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Year
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2016
Overview
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Videos
A typical Enrolment Process
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Social Health Insurance in NepalScheme DesignBenefit packageContributionBusiness ProcessesEnrolment Insuree verification Service provision Claiming from facilities Claim review openIMIS ImplementationCustomizationConfigurationsDeploymentUser baseManuals
Implementation Support Technical Assistance: GIZ Support to the Health Sector Programme (S2HSP) & Swiss Tropical and Public Health Institute (Swiss TPH) Program Type Health Insurance Scheme Current Status 62 of 77 districts in Nepal are covered by the scheme |
Training Resources
A number of creative resources have been developed in Nepal towards building capacity of various actors on openIMIS. Following are some useful examples.
Manuals
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openIMIS Application Manual
(Part 2)
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openIMIS
Mobile Applications' Manual
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Infographics
The following infographics depict the Standard Operating Procedures of the National Social Health Insurance scheme of Nepal.
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Overall SOPs
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Enrollment
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Health Service Utilization
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Overall SOPs (in Nepali)
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Health Service Utilisation
(in Nepali)
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Enrollment (in Nepali)
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Change family details (in Nepali)
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Scheme Features
Health scheme implemented since | 2016 |
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Name of openIMIS focal point | Mr. Suresh Tinkari |
Total number of health scheme employees | - |
Total number of employees using openIMIS | 7147 |
Total number of employees not trained on openIMIS | - |
Number of health insurance products managed by the health scheme and using openIMIS | 3 |
Product Features
Number of households covered | 800,000 |
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Average size of a household | 4.6 |
Household contribution amount | NPR 3500 |
Individual contribution | - |
Average amount paid for a claim | - |
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Specifications of the openIMIS used
Three main lessons learned
Recommendations for Developers' Committee
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