Openly accessible

Evaluating the implementation related challenges of Shasthyo Suroksha Karmasuchi (health protection scheme) of the government of Bangladesh: A study protocol

Ahmed, S, Hasan, MZ, Ahmed, MW, Dorin, F, Sultana, Marufa, Islam, Z, Mirelman, AJ, Rehnberg, C, Khan, JAM and Chowdhury, ME 2018, Evaluating the implementation related challenges of Shasthyo Suroksha Karmasuchi (health protection scheme) of the government of Bangladesh: A study protocol, BMC Health Services Research, vol. 18, no. 1, pp. 1-8, doi: 10.1186/s12913-018-3337-x.

Attached Files
Name Description MIMEType Size Downloads
sultana-evaluatingthe-2018.pdf Published version application/pdf 580.83KB 10

Title Evaluating the implementation related challenges of Shasthyo Suroksha Karmasuchi (health protection scheme) of the government of Bangladesh: A study protocol
Author(s) Ahmed, S
Hasan, MZ
Ahmed, MW
Dorin, F
Sultana, Marufa
Islam, Z
Mirelman, AJ
Rehnberg, C
Khan, JAM
Chowdhury, ME
Journal name BMC Health Services Research
Volume number 18
Issue number 1
Article ID 552
Start page 1
End page 8
Total pages 8
Publisher BMC
Place of publication London, Eng.
Publication date 2018-07-16
ISSN 1472-6963
1472-6963
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Health Care Sciences & Services
Shasthyo Surokhsha Karmasuchi (SSK)
Health protection scheme
Implementation challenges
Implementation research
Process documentation
Research protocol
Bangladesh
PAYMENTS
CARE
Summary 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.
Language eng
DOI 10.1186/s12913-018-3337-x
Indigenous content off
Field of Research 0807 Library and Information Studies
1110 Nursing
1117 Public Health and Health Services
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2018, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30145554

Connect to link resolver
 
Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved.

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.

Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 0 times in TR Web of Science
Scopus Citation Count Cited 1 times in Scopus
Google Scholar Search Google Scholar
Access Statistics: 18 Abstract Views, 10 File Downloads  -  Detailed Statistics
Created: Fri, 20 Nov 2020, 07:58:39 EST

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.