Salvato in:
| Autore principale: | |
|---|---|
| Natura: | Recurso digital |
| Lingua: | inglese |
| Pubblicazione: |
Zenodo
2025
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| Soggetti: | |
| Accesso online: | https://doi.org/10.5281/zenodo.17879591 |
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Sommario:
- <p>The study examines the economic costs and advantages of the Sehat Sahulat Program (SSP) in Pakistan<br>based on the qualitative evidence collected in the urban and rural settings. SSP is a landmark health<br>insurance program that would improve the proportionality of healthcare coverage and minimize the outof-<br>pocket costs. Nevertheless, the differences in implementation and use still define its efficacy. This<br>paper relied upon in-depth interviews and thematic analysis to determine how households (particularly<br>those in the lower-income bracket) perceive the accessibility, affordability, and long-term sustainability<br>of the program. The results are sophisticated in terms of benefits and barriers. On the one hand, SSP<br>saved a lot of direct treatment expenses on covered diseases and gave vulnerable groups a feeling of<br>financial security. Structural and systematic factors, including low awareness, insufficient coverage of<br>hospitals in rural areas, administrative inefficiency, and unfamiliar costs, restrained the potential of the<br>program. Participants in the urban areas reported that they utilized it more due to the increased<br>concentration of empanelled hospitals, whereas those in the rural areas complained about the cost of<br>traveling, late reimbursements, and lack of equity. The study highlights the need to fill these gaps to<br>ensure that SSP is more inclusive and influential. The policy implications indicate the necessity of better<br>awareness campaigns, increased monitoring of the practices in the private hospitals, increased coverage<br>in rural areas, and the transparency of the reimbursement system. This study adds to the literature on<br>health economics and social protection in Pakistan by qualitatively informing the reader about lived<br>experiences, providing lessons to other low- and middle-income countries that may be implementing<br>similar schemes.</p>