Assessing service providers’ satisfaction with the chronic diseases package provided through the National Health Insurance Fund in Sudan
Abstract
Background: The prevalence and burden of chronic diseases is growing significantly with direct impact on health and financial security of population. In Sudan, there is a continuous effort to improve access for good and integrated health services but still the utilization of these services is low. Therefore, there is an urgent need to assess the availability and integration of benefit package to ensure better and effective coverage of services.Aim: This is a descriptive cross sectional based study aimed to assess the opinion of service providers about the chronic diseases package provided through the national health insurance fund.Methods: Form390 participating, data was collected via closed ended standardized questionnaires. Pre testing was done to ensure quality survey instruments and fieldwork procedures were conducted. A structured questionnaire with closed-ended questions was developed based on literature and previous studies. The questionnaire made up of 30 questions and organized in the following sections: background characteristics, medical characteristics, health professionals’ knowledge and practice related to NHIF ’chronic diseases package and perception about NHIF ‘chronic diseases package.Results: Our results showed that despite the existence of a number of issues, the National Health Insurance Fund is rather accepted amongst our respondents. Issues manifested were in regards to health education and supply issues of drugs. Conclusion: Our study concluded that, there is an obvious weakness in both training of providers and implementation of national protocols for chronic diseases. Moreover, despite the challenges of drug availability, 70% of our participants expressed positivity when questioned about the presentation of the drug package, bearing in mind the importance of reviewing the list to ensure its inclusion of new items. There is a need for training medical providers about chronic diseases with more focusing on health promotion and application of national guidelines. Additionally, integration of chronic diseases services in necessary for achieving universal health coverage.
Keywords: national protocols for chronic diseases, national health insurance fund, health promotion
Keywords:
national protocols for chronic diseases, national health insurance fund, health promotionDOI
https://doi.org/10.22270/jddt.v12i4.5565References
Salim, A., & Hamed, F. (2018). Exploring health insurance services in Sudan from the perspectives of insurers. SAGE open medicine, 6, 2050312117752298.
Bernell S, Howard SW (2016-08-02). "Use Your Words Carefully: What Is a Chronic Disease?" Frontiers in Public Health. 4:159.
Akkawi, A., et al. (2020). "Non-communicable diseases research output in the Eastern Mediterranean region: an overview of systematic reviews." BMC medical research methodology20(1): 1-10.
Lan, Xin et al. “Assessing the effects of the percentage of chronic disease in households on health payment-induced poverty in Shaanxi Province, China.” BMC health services research vol. 18,1 871. 20 Nov. 2018.
Mohamed S, Sayed A, Aabdin AM, Abo-shanab MAA, Noma M. Journal of Cancer and Treatment Prevalence of NCDS and Their Risk Factors in Khartoum State , Sudan. 2019;2.
Beheiry, H. M., Abdalla, A. A., Fahal, N. A., Mohamed, M. I., Ibrahim, D. A., Medani, S. A., Khalfa, H. A., Mutalab, S. A., Atia, A., Elsheik, W. A., Khalfa, R. A., Mahmoud, N. E., Beaney, T., Ster, A. C., Ali, I. A., & Poulter, N. R. (2020). May Measurement Month 2018: an analysis of blood pressure screening results from Sudan. European heart journal supplements : journal of the European Society of Cardiology, 22(Suppl H), H122–H124.
Raghupathi, Wullianallur, and Viju Raghupathi. “An Empirical Study of Chronic Diseases in the United States: A Visual Analytics Approach.” International journal of environmental research and public health vol. 15,3 431. 1 Mar. 2018.
NHIF Sudan. Annual Statistical Report 2018
SUDAN N. Annual Statistical Report 2020
Tuangratananon T, Julchoo S, Phaiyarom M, Panichkriangkrai W, Pudpong N, Patcharanarumol W, et al. Healthcare providers’ perspectives on integrating NCDs into primary healthcare in Thailand: a mixed method study. Heal Res Policy Syst [Internet]. 2021;19(1):1–15.
Raghupathi, Wullianallur, and Viju Raghupathi. “An Empirical Study of Chronic Diseases in the United States: A Visual Analytics Approach.” International journal of environmental research and public health vol. 15,3 431. 1 Mar. 2018.
Bigna JJ, Noubiap JJ. The rising burden of non-communicable diseases in sub-Saharan Africa. Lancet Glob Heal [Internet]. 2019;7(10):e1295–6.
Raghupathi, Wullianallur, and Viju Raghupathi. “An Empirical Study of Chronic Diseases in the United States: A Visual Analytics Approach.” International journal of environmental research and public health vol. 15,3 431. 1 Mar. 2018
United Nations High Commissioner for Refugees - UNHCR. Integrating Non-communicable Disease Care in Humanitarian Settings: An operational guide. 2020;1–35. Available from: https://www.unhcr.org/5fb537094.pdf
Kabir A, Karim MN, Islam RM, Romero L, Billah B. Health system readiness for non-communicable diseases at the primary care level: A systematic review. BMJ Open. 2022;12(2)
Raghupathi, Wullianallur, and Viju Raghupathi. “An Empirical Study of Chronic Diseases in the United States: A Visual Analytics Approach.” International journal of environmental research and public health vol. 15,3 431. 1 Mar. 2018.
Jimenez Carrillo M, León Garciá M, Vidal N, Bermúdez K, De Vos P. Comprehensive primary health care and non-communicable diseases management: A case study of El Salvador. Int J Equity Health. 2020;19(1):1–17.
Narain JP. Integrating services for noncommunicable diseases prevention and control: Use of primary health care approach. Indian J Community Med. 2011;36(SUPPL.)
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