Baseline Survey for Nepal Health Insurance Pilot Impact Evaluation (Selection No. 1132642 )

Project Description

The government of Nepal is currently reviewing policy options for financing universal health coverage. The country has been facing high and impoverishing out-of-pocket health spending. Bringing this cost of use down is necessary to increase access to health services by the poor and other marginalized groups, including women. The government is launching pilot program on universal health insurance in few districts of the country to check the viability of the plan to provide subsidized health care services to the public. The World Bank is implementing an impact evaluation project to assess the effect of the pilot health insurance scheme on uptake, utilization of health facilities and out of pocket expenditures. The purpose of this assignment was to manage all aspects of the baseline household and community level data collection for rigorous impact evaluation of a health insurance pilot program in Nepal.

Assignment Description

The assignment covered 6 districts comprising of 3 treatments and 3 controls, in which Ilam, Baglung and Kailali were in treatment and Udayapur, Gorkha and Kapilvastu were from the control group. The tasks were divided into two major components comprising of • Community Stakeholders Survey was carried on 343 VDCs of 6 districts • Household survey was carried out in 253 VDCs in the same project districts. • Preparation, Translation and Finalization of Questionnaires sets • Preparation of Data Entry Format in MS Access • Pre-testing, and pilot testing of Questionnaire • Training of Enumerators and Supervisors Details of the Survey are as follows: Survey Activities VDCs Remarks Community Survey 343 2,351 group discussions Detailed Household Survey (Treatment District) 153 6120 households Detailed Household Survey (Control District) 100 1400 households Detailed Household Survey (Total) 253 7520 households