Tenders Are Invited For Foreign Economic-Aid-Related Services – 81314023-Technical Advisory Services On The ... in Germany

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Foreign Economic-Aid-Related Services – 81314023-Technical Advisory Services On The Development Of The National Health Insurance Scheme In Nepal. Nepal Has Made Significant Progress In Improving The Overall Health Status Of The Population, With Huge Improvements In Life Expectancy And Reductions In Maternal And Child Mortality Rates. However, Access To Quality Healthcare Remains Unequal, As Many Citizens Face Barriers Due To Geography, Socio-Economic Status, And Economic Constraints. Nepal National Health Accounts (Nha) Report Indicates That Out-Of-Pocket (Oop) Healthcare Expenses Accounted For 54.2% Of Total Health Spending In 2019/20, Exceeding The South Asian Average Of 48.2% (Who 2023). Government Contributions To Health Expenditure Are Only 30%, Which Is Lower Than The Regional Average Of 42% (Who Ghed 2023). A 2018 Study Found That 10.3% Of Households Faced Catastrophic Health Expenditures Monthly (Ghimire Et Al. 2018). Furthermore, The Report Found That 10.7% Of Households Spent 10% Of Their Total Household Expenditure On Health And 2.4% Even Spent 25%, Implying That Nepalese Households Face Increased Vulnerability To Catastrophic Health Expenditures Risking Impoverishment (Adb 2024). To Achieve Universal Health Coverage (Uhc), Nepal Seeks To Reduce Oop Spending Through The National Health Insurance (Nhi), Launched In 2016. This Initiative, Overseen By The Health Insurance Board (Hib), Aims To Provide Universal Access To Quality Health Services, Primarily For The Informal Sector. Currently, The Nhi Is Operational In All 753 Local Structures Across 77 Districts. Though The Health Insurance Act 2017 Has Clearly Mentioned The Health Insurance To Be Mandatory, In Practice This Is Not Yet Enforced; Highlighted By The Fact That Out Of 8.1 Million Ever-Enrolled, Currently Only 4.4 Are Actively Insured As Of June 2024. The Increasing Coverage And Expansion Of The Nhi Is A Priority To The Government Of Nepal (Gon) And Strengthening The Institution Has Been Identified As An Important Action Area Within The Strategies In Both The National Health Financing Strategy (Nhfs) 2022-2032 And In The National Health Sector Strategic Plan (Nhssp) 2022-2030. Giz Has Been Supporting The National Health Insurance Program Since 2013, On Policy Advisory Aspects As Well As Technical Aspects. To Strengthen Hib, Giz Supported A Pool Of Experts Through The Support To Health Sector Strategy (S2hss) Program In 2023. The Pool Of Experts Supported In Defining Roles And Responsibilities Of The Policy, Planning And Monitoring Department (Ppmd) And Developing Job Descriptions For Those Assigned To The Departments, As Envisioned In The Organisation And Management (O&M) Survey. In Addition, The Support Was Extended For Development Of Crucial Policy Documents, Strategies, Guidelines, And Plans. On A Technical Front, Giz Supported Hib For Improving The Open-Source Insurance Management Information System (Openimis) To Streamline Core Business Processes: From Enrollment, Member Verification, Policy Activation To Claims Processing And Reimbursement. Meanwhile, In The Current Context Of Hib With Constrained Instit

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