Nepal Health Insurance Impact Evaluation-Client Survey

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 has launched a Social Health Security Programme, (SHSP) (insurance) in various districts from 2015 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 baseline data was collected in 2014 from three districts (Ilam, Kailai and Baglung) where insurance was initially implemented and also from Gorkha, Kapilvastu and Udaypur as counterfactual districts for quasi-experimental design.

Assignment Description

The assignment covered 3 districts comprising of Ilam, Baglung and Kailali. Client Survey was undertaken in the three districts (Ilam, Kailai and Baglung) to understand their expectations and perceptions of the health insurance product. The survey covered approximately 300 households with approximately 50% households which have enrolled in the scheme. The distribution by district was as follows: • Baglung 70 households • Ilam 75 households, and • Kailali 160 households. The consultant’s work involved: • Preparation, Translation and Finalization of Questionnaires sets • Preparation of Data Entry Format in MS Access was prepared for Nepali version of the Questionnaire • Pre-testing, and pilot testing of Questionnaire • Training of Enumerators and Supervisors • Conduct Household Identification and Conduct Detailed Household Survey • Data Entry, Data transferred to SPSS after necessary cleaning and Data Delivery