Lekha Nath Panthi, Hom Nath Chalise
ABSTRACT In Nepal, though the health service started early, majority of the people are still beyond the access of minimum basic health service. Approaches such as Community Health Insurance (CHI) can in principle, help households to avoid being pushed into poverty by unanticipated health costs, but schemes exist in only a handful of districts, and have low coverage in Nepal. This study on Effectiveness of Service Delivery in Health Facility (HF) with and without Community Health Insurance Scheme (CHIS) conducted in Lalitpur Nepal was conducted in two similar type of health facility in which one is implementing CHIS scheme. Data suggested that the knowledge about the CHIS programme was more in the community people where CHIS was implemented. Similarly, the types of services available were more in HF with CHIS in Nepal. No significant difference was observed in behaviour of Health Service Providers (HSP) between two HFs. The flow of clients was more in HF with CHIS. However, the trend of number of household insured in CHIS programme was in decreasing order after the implementation of free health service policy by GoN. Key words: Community Health Insurance, health facility, health service, Nepal