Impact Evaluation of Nepal District Health Insurance Pilot 2014, Baseline Survey

The Nepal Ministry of Health and Population has been working to develop a national health financing strategy in order to realize Nepal's vision of universal coverage. A parallel effort is ongoing to pilot a health insurance that will address rising out-of-pocket health expenditures and increasing lack of coverage for the poor.  The primary objectives of the impact evaluation are to: (1) evaluate the effectiveness of the health insurance pilot for the at-risk population; (2) conduct a process evaluation of the health insurance to illuminate potential constraints and incentive problems to inform the national scale-up; and (3) provide cost analysis data to inform decisions relating to coverage limits and price negotiations and to estimate the cost-effectiveness of results for the national scale-up.
The scope of the study includes: household roster, labor status, education, housing conditions & physical facilities, household assets, income, land ownership & livestock, health related financial shocks, food & non-food consumption, borrowing and savings, health status and utilization, risk preference, access to basic services & community characteristics; social capital & community empowerment; community programs; and health insurance.