detalle del documento
IDENTIFICACIÓN

oai:pubmedcentral.nih.gov:6048...

Tema
Study Protocol
Autor
Ahmed, Sayem Hasan, Md. Zahid Ahmed, Mohammad Wahid Dorin, Farzana Sultana, Marufa Islam, Ziaul Mirelman, Andrew J. Rehnberg, Clas Khan, Jahangir A. M. Chowdhury, Mahbub Elahi
Langue
en
Editor

BioMed Central

Categoría

BMC Health Services Research

Año

2018

fecha de cotización

4/12/2023

Palabras clave
healthcare conducted government study protection bangladesh population estimate implementation services health ssk project scheme
Métrico

Resumen

BACKGROUND: Rapidly increasing healthcare costs and the growing burden of non-communicable diseases have increased the out-of-pocket (OOP) spending (63.3% of total health expenditure) in Bangladesh.

This increasing OOP spending for healthcare has catastrophic economic impact on households.

To reduce this burden, the Health Economics Unit (HEU) of the Ministry of Health and Family Welfare has developed the Shasthyo Surokhsha Karmasuchi (SSK) health protection scheme for the below-poverty line (BPL) population.

The key actors in the scheme are HEU, contracted scheme operator and hospital.

Under this scheme, each enrolled household is provided 50,000 BDT (620 USD) coverage per year for healthcare services against a government financed premium of 1000 BDT (12 USD).

This initiative faces some challenges e.g., delays in scheme activities, registering the targeted population, low utilization of services, lack of motivation of the providers, and management related difficulties.

It is also important to estimate the financial requirement for nationwide scale-up of this project.

We aim to identify these implementation-related challenges and provide feedback to the project personnel.

METHODS: This is a concurrent process documentation using mixed-method approaches.

It will be conducted in the rural Kalihati Upazila where the SSK is being implemented.

To validate the BPL population selection process, we will estimate the positive predictive value.

A community survey will be conducted to assess the knowledge of the card holders about SSK services.

From the SSK information management system, numbers of different services utilized by the card holders will be retrieved.

Key-informant interviews with personnel from three key actors will be conducted to understand the barriers in the implementation of the project as per plan and gather their suggestions.

To estimate the project costs, all inputs to be used will be identified, quantified and valued.

The nationwide scale-up cost of the project will be estimated by applying economic modeling.

DISCUSSION: SSK is the first ever government initiated health protection scheme in Bangladesh.

The study findings will enable decision makers to gain a better understanding of the key challenges in implementation of such scheme and provide feedback towards the successful implementation of the program.

ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12913-018-3337-x) contains supplementary material, which is available to authorized users.

Ahmed, Sayem,Hasan, Md. Zahid,Ahmed, Mohammad Wahid,Dorin, Farzana,Sultana, Marufa,Islam, Ziaul,Mirelman, Andrew J.,Rehnberg, Clas,Khan, Jahangir A. M.,Chowdhury, Mahbub Elahi, 2018, Evaluating the implementation related challenges of Shasthyo Suroksha Karmasuchi (health protection scheme) of the government of Bangladesh: a study protocol, BioMed Central

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