GAP IDENTIFICATION AND HEALTH INSURANCE PROJECT

HOMES-Nepal has been supporting to the government of Nepal for plan development of nation through the varriouse types of development projects. HOMES-Nepal become one of the best social organization to run the government project successive and result oriented in society. The organization has been always performing their projects under the social ethics and norms.

The Government of Nepal has implemented the Health Insurance concept in different district as a pilot project to minimize the risk in the health sectors. Due to the inadequate infrastructure and health service, the project might be failure in implementation process. So, it is necessary to assess and identify the gap between the health equipment and health personnel and situation of Health Service Centers. Different study shows that the resource constraints seem to be of chronic in nature and require shift in service delivery approach/mechanisms especially in relation to financing health services for poor and disadvantaged community. While the resources available are very limited, Government’s resource allocation to health sector is also not equitable and inclusive, in absence of acceptable and scientific targeting mechanism. The proportion of government resource allocated to EHCS is insufficient and is dominated by procurement of drugs. Necessary physical facilities (toilets, separate room for maternal care, electricity or another reliable source of light for night services, stretchers etc.) are not adequate enough to meet the increasing number of beneficiaries. Human resource gap exists at all levels of health facilities since Government has not created new posts to meet increasing demand, is not able to fill the sanctioned posts, and many of the health workers in rural areas do not attend health facilities regularly. Moreover, FHS has anticipated limited role of Female Community Health Volunteers as people have to visit health facilities to get services for free.

OBJECTIVES OF PROGRAM

The following objectives are formulated to complete the Health Insurance implemented districts:

1. Identification of the availabilities of Physical infrastructure of Health Centers.
2. Assessment of human resources available in the health centers.
3. Identification of present situation and uses of medical equipments and Health personnel.
4. Identification of gap between health personnel and medical equipments.

USED METHODOLOGIES FOR PROGRAM IMPLEMENTATION

The following methodologies are implied to achieve the said objectives:

1. Observation of Health Service Centers
2. Interview with the key stakeholders
3. Collection of Medical equipments list and Personnel
4. Assessment of knowledge and practice gap

OUTCOME OF THE PROJECT

After completion of the research, the following outcome achieved:

1. Finding of first hand glance of physical infrastructure of the Health Service Centers.
2. Identification of resource availability, access and its uses.
3. Recommendation for the further remedies and adequate handling of services and equipment.

GAP IDENTIFICATION AND HEALTH INSURANCE RELATED SNAPS