Crops and Livestock Insurance Practices in Nepal

Ghimire, Rabindra

doi:10.2139/ssrn.2427605

Cited by 14 publications

(15 citation statements)

References 7 publications

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“…That has made many patients to come to the hospital for de nitive treatments for conditions like recurrent dislocation of the shoulder. Unfortunately, many patients do not have such basic medical insurance [22]. Even if they have, the implant costs are not covered.…”

Section: Discussionmentioning

confidence: 99%

“…However, in a developing country like Nepal, the patients' nancial factors have to be considered for the choice of surgical procedures. Many of our patients are unable to afford expensive suture anchors for arthroscopic Bankart repair as most of them do not have basic medical insurance, and even if they have, the cost of the implants is not covered by the insurance [21,22].…”

Section: Introductionmentioning

confidence: 99%

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Arthroscopic Bankart Repair vs. Open Latarjet Procedure: A Comparative Study of Clinical and Functional Results.

Sherchan¹,

Rai²,

Tamang³

et al. 2020

Preprint

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Background The primary aim of this study was to compare the clinical outcomes of patients undergoing arthroscopic Bankart repair and open Latarjet procedure for recurrent dislocation of the shoulder. Secondary aims were to assess and compare the cost-effectiveness, satisfaction and complications, including recurrence and infection. Methods We retrospectively evaluated the patients who underwent either arthroscopic Bankart repair with or without Remplissage procedure or open Latarjet procedure between May 2015 and May 2018. The preoperative data were collected from the hospital records, and the postoperative data were collected during the follow-up visit. At the final follow-up, 41(male=32, female=9) patients in the Bankart group and 40(male=34 and female=6) patients in the Latarjet group were included in the study. Clinical outcomes were assessed using the ASES score, Rowe score, and Quick DASH score. A self-constructed scale that consisted of satisfied and dissatisfied was used to measure the level of satisfaction. Any complications were recorded in every follow-up visit. Collected data were analyzed using SPSS version 25. Results There was no statistically significant difference regarding the age (p=0.401), gender (p=0.569), site of involvement (p=0.158), number of preoperative dislocations (p=0.085), follow-up (p=0.061), between the two groups. Similarly, no statistically significant difference existed regarding the ASES score (p=0.388), Rowe score (p=0.211), and Quick DASH score (p=0.713). The average external rotation was 83 degrees in the Bankart group and 85 degrees in the Latarjet group (p=0.140). Functional satisfaction was higher in the Laterjet group compared to the Bankart group (p=0.482). Hundred percent of the patients were cosmetically satisfied in the Bankart group, whereas only 32(80%) patients were cosmetically satisfied in the Latarjet group (p=0.002). There was a significantly higher operating cost for arthroscopic Bankart repair compared to open Latarjet procedure (p<0.001). Three patients had a recurrence in the Bankart group, whereas no recurrence occurred in the Latarjet group. And, 2 superficial infections occurred in the Latarjet group. Conclusion These results provide the fact that arthroscopic Bankart repair might be a fancy and minimally invasive procedure, Latarjet procedure should still be a priority in a developing country like Nepal, where financial cost is a huge burden.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Arthroscopic Bankart Repair vs. Open Latarjet Procedure: A Comparative Study of Clinical and Functional Results.

Sherchan¹,

Rai²,

Tamang³

et al. 2020

Preprint

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“…The HIP in Nepalese context requires proper sensitization and information to the targeted population in mass level. Various interventions such as sensitization, awareness, orientation, and training shall be conducted for mass enrollment (7,8). However, it is still unanswered which method would be more appropriate to get people informed about HIP.…”

Section: Government Of Nepalmentioning

confidence: 99%

Role of information, education, and communication in enrollment of health insurance: A case of Nepal

Acharya

Devkota

Gautam

et al. 2019

Preprint

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Background Most of the studies have indicated that various programmes were failing due to lack of appropriate information, education, and communication [IEC] to the target audiences. But still unanswered that which methods or means of communication could be the most powerful for changing behaviour, decision making,and or desired action. The paper aims to assess the effects of IEC on the enrollment of health insurance in Nepal.Methods A cross-sectional study, with randomly selected 810 [405 enrolled and 405 not-enrolled] households, was conducted at Baglung and Kailali districts of Nepal in 2018 using pretested structured interview tool. Background characteristics of family and respondents, and exposure to the means of communication were independent variables; and enrollment of health insurance was the dependent variable. Univariate, bivariate, and multivariate analyses were done to interpret the data.Results Data show that socio-demographics and exposure to communication were associated with the enrollment of health insurance. Demographic characteristics of the respondents and households particularly household head, age, wealth status, ability to feed the family, and presence of chronic diseases in the family were significantly associated with the enrollment of health insurance. Similarly, exposure to communication and media such as knowledge on health insurance and contribution amount of health insurance, having health insurance related books or guidelines, participation in training and workshop, discussion with peers and neighbours, exposure to health insurance related messages from radio and television, seen hoarding board, newspaper, and health insurance related pamphlet, brochure, and posters were significantly associated with enrollment in health insurance. Knowledge about health insurance and contribution amount, having health insurance related books and guidelines, and discussion with peers and neighbours appeared to be the positive and significant predictors for enrollment in health insurance scheme.Conclusion Communication and interaction with peers and neighbours about health insurance scheme of the government could lead to higher participation in health insurance programme. It would be better to incorporate this strategy while planning policies and interventions on health insurance.

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“…Also the past reality of different challenges faced by Government run CBHI programme, such as lack of support from upper level, financial efficiency, pro-poor challenges, sustainability and limited coverage, 4 …”

Section: Introductionmentioning

confidence: 99%

Willingness to Pay for Health Insurance in Mangalbare Village Development Committee of Illam District

Khatiwada¹,

Ghimire²,

Shrestha³

et al. 2017

MOJPH

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Crops and Livestock Insurance Practices in Nepal

Cited by 14 publications

References 7 publications

Arthroscopic Bankart Repair vs. Open Latarjet Procedure: A Comparative Study of Clinical and Functional Results.

Arthroscopic Bankart Repair vs. Open Latarjet Procedure: A Comparative Study of Clinical and Functional Results.

Role of information, education, and communication in enrollment of health insurance: A case of Nepal

Willingness to Pay for Health Insurance in Mangalbare Village Development Committee of Illam District

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