPC model, will be important. Leading the implementation of COPC is an important role for family physicians in Africa, but global implementation of COPC is challenged. Cuba and Brazil have implemented COPC with panels of 600 and 3500, respectively.

The family physician in this report has developed community practice as a model with four drivers using a complex adaptive system lens: population engagement with community health workers (CHWs), a clinic re-oriented to its community, stakeholder engagement and targeted health promotion. A ...