Article:
Cost-sharing Drug Scheme (CSDS): an experience from Chyangthapu Health Post

creativeworkseries.issnISSN (Print) : 1993-2979 | ISSN (Online) : 1993-2987
dc.contributor.authorKarkee, Shiba B
dc.contributor.authorTamang, AL
dc.contributor.authorGurung, YB
dc.contributor.authorDahal, S
dc.contributor.authorSaunders, Philippa
dc.date.accessioned2026-07-21T05:19:08Z
dc.date.available2026-07-21T05:19:08Z
dc.date.issued2000
dc.description.abstractAbstract This paper describes a community-organised Cost-Sharing Drug Scheme (CSDS) in a remote Health Post (HP) of eastern Nepal. The inadequate annual supply of drugs from the government was supplemented by an additional supply from Britain Nepal Medical Trust (BNMTa) in 80% of the cost price. The prescribed drugs were dispensed at 40% of the cost price. The local Village Development Committees (VDCs) also made financial contribution. Thus, the government supply, BNMT subsidy, the local VDC contribution and the patient fee helped to generate a revolving fund which was managed by the Local Health Support Committee (LHSC). The District Health Office (DHO) carried out the supervision/monitoring and BNMT staff facilitated the process of Drug Scheme Programme (DSP) implementation. The result showed that single item fee improves the quality of care and the local community can be involved in drug schemes management. Keywords: Cost-Sharing Drug Scheme, Local Health Support Committee, Essential drugs, Drug prescribing practice, User fees, Revolving fund, Health Post, Nepal
dc.identifierhttps://doi.org/10.59779/jiomnepal.105
dc.identifier.urihttps://hdl.handle.net/20.500.14572/6976
dc.language.isoen_US
dc.publisherInstitute of Medicine
dc.subjectCost-Sharing Drug Scheme
dc.subjectLocal Health Support Committee
dc.subjectEssential drugs
dc.subjectDrug prescribing practice
dc.subjectUser fees
dc.subjectRevolving fund
dc.subjectHealth Post
dc.subjectNepal
dc.titleCost-sharing Drug Scheme (CSDS): an experience from Chyangthapu Health Post
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
relation.isJournalIssueOfPublicationab39575b-f6cb-4b4c-9886-2f1a5bd91bc3
relation.isJournalIssueOfPublication.latestForDiscoveryab39575b-f6cb-4b4c-9886-2f1a5bd91bc3
relation.isJournalOfPublicationa9ba45d9-ee33-4a6b-b1fc-6626b87eec6c

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