Versions Compared

Key

  • This line was added.
  • This line was removed.
  • Formatting was changed.

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

View file
nameMobile Phone Application Manual.pdf
height250
View file
nameIMIS Manual Second Part.pdf
height250
View file
nameIMIS Manual First Part.pdf
height250

Infographics

View file
nameOVERALL SOP.pdf
height250
View file
nameHEALTH SERVICE UTILIZATION PROCESS.pdf
height250
View file
nameENROLMENT PROCESS.pdf
height250
View file
nameShort Overall System.pdf
height250
View file
nameService Provision at facilities.pdf
height250
View file
nameEnrolment.pdf
height250
View file
nameChange in family detail.pdf
height250

Videos

https://drive.google.com/file/d/1o_uVLIEL2z4RgIPqzrore0K-rpLlQ4OG/view

...

hiddentrue

Social Health Insurance in Nepal

Scheme Design

Benefit package

Contribution

Business Processes

Enrolment

Insuree verification

Service provision

Claiming from facilities

Claim review

openIMIS Implementation

Customization

Configurations

Deployment

User base

...

Overview

Page Properties

Country/Region

Nepal

Scheme Operator

Health Insurance Board (HIB) Nepal

Scheme type

National Social Health Insurance

Implemented since

2016

Implementing Partner(s)

HIB, GIZ Nepal, and Swiss TPH

Supporting Partner(s)

Financial Assistance: German Development Cooperation

Version

Functionalities used

  • Beneficiary Management

  • Claims Management

  • Claims Review

  • Reports

Coverage

77 districts of Nepal

Number of beneficiaries

5,968,051

Number of users

7147

Number of health facilities

375

Last update

November 2022

Scheme Features

Health scheme implemented since

2016

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

Average size of a household

4.6

Household contribution amount

NPR 3500

Individual contribution

-

Average amount paid for a claim

-

Excerpt
hiddentrue

Specifications of the openIMIS used

Version

Has anything been modified (customization)

What standards are used to code services, items, diagnosis and products

Three main lessons learned

One

Two

Three

Recommendations for Developers' Committee

What to improve

What to add

What to remove


Include Page
Nepal HIB Implementation Details
Nepal HIB Implementation Details