SlideShare a Scribd company logo
1 of 36
Download to read offline
Social Health Security
Scheme for People with
Disability (PWDs)
Swornim Bajracharya
Masters in Public Health
BPKIHS, Dharan
Background
• Disability is an umbrella term, covering
impairments, activity limitations, and participation
restrictions
• Disability is thus not just a health problem.
• It is a complex phenomenon, reflecting the
interaction between features of a person’s body
and features of the society in which he or she lives.
• Overcoming the difficulties faced by people with
disabilities requires interventions to remove
environmental and social barriers.
• People with disabilities have the same health needs
as non-disabled people – for immunization, cancer
screening etc.
• They also may experience a narrower margin of
health, both because of poverty and social
exclusion, and also because they may be vulnerable
to secondary conditions, such as pressure sores or
urinary tract infections.
• Evidence suggests that people with disabilities face
barriers in accessing the health and rehabilitation
services they need in many settings.
According to Nepal Constitution 2072, Nepal
Government has first time introduced Action Plan for
“Disability Management” for 10 years under Leprosy
Control Division.
According to New Disability Act by Nepal Government, disability has
been classified into 10 types
• Physical Disability
• Visibility related Disability
• Hearing related disability
• Disability related to hearing and visibility
• Speech related disability
• Mental or Psychosocial disability
• Intellectual disability
• Hemophilia related disability
• Autism related disability
• Multiple disability
• 1. Physical Disability: Physical disability is the problem that arises
in the operation of physical organ, its use and movement in a
person due to the results of the problems in nerves, muscles and
structure and operation of bones and joints.
• 2. Disability related to vision: A person not having knowledge
about an object's figure, shape, form and color due to following
problem.
• a) Blindness: Cannot distinguish the fingers of hand by both eyes
at a distance of 10 feet despite treatment inclusive of medication,
surgery and use of spectacle or lens or cannot read the letters
contained in the first line of Snellen chart (3/60).
• b) Low Vision: Cannot distinguish the fingers of hand by both
eyes at a distance of 20 feet despite treatment inclusive of
medication, surgery and use of spectacle or lens or cannot read
the letters contained in the first line of Snellen chart (6/18).
• (c) Total Blind: A person who cannot totally distinguish light and
dark
• . 3. Disability related to hearing: Not being able to
distinguish voice, place of rising and following tone,
and amount and quality of voice due to structure of
hearing organs. It is of following two types:
• (a) Deaf: An individual who cannot hear sound
above 80 decibels or who has to use sign language
for communication.
• (b) Hard of Hearing: An individual who needs
hearing aid to listen who can hear sound between
65 decibels to 80 decibels.
• 4.DeafBlind disability: A person having both hearing
and vision disability or having disability with joint
interaction two sensory organs.
• 5. Disability related to voice and speech: As person
due to functional limitation in the organs related to
voice and speech resulting into difficulty in rise and
fall of voice when speaking, unclear speech,
repetition of words or letter is regarded as a
disability related to voice and speech.
• 6. Mental or psychosocial disability: Due to the
problems and awareness arising in the mind and
mental parts that result into inability to behave in
accordance with age and situation to perform
intellectual functions such as orientation, alertness,
memory, language, calculation is regarded as mental or
psychosocial disability.
• 7. Intellectual disability: A condition where a person is
having difficulty in carrying out activities relative to
his/her age or environment due to the not having
intellectual development is regarded as intellectual
disability. (for example inclusive of Down Syndrome).
• 8. Disability Related to Genetic Bleeding (Hemophilia):
A person with physical condition where there is a
problem of blood clotting due to factor disorder in the
blood due to genetic effect.
• 9. Disability related to Autism: Person having problem
in nerve or tissue by birth and its function and
development. (a person who has difficulty to
communicate, to understand and use social rules, not
being able to perform normal behavior in accordance
with his/her age, shows abnormal reaction, keep on
repeating the same action, cannot socialize with others
or show extreme reaction)
• 10. Multiple disability: The same person having two or
more than two types of disabilities as mentioned
above. (For example Cerebral Palsy)
• In order to make the laws more comprehensive and
fully compatible with the rights-based approach,
the GON has prepared a draft bill to substitute the
DPW Act.
• The draft bill defines ‘persons with disability’ as
“the persons who are prevented from full and
effective participation on the grounds as of other
persons due to long-term physical, mental,
intellectual and/or sensory impairments in
interaction with various barriers". (GoN, 2014)
For the purposes of distributing disability identity cards,
the GON has classified disability, on the basis of its level
of severity, as follows:
• (a) Profound disability: Difficulty to perform daily
activities even with the help of others.
• (b) Severe disability: Inability to perform daily
individual or social activities without the help of others.
• (c) Moderate disability: Ability to perform daily
activities and participate in social life if barrier free
environment, appropriate training and education are
provided.
• (d) Mild disability: Ability to perform daily activities and
participate in social life if barrier free environment is
provided
• As discussed earlier, people with disabilities have
similar health needs as other without disability.
However, there health conditions are exacerbated
due to various environment condition around them
To facilitate ad support them, health security
scheme is very important
Nepal Health Security Scheme
This is a Prioritize government program based on
comprehensive social contributory scheme with
government
subsidies for the poor.
Objective:
• Ensure access to quality health service (equity &
equality).
• Protect from financial hardship and reduce out-of
pocket payments
Focuses on
Health insurance features in
Nepal
• It aims to enable every citizens of Nepal to access
quality health care services without placing a
financial burden on them.
• It is a family-based health insurance scheme
implemented by the Social Health Security
Development Committee.
Regulating and Coordinating
Mechanism
Implementing Institution
Benefit Package
• The benefit package is the services and drugs that
are available to SHSP members at health facilities
under the SHSP.
• These include
• Emergency services,
• Out-patient services,
• Selective inpatient services, selective diagnostic services
and
• Selective drugs,
• In addition to any free services and drugs available at
public health facilities through other programs.
OPD, Emergency Package
OPD
• Consultation,
• TC, DC, Hb,
• Stool RE,
• Urine RE/ME,
• Blood Sugar F/PP)
Emergency
• TC/DC Hb
• Urine RE
• Blood Sugar
• Serum Creatinine
• ECG
Can be claimed only for
patients discharged
from Emergency.
21
Services not included in the scheme:
• Cosmetic surgery
• Equipment like artificial organ, reading glass not more than 500 once in
a year, hearing machining etc.
• Artificial insemination services, organ transformation, Sex
transformation etc.
• Injuries treatment cost due to personal warfare
• Accident related treatment due to alcoholic and drug use
• Abortion
• In the case of dental treatment, modern dental implant, root canal
filling, etc.
Social health Security Scheme and disability
Enrollment
Social health Security Scheme and disability
26
Social health Security Scheme and disability
Implementing districts
Social health Security Scheme and disability
Financial Management
Governance
Social health Security Scheme and disability
Working
10 Year Action Plan
Under the 10 years Action Plan for disabled
management, one of the specific objective is to:
• Within 2 years, enlisting the assistive devices in
positive list of social health security (health
insurance) programs
• Within 2 years, all PwDs will be covered by Health
insurance program, including classification, and
free medical provision
Activities
• Assistive devices in positive list from the negative one in
Social health security (health insurance) programs.(i.e. to
include all people with disability in security scheme )
• Health Insurance programs to be implemented for PwDs.
Monitoring indicators
• Provision of positive assistive devices in Social Security
scheme
• Inclusion of people with disability in Social Security Scheme
• Plan and policies for the insurance program for PwDs
• Selection and appointments of insurance companies.
Monitoring information sources
• Modified Social Health Security Scheme
• Inclusion of people with disability in Social Security
Scheme
• Insurance company appointments agreement
document.
• Statistic of PwDs getting Health insurance services.
Implementation
• Short term at the start and continue in future.
• Policy and plan’s document.

More Related Content

What's hot

DISABILITY SCHEMES.pdf
DISABILITY SCHEMES.pdfDISABILITY SCHEMES.pdf
DISABILITY SCHEMES.pdfJenitBiju
 
Global burden of disease & International Health Regulation
Global burden of disease & International Health RegulationGlobal burden of disease & International Health Regulation
Global burden of disease & International Health RegulationSujata Mohapatra
 
Disability awareness -powerpoint
Disability awareness -powerpointDisability awareness -powerpoint
Disability awareness -powerpointkritzerjb
 
Introduction to DALY and burden of disease
Introduction to DALY and burden of diseaseIntroduction to DALY and burden of disease
Introduction to DALY and burden of diseaseDr Arindam Basu
 
NGOs and their role in health
NGOs and their role in healthNGOs and their role in health
NGOs and their role in healthNabeela Basha
 
Models and methods of rehabilitation
Models and methods of rehabilitationModels and methods of rehabilitation
Models and methods of rehabilitationJobin Jacob
 
Adolescents friendly health services
Adolescents friendly health servicesAdolescents friendly health services
Adolescents friendly health servicesShisam Neupane
 
Priority Setting in Health Care
Priority Setting in Health CarePriority Setting in Health Care
Priority Setting in Health CareDr Arindam Basu
 
Adolescent sexual and reproductive health (ASRH) in Nepal
Adolescent sexual and reproductive health (ASRH) in Nepal Adolescent sexual and reproductive health (ASRH) in Nepal
Adolescent sexual and reproductive health (ASRH) in Nepal Public Health
 
Seminar on disability By Dr.Santosh Kadle
Seminar on disability  By Dr.Santosh KadleSeminar on disability  By Dr.Santosh Kadle
Seminar on disability By Dr.Santosh KadleDr.Santosh Kadle
 
Early Intervention Programs for Children with Developmental Delay
Early Intervention Programs for Children with Developmental DelayEarly Intervention Programs for Children with Developmental Delay
Early Intervention Programs for Children with Developmental DelayJuanito Pineda
 
Understanding Early Intervention: Definition, Scope & Importance
Understanding Early Intervention: Definition, Scope & ImportanceUnderstanding Early Intervention: Definition, Scope & Importance
Understanding Early Intervention: Definition, Scope & ImportanceThe Source for Learning, Inc.
 
Health insurance
Health insuranceHealth insurance
Health insuranceSachin PM
 

What's hot (20)

DISABILITY SCHEMES.pdf
DISABILITY SCHEMES.pdfDISABILITY SCHEMES.pdf
DISABILITY SCHEMES.pdf
 
Global burden of disease & International Health Regulation
Global burden of disease & International Health RegulationGlobal burden of disease & International Health Regulation
Global burden of disease & International Health Regulation
 
Economic evaluation
Economic evaluationEconomic evaluation
Economic evaluation
 
Rbsk
RbskRbsk
Rbsk
 
health need assessment
health need assessmenthealth need assessment
health need assessment
 
Disability awareness -powerpoint
Disability awareness -powerpointDisability awareness -powerpoint
Disability awareness -powerpoint
 
Disability Schemes
Disability SchemesDisability Schemes
Disability Schemes
 
Introduction to DALY and burden of disease
Introduction to DALY and burden of diseaseIntroduction to DALY and burden of disease
Introduction to DALY and burden of disease
 
NGOs and their role in health
NGOs and their role in healthNGOs and their role in health
NGOs and their role in health
 
Health financing in india
Health financing in indiaHealth financing in india
Health financing in india
 
Sources of Public Health Data
 Sources of Public Health Data Sources of Public Health Data
Sources of Public Health Data
 
Models and methods of rehabilitation
Models and methods of rehabilitationModels and methods of rehabilitation
Models and methods of rehabilitation
 
Adolescents friendly health services
Adolescents friendly health servicesAdolescents friendly health services
Adolescents friendly health services
 
Active ageing
Active ageingActive ageing
Active ageing
 
Priority Setting in Health Care
Priority Setting in Health CarePriority Setting in Health Care
Priority Setting in Health Care
 
Adolescent sexual and reproductive health (ASRH) in Nepal
Adolescent sexual and reproductive health (ASRH) in Nepal Adolescent sexual and reproductive health (ASRH) in Nepal
Adolescent sexual and reproductive health (ASRH) in Nepal
 
Seminar on disability By Dr.Santosh Kadle
Seminar on disability  By Dr.Santosh KadleSeminar on disability  By Dr.Santosh Kadle
Seminar on disability By Dr.Santosh Kadle
 
Early Intervention Programs for Children with Developmental Delay
Early Intervention Programs for Children with Developmental DelayEarly Intervention Programs for Children with Developmental Delay
Early Intervention Programs for Children with Developmental Delay
 
Understanding Early Intervention: Definition, Scope & Importance
Understanding Early Intervention: Definition, Scope & ImportanceUnderstanding Early Intervention: Definition, Scope & Importance
Understanding Early Intervention: Definition, Scope & Importance
 
Health insurance
Health insuranceHealth insurance
Health insurance
 

Similar to Social health Security Scheme and disability

Children & person with special needs
Children & person with special needsChildren & person with special needs
Children & person with special needsNik Ronaidi
 
Gender, disability and rehabilitation
Gender, disability and rehabilitationGender, disability and rehabilitation
Gender, disability and rehabilitationMohan Bastola
 
National Programme for Control of Blindness.pptx
National Programme for Control of Blindness.pptxNational Programme for Control of Blindness.pptx
National Programme for Control of Blindness.pptxdrprincealex84
 
Social work with differently able people made Jyoti Pali,Research Scholar, SW
Social work with differently able people made Jyoti Pali,Research Scholar, SWSocial work with differently able people made Jyoti Pali,Research Scholar, SW
Social work with differently able people made Jyoti Pali,Research Scholar, SWjyotiilifesgud
 
Presentation.pptx
Presentation.pptxPresentation.pptx
Presentation.pptxvvengya
 
Making cities inclusive and accessible for all. Healthcare. Clement
Making cities inclusive and accessible for all. Healthcare. ClementMaking cities inclusive and accessible for all. Healthcare. Clement
Making cities inclusive and accessible for all. Healthcare. ClementClement Nhunzvi
 
NCM CHAPTER 1.pptx
NCM CHAPTER 1.pptxNCM CHAPTER 1.pptx
NCM CHAPTER 1.pptxKathSy2
 
Rehabilitation Nursing
Rehabilitation NursingRehabilitation Nursing
Rehabilitation NursingKailash Nagar
 
Rehabilitation nursing
Rehabilitation nursingRehabilitation nursing
Rehabilitation nursingKailash Nagar
 
Disability and Cultural competence.pptx
Disability and Cultural competence.pptxDisability and Cultural competence.pptx
Disability and Cultural competence.pptxDR.SUSHIL KUMAR NAYAK
 
Rehabilitation Nursing
Rehabilitation NursingRehabilitation Nursing
Rehabilitation NursingShanti Bogati
 
DISABILITY COMPETENCIES.pptx
DISABILITY COMPETENCIES.pptxDISABILITY COMPETENCIES.pptx
DISABILITY COMPETENCIES.pptxRakesh Singha
 
REHABILITATION OR PHYSIOLOGICAL HANDICAPPED
REHABILITATION OR PHYSIOLOGICAL HANDICAPPEDREHABILITATION OR PHYSIOLOGICAL HANDICAPPED
REHABILITATION OR PHYSIOLOGICAL HANDICAPPEDKailash Nagar
 
Acts in the field of disability
Acts in the field of disabilityActs in the field of disability
Acts in the field of disabilityMd Shadab Alam
 
Age friendly initiative: Introduction to Self Management Workshop
Age friendly initiative: Introduction to Self Management WorkshopAge friendly initiative: Introduction to Self Management Workshop
Age friendly initiative: Introduction to Self Management WorkshopAloka Banerjee
 
2017 SW 216 DISABILITY STUDIES for circulation.pptx
2017 SW 216   DISABILITY STUDIES for circulation.pptx2017 SW 216   DISABILITY STUDIES for circulation.pptx
2017 SW 216 DISABILITY STUDIES for circulation.pptxcharmainenyangoni
 
Chapter 1Overview of Long-Term CareWhat You Will Learn.docx
Chapter 1Overview of Long-Term CareWhat You Will Learn.docxChapter 1Overview of Long-Term CareWhat You Will Learn.docx
Chapter 1Overview of Long-Term CareWhat You Will Learn.docxwalterl4
 

Similar to Social health Security Scheme and disability (20)

Children & person with special needs
Children & person with special needsChildren & person with special needs
Children & person with special needs
 
Gender, disability and rehabilitation
Gender, disability and rehabilitationGender, disability and rehabilitation
Gender, disability and rehabilitation
 
Disabilities
DisabilitiesDisabilities
Disabilities
 
Disabilities
DisabilitiesDisabilities
Disabilities
 
National Programme for Control of Blindness.pptx
National Programme for Control of Blindness.pptxNational Programme for Control of Blindness.pptx
National Programme for Control of Blindness.pptx
 
Social work with differently able people made Jyoti Pali,Research Scholar, SW
Social work with differently able people made Jyoti Pali,Research Scholar, SWSocial work with differently able people made Jyoti Pali,Research Scholar, SW
Social work with differently able people made Jyoti Pali,Research Scholar, SW
 
Presentation.pptx
Presentation.pptxPresentation.pptx
Presentation.pptx
 
Making cities inclusive and accessible for all. Healthcare. Clement
Making cities inclusive and accessible for all. Healthcare. ClementMaking cities inclusive and accessible for all. Healthcare. Clement
Making cities inclusive and accessible for all. Healthcare. Clement
 
NCM CHAPTER 1.pptx
NCM CHAPTER 1.pptxNCM CHAPTER 1.pptx
NCM CHAPTER 1.pptx
 
Rehabilitation Nursing
Rehabilitation NursingRehabilitation Nursing
Rehabilitation Nursing
 
Rehabilitation nursing
Rehabilitation nursingRehabilitation nursing
Rehabilitation nursing
 
Disability and Cultural competence.pptx
Disability and Cultural competence.pptxDisability and Cultural competence.pptx
Disability and Cultural competence.pptx
 
Rehabilitation Nursing
Rehabilitation NursingRehabilitation Nursing
Rehabilitation Nursing
 
Disability
DisabilityDisability
Disability
 
DISABILITY COMPETENCIES.pptx
DISABILITY COMPETENCIES.pptxDISABILITY COMPETENCIES.pptx
DISABILITY COMPETENCIES.pptx
 
REHABILITATION OR PHYSIOLOGICAL HANDICAPPED
REHABILITATION OR PHYSIOLOGICAL HANDICAPPEDREHABILITATION OR PHYSIOLOGICAL HANDICAPPED
REHABILITATION OR PHYSIOLOGICAL HANDICAPPED
 
Acts in the field of disability
Acts in the field of disabilityActs in the field of disability
Acts in the field of disability
 
Age friendly initiative: Introduction to Self Management Workshop
Age friendly initiative: Introduction to Self Management WorkshopAge friendly initiative: Introduction to Self Management Workshop
Age friendly initiative: Introduction to Self Management Workshop
 
2017 SW 216 DISABILITY STUDIES for circulation.pptx
2017 SW 216   DISABILITY STUDIES for circulation.pptx2017 SW 216   DISABILITY STUDIES for circulation.pptx
2017 SW 216 DISABILITY STUDIES for circulation.pptx
 
Chapter 1Overview of Long-Term CareWhat You Will Learn.docx
Chapter 1Overview of Long-Term CareWhat You Will Learn.docxChapter 1Overview of Long-Term CareWhat You Will Learn.docx
Chapter 1Overview of Long-Term CareWhat You Will Learn.docx
 

Recently uploaded

Introduction to Evaluation and Skin Benefits
Introduction to Evaluation and Skin BenefitsIntroduction to Evaluation and Skin Benefits
Introduction to Evaluation and Skin Benefitssahilgabhane29
 
NEONATAL RESPIRATORY CARE FROM A PHYSIO POV.pptx
NEONATAL RESPIRATORY CARE FROM A PHYSIO POV.pptxNEONATAL RESPIRATORY CARE FROM A PHYSIO POV.pptx
NEONATAL RESPIRATORY CARE FROM A PHYSIO POV.pptxHanineHassan2
 
ARTHRITIS.pptx Prepared by monika gopal Tutor
ARTHRITIS.pptx Prepared  by monika gopal TutorARTHRITIS.pptx Prepared  by monika gopal Tutor
ARTHRITIS.pptx Prepared by monika gopal TutorNehaKewat
 
FINAL PROJECT IN EMPOWERMENT TECHNOLOGIES 11
FINAL PROJECT IN EMPOWERMENT TECHNOLOGIES  11FINAL PROJECT IN EMPOWERMENT TECHNOLOGIES  11
FINAL PROJECT IN EMPOWERMENT TECHNOLOGIES 11crzljavier
 
Understanding Warts and Moles: Differences, Types, and Common Locations
Understanding Warts and Moles: Differences, Types, and Common LocationsUnderstanding Warts and Moles: Differences, Types, and Common Locations
Understanding Warts and Moles: Differences, Types, and Common LocationsNeha Sharma
 
Three Keys to a Successful Margin: Charges, Costs, and Labor
Three Keys to a Successful Margin: Charges, Costs, and LaborThree Keys to a Successful Margin: Charges, Costs, and Labor
Three Keys to a Successful Margin: Charges, Costs, and LaborHealth Catalyst
 
Assisted Living Care Residency - PapayaCare
Assisted Living Care Residency - PapayaCareAssisted Living Care Residency - PapayaCare
Assisted Living Care Residency - PapayaCareratilalthakkar704
 
Anatomy Shelf Notevbhhhhhhhhhhhhhhhs.pdf
Anatomy Shelf Notevbhhhhhhhhhhhhhhhs.pdfAnatomy Shelf Notevbhhhhhhhhhhhhhhhs.pdf
Anatomy Shelf Notevbhhhhhhhhhhhhhhhs.pdfhezamzaki1
 
EYE CANCER.pptx prepared by Neha kewat digital learning
EYE CANCER.pptx prepared by  Neha kewat digital learningEYE CANCER.pptx prepared by  Neha kewat digital learning
EYE CANCER.pptx prepared by Neha kewat digital learningNehaKewat
 
LARYNGEAL CANCER.pptx Prepared by Neha Kewat
LARYNGEAL CANCER.pptx  Prepared by Neha KewatLARYNGEAL CANCER.pptx  Prepared by Neha Kewat
LARYNGEAL CANCER.pptx Prepared by Neha KewatNehaKewat
 
Living Well Every Day: Lyons Wellness Practice | Nurtures Your Complete Health
Living Well Every Day: Lyons Wellness Practice | Nurtures Your Complete HealthLiving Well Every Day: Lyons Wellness Practice | Nurtures Your Complete Health
Living Well Every Day: Lyons Wellness Practice | Nurtures Your Complete HealthLyons Health
 
2024 Compliatric Webianr Series - Contracts and MOUs from a HRSA Perspective.pdf
2024 Compliatric Webianr Series - Contracts and MOUs from a HRSA Perspective.pdf2024 Compliatric Webianr Series - Contracts and MOUs from a HRSA Perspective.pdf
2024 Compliatric Webianr Series - Contracts and MOUs from a HRSA Perspective.pdfCompliatric Where Compliance Happens
 
Eating Disorders in Athletes I Sports Psychology
Eating Disorders in Athletes I Sports PsychologyEating Disorders in Athletes I Sports Psychology
Eating Disorders in Athletes I Sports Psychologyshantisphysio
 
Identifying Signs of Mental Health Presentation (1).pptx
Identifying Signs of Mental Health Presentation (1).pptxIdentifying Signs of Mental Health Presentation (1).pptx
Identifying Signs of Mental Health Presentation (1).pptxsandhulove46637
 
Pharmacovigilance audits inspections.pptx
Pharmacovigilance audits inspections.pptxPharmacovigilance audits inspections.pptx
Pharmacovigilance audits inspections.pptxCliniminds India
 
Health literacies in marginalised communities LILAC 24.pptx
Health literacies in marginalised communities LILAC 24.pptxHealth literacies in marginalised communities LILAC 24.pptx
Health literacies in marginalised communities LILAC 24.pptxPamela McKinney
 
ACCA Version of AI & Healthcare: An Overview for the Curious
ACCA Version of AI & Healthcare: An Overview for the CuriousACCA Version of AI & Healthcare: An Overview for the Curious
ACCA Version of AI & Healthcare: An Overview for the CuriousKR_Barker
 
Toothpaste for bleeding gums and sensitive teeth. Teeth whitening, Mouthwash....
Toothpaste for bleeding gums and sensitive teeth. Teeth whitening, Mouthwash....Toothpaste for bleeding gums and sensitive teeth. Teeth whitening, Mouthwash....
Toothpaste for bleeding gums and sensitive teeth. Teeth whitening, Mouthwash....sharyurangari111
 

Recently uploaded (20)

Introduction to Evaluation and Skin Benefits
Introduction to Evaluation and Skin BenefitsIntroduction to Evaluation and Skin Benefits
Introduction to Evaluation and Skin Benefits
 
Annual Training
Annual TrainingAnnual Training
Annual Training
 
NEONATAL RESPIRATORY CARE FROM A PHYSIO POV.pptx
NEONATAL RESPIRATORY CARE FROM A PHYSIO POV.pptxNEONATAL RESPIRATORY CARE FROM A PHYSIO POV.pptx
NEONATAL RESPIRATORY CARE FROM A PHYSIO POV.pptx
 
ARTHRITIS.pptx Prepared by monika gopal Tutor
ARTHRITIS.pptx Prepared  by monika gopal TutorARTHRITIS.pptx Prepared  by monika gopal Tutor
ARTHRITIS.pptx Prepared by monika gopal Tutor
 
FINAL PROJECT IN EMPOWERMENT TECHNOLOGIES 11
FINAL PROJECT IN EMPOWERMENT TECHNOLOGIES  11FINAL PROJECT IN EMPOWERMENT TECHNOLOGIES  11
FINAL PROJECT IN EMPOWERMENT TECHNOLOGIES 11
 
Understanding Warts and Moles: Differences, Types, and Common Locations
Understanding Warts and Moles: Differences, Types, and Common LocationsUnderstanding Warts and Moles: Differences, Types, and Common Locations
Understanding Warts and Moles: Differences, Types, and Common Locations
 
Three Keys to a Successful Margin: Charges, Costs, and Labor
Three Keys to a Successful Margin: Charges, Costs, and LaborThree Keys to a Successful Margin: Charges, Costs, and Labor
Three Keys to a Successful Margin: Charges, Costs, and Labor
 
Assisted Living Care Residency - PapayaCare
Assisted Living Care Residency - PapayaCareAssisted Living Care Residency - PapayaCare
Assisted Living Care Residency - PapayaCare
 
Anatomy Shelf Notevbhhhhhhhhhhhhhhhs.pdf
Anatomy Shelf Notevbhhhhhhhhhhhhhhhs.pdfAnatomy Shelf Notevbhhhhhhhhhhhhhhhs.pdf
Anatomy Shelf Notevbhhhhhhhhhhhhhhhs.pdf
 
Painting Rats White Angers Them to No End
Painting Rats White Angers Them to No EndPainting Rats White Angers Them to No End
Painting Rats White Angers Them to No End
 
EYE CANCER.pptx prepared by Neha kewat digital learning
EYE CANCER.pptx prepared by  Neha kewat digital learningEYE CANCER.pptx prepared by  Neha kewat digital learning
EYE CANCER.pptx prepared by Neha kewat digital learning
 
LARYNGEAL CANCER.pptx Prepared by Neha Kewat
LARYNGEAL CANCER.pptx  Prepared by Neha KewatLARYNGEAL CANCER.pptx  Prepared by Neha Kewat
LARYNGEAL CANCER.pptx Prepared by Neha Kewat
 
Living Well Every Day: Lyons Wellness Practice | Nurtures Your Complete Health
Living Well Every Day: Lyons Wellness Practice | Nurtures Your Complete HealthLiving Well Every Day: Lyons Wellness Practice | Nurtures Your Complete Health
Living Well Every Day: Lyons Wellness Practice | Nurtures Your Complete Health
 
2024 Compliatric Webianr Series - Contracts and MOUs from a HRSA Perspective.pdf
2024 Compliatric Webianr Series - Contracts and MOUs from a HRSA Perspective.pdf2024 Compliatric Webianr Series - Contracts and MOUs from a HRSA Perspective.pdf
2024 Compliatric Webianr Series - Contracts and MOUs from a HRSA Perspective.pdf
 
Eating Disorders in Athletes I Sports Psychology
Eating Disorders in Athletes I Sports PsychologyEating Disorders in Athletes I Sports Psychology
Eating Disorders in Athletes I Sports Psychology
 
Identifying Signs of Mental Health Presentation (1).pptx
Identifying Signs of Mental Health Presentation (1).pptxIdentifying Signs of Mental Health Presentation (1).pptx
Identifying Signs of Mental Health Presentation (1).pptx
 
Pharmacovigilance audits inspections.pptx
Pharmacovigilance audits inspections.pptxPharmacovigilance audits inspections.pptx
Pharmacovigilance audits inspections.pptx
 
Health literacies in marginalised communities LILAC 24.pptx
Health literacies in marginalised communities LILAC 24.pptxHealth literacies in marginalised communities LILAC 24.pptx
Health literacies in marginalised communities LILAC 24.pptx
 
ACCA Version of AI & Healthcare: An Overview for the Curious
ACCA Version of AI & Healthcare: An Overview for the CuriousACCA Version of AI & Healthcare: An Overview for the Curious
ACCA Version of AI & Healthcare: An Overview for the Curious
 
Toothpaste for bleeding gums and sensitive teeth. Teeth whitening, Mouthwash....
Toothpaste for bleeding gums and sensitive teeth. Teeth whitening, Mouthwash....Toothpaste for bleeding gums and sensitive teeth. Teeth whitening, Mouthwash....
Toothpaste for bleeding gums and sensitive teeth. Teeth whitening, Mouthwash....
 

Social health Security Scheme and disability

  • 1. Social Health Security Scheme for People with Disability (PWDs) Swornim Bajracharya Masters in Public Health BPKIHS, Dharan
  • 2. Background • Disability is an umbrella term, covering impairments, activity limitations, and participation restrictions • Disability is thus not just a health problem. • It is a complex phenomenon, reflecting the interaction between features of a person’s body and features of the society in which he or she lives. • Overcoming the difficulties faced by people with disabilities requires interventions to remove environmental and social barriers.
  • 3. • People with disabilities have the same health needs as non-disabled people – for immunization, cancer screening etc. • They also may experience a narrower margin of health, both because of poverty and social exclusion, and also because they may be vulnerable to secondary conditions, such as pressure sores or urinary tract infections. • Evidence suggests that people with disabilities face barriers in accessing the health and rehabilitation services they need in many settings.
  • 4. According to Nepal Constitution 2072, Nepal Government has first time introduced Action Plan for “Disability Management” for 10 years under Leprosy Control Division.
  • 5. According to New Disability Act by Nepal Government, disability has been classified into 10 types • Physical Disability • Visibility related Disability • Hearing related disability • Disability related to hearing and visibility • Speech related disability • Mental or Psychosocial disability • Intellectual disability • Hemophilia related disability • Autism related disability • Multiple disability
  • 6. • 1. Physical Disability: Physical disability is the problem that arises in the operation of physical organ, its use and movement in a person due to the results of the problems in nerves, muscles and structure and operation of bones and joints. • 2. Disability related to vision: A person not having knowledge about an object's figure, shape, form and color due to following problem. • a) Blindness: Cannot distinguish the fingers of hand by both eyes at a distance of 10 feet despite treatment inclusive of medication, surgery and use of spectacle or lens or cannot read the letters contained in the first line of Snellen chart (3/60). • b) Low Vision: Cannot distinguish the fingers of hand by both eyes at a distance of 20 feet despite treatment inclusive of medication, surgery and use of spectacle or lens or cannot read the letters contained in the first line of Snellen chart (6/18). • (c) Total Blind: A person who cannot totally distinguish light and dark
  • 7. • . 3. Disability related to hearing: Not being able to distinguish voice, place of rising and following tone, and amount and quality of voice due to structure of hearing organs. It is of following two types: • (a) Deaf: An individual who cannot hear sound above 80 decibels or who has to use sign language for communication. • (b) Hard of Hearing: An individual who needs hearing aid to listen who can hear sound between 65 decibels to 80 decibels.
  • 8. • 4.DeafBlind disability: A person having both hearing and vision disability or having disability with joint interaction two sensory organs. • 5. Disability related to voice and speech: As person due to functional limitation in the organs related to voice and speech resulting into difficulty in rise and fall of voice when speaking, unclear speech, repetition of words or letter is regarded as a disability related to voice and speech.
  • 9. • 6. Mental or psychosocial disability: Due to the problems and awareness arising in the mind and mental parts that result into inability to behave in accordance with age and situation to perform intellectual functions such as orientation, alertness, memory, language, calculation is regarded as mental or psychosocial disability. • 7. Intellectual disability: A condition where a person is having difficulty in carrying out activities relative to his/her age or environment due to the not having intellectual development is regarded as intellectual disability. (for example inclusive of Down Syndrome).
  • 10. • 8. Disability Related to Genetic Bleeding (Hemophilia): A person with physical condition where there is a problem of blood clotting due to factor disorder in the blood due to genetic effect. • 9. Disability related to Autism: Person having problem in nerve or tissue by birth and its function and development. (a person who has difficulty to communicate, to understand and use social rules, not being able to perform normal behavior in accordance with his/her age, shows abnormal reaction, keep on repeating the same action, cannot socialize with others or show extreme reaction) • 10. Multiple disability: The same person having two or more than two types of disabilities as mentioned above. (For example Cerebral Palsy)
  • 11. • In order to make the laws more comprehensive and fully compatible with the rights-based approach, the GON has prepared a draft bill to substitute the DPW Act. • The draft bill defines ‘persons with disability’ as “the persons who are prevented from full and effective participation on the grounds as of other persons due to long-term physical, mental, intellectual and/or sensory impairments in interaction with various barriers". (GoN, 2014)
  • 12. For the purposes of distributing disability identity cards, the GON has classified disability, on the basis of its level of severity, as follows: • (a) Profound disability: Difficulty to perform daily activities even with the help of others. • (b) Severe disability: Inability to perform daily individual or social activities without the help of others. • (c) Moderate disability: Ability to perform daily activities and participate in social life if barrier free environment, appropriate training and education are provided. • (d) Mild disability: Ability to perform daily activities and participate in social life if barrier free environment is provided
  • 13. • As discussed earlier, people with disabilities have similar health needs as other without disability. However, there health conditions are exacerbated due to various environment condition around them To facilitate ad support them, health security scheme is very important
  • 14. Nepal Health Security Scheme This is a Prioritize government program based on comprehensive social contributory scheme with government subsidies for the poor. Objective: • Ensure access to quality health service (equity & equality). • Protect from financial hardship and reduce out-of pocket payments
  • 17. • It aims to enable every citizens of Nepal to access quality health care services without placing a financial burden on them. • It is a family-based health insurance scheme implemented by the Social Health Security Development Committee.
  • 20. Benefit Package • The benefit package is the services and drugs that are available to SHSP members at health facilities under the SHSP. • These include • Emergency services, • Out-patient services, • Selective inpatient services, selective diagnostic services and • Selective drugs, • In addition to any free services and drugs available at public health facilities through other programs.
  • 21. OPD, Emergency Package OPD • Consultation, • TC, DC, Hb, • Stool RE, • Urine RE/ME, • Blood Sugar F/PP) Emergency • TC/DC Hb • Urine RE • Blood Sugar • Serum Creatinine • ECG Can be claimed only for patients discharged from Emergency. 21
  • 22. Services not included in the scheme: • Cosmetic surgery • Equipment like artificial organ, reading glass not more than 500 once in a year, hearing machining etc. • Artificial insemination services, organ transformation, Sex transformation etc. • Injuries treatment cost due to personal warfare • Accident related treatment due to alcoholic and drug use • Abortion • In the case of dental treatment, modern dental implant, root canal filling, etc.
  • 26. 26
  • 34. 10 Year Action Plan Under the 10 years Action Plan for disabled management, one of the specific objective is to: • Within 2 years, enlisting the assistive devices in positive list of social health security (health insurance) programs • Within 2 years, all PwDs will be covered by Health insurance program, including classification, and free medical provision
  • 35. Activities • Assistive devices in positive list from the negative one in Social health security (health insurance) programs.(i.e. to include all people with disability in security scheme ) • Health Insurance programs to be implemented for PwDs. Monitoring indicators • Provision of positive assistive devices in Social Security scheme • Inclusion of people with disability in Social Security Scheme • Plan and policies for the insurance program for PwDs • Selection and appointments of insurance companies.
  • 36. Monitoring information sources • Modified Social Health Security Scheme • Inclusion of people with disability in Social Security Scheme • Insurance company appointments agreement document. • Statistic of PwDs getting Health insurance services. Implementation • Short term at the start and continue in future. • Policy and plan’s document.

Editor's Notes

  1. The member contribution (or contribution amount) is the yearly amount a family has to pay for membership in the SHSP. The annual contribution amount depends on the size of the family The contribution amount has to be paid, in full, during the time of enrolment.