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Consumer Survey Report Final
Consumer Survey Report Final
ON
HEALTHY PRODUCTS AND SERVICES USE AMONG
CONSUMERS AROUND MAHARAJGUNJ HOSPITAL
AREA, KATHMANDU
SUBMITTED BY
GROUP-C
BACHELOR IN PUBLIC HEALTH
7TH SEMESTER, 14TH BATCH
NATIONAL ACADEMY FOR MEDICAL SCIENCE
0
APPROVAL SHEET
The survey report entitled “The Term Paper Report on Health Products and Services use
among consumers around the periphery of Teaching Hospital and Kanti Child Hospital Area”
prepared and submitted by Group ‘C’ in partial fulfillment of the requirements for the degree of
Bachelor of Public Health Program, Purbanchal University has been examined and hereby
recommended for approval and acceptance to National Academy for Medical Sciences, Old
Baneshwor Kathmandu, Nepal.
Approved by
……………………………… ………………………………
Internal Examiner External Examiner
Mrs. Vijaya Laxmi Shrestha Mr/Ms………………………
Date:………………………… Date:………………………….
We would like to express my heartiest gratitude to National Academy for Medical Sciences
under the affiliation of Purbanchal University and our subject teacher Ms. Vijaya Laxmi Shrestha
for providing a golden opportunity for conducting survey and prepare this report as a partial
fulfillment of Bachelor of Public Health program..
The vote of thanks would not be complete unless and until we express our gratitude to our
institute faculty, who helped us providing their untiring guidance, valuable suggestions,
encouragement, support, co-operation and supervision wherever I needed, (Mr. Ram Bahadur
Shrestha (Principal of NAMS College), Mrs. Vijaya Laxmi Shrestha (HOD of Public Health
Department, NAMS College), Mr. Pratik Shrestha (Public Health Lecturer), Amita K.C (Public
Health Lecturer).
Last but not the least; we appreciate the work and the enthusiastic support to entire college
Administration, Teaching Hospital, Kathmandu and to all the respondents who helps us in
accessing this survey successfully at Teaching Hospital Area. We could hardly forget to
remember Colleague's and family members too for their direct or indirect support during
different phase of survey conducting process and at report preparation
THANK YOU!!
Group ‘C’
Bachelor of Public Health
7th semester/4th year
National Academy for Medical Science
2079/10/05
ii
ACRONYMS
iv
ABSTRACT
Consumer health is concerned with individuals' decisions regarding the purchase and usage of
available health products and services that have a direct impact on their health. There are several
consumer health issues, with misleading information being one of the most prevalent in
Consumer Health related issue society. Healthy products and service utilization have a variety of
issues, related with Quackery and fraudulent Health behavior during the healthy product
utilization that usually include labeling, packaging, manufacture and expiration dates, as well as
food components, all of which have an impact on consumer health.
The purpose of this study is to study the Health product and service utilization behavior among
the patients/consumers. The study was done on the population aged 18 years and above with total
sample size 120. Semi-structured questionnaires were used for data collection through face-to
face interview technique. Respondents were pre-informed about the survey and verbal consent
was taken from the respondents before initiating the study. The confidentiality and privacy of the
respondents were maintained. The collected data were analyzed in excel sheet and Microsoft
word and presented in bar diagram, pie-chart.
Most of the respondents seek health product and services need based i.e. 36%. 38% of the
respondents go both public and private hospital to seek health services and where 26% of them
goes public and 38% goes private hospital only. Most of the respondent know the nearest
government health facilities and only few doesn’t know. 16% of the respondent visit traditional
healers for treatment. Among them most of them does to dhami to treat their diseases. The
respondent’s i.e. 45% were very satisfied with the skills and competency of the services.
As most of the respondents were victims of fraud and some of them also reported to the
concerned authority in case they were treated negligently or being cheated and exploited by the
businessmen in terms of quality and price. Hence, they pointed out the importance of timely
monitoring and supervision and strict action against the fraudulence and adulteration
Table of Contents
APPROVAL SHEET.................................................................................................................................i
ACKNOWLEDGEMENT........................................................................................................................ii
ACRONYMS............................................................................................................................................iii
GROUP MEMBERS..................................................................................................................................iv
ABSTRACT................................................................................................................................................v
List of table...............................................................................................................................................vii
List of figure..............................................................................................................................................vii
CHAPTER I................................................................................................................................................1
INTRODUCTION.......................................................................................................................................1
1.2 RATIONALE OF THE SURVEY.....................................................................................................2
1.3 OBJECTIVES OF THE SURVEY..............................................................................................3
1.3.1 GENERAL OBJECTIVE.....................................................................................................3
1.3.2 SPECIFIC OBJECTIVES....................................................................................................3
CHAPTER II...............................................................................................................................................4
METHODLOGY.........................................................................................................................................4
2.2 Sample Size.................................................................................................................................4
2.3 Study Tools.................................................................................................................................4
2.4 Study Techniques.......................................................................................................................4
2.5 Data Analysis and Interpretation.............................................................................................4
2.6 Ethical Considerations..............................................................................................................4
CHAPTER III..............................................................................................................................................5
FINDINGS AND DISCUSSION.................................................................................................................5
3.1 Findings............................................................................................................................................5
3.1.1 Socio-demographic Information..............................................................................................5
3.1.2 Healthy Products and Services use related information........................................................7
3.2 Discussions......................................................................................................................................16
CHAPTER IV............................................................................................................................................17
CONCLUSION AND RECOMMENDATION.........................................................................................17
REFERENCES..........................................................................................................................................18
ANNEX.....................................................................................................................................................19
Questionnaire.......................................................................................................................................19
Some picture during survey:...............................................................................................................23
vi
List of table
Table 1 Distribution of respondents according to age................................................................................13
Table 2 Distribution of respondent according to current resident..............................................................14
Table 3 Monthly expenditure on health products and services utilization.................................................18
List of figure
Figure 1 Gender Distribution.......................................................................................................................6
Figure 2 Ethnicity of Respondent................................................................................................................6
Figure 3 Educational Status of Respondent.................................................................................................7
Figure 4 Frequency of Health Product Seeking...........................................................................................7
Figure 5 Choice of place for seeking service...............................................................................................8
Figure 6 Seeking of Traditional Treatment.................................................................................................8
Figure 7 Preference of Health service center...............................................................................................9
Figure 8 Satisfaction Level with the service and product availability and Utilization.................................9
Figure 9 Satisfaction with Governmental Services....................................................................................10
Figure 10 Satisfaction towards Private services.........................................................................................11
Figure 11 Perception towards the service provider...................................................................................11
Figure 12 Selection criteria for choosing Health product/services.............................................................12
Figure 13 Intelligent Consumer Behavior in seeking services...................................................................12
Figure 14 Consumers satisfaction to Healthcare Cost................................................................................13
Figure 15 Health Insurance Coverage of Consumers.................................................................................13
Figure 16 Type of Health Insurance Owned..............................................................................................14
Figure 17 Knowledge on Institutional Delivery Incentive.........................................................................14
Figure 18 Consumer’s Choice for getting Rights Insured.........................................................................15
Figure 19 Consumers who aware others about the Rights of Consumers..................................................15
CHAPTER I
INTRODUCTION
1.1 BACKGROUND
A consumer is an individual who buys products or services for personal use and not for
manufacture or resale. In this sense, all of us at one time or other purchases goods and
services, and thus we all are consumers. A consumer is someone who can make the
decision whether or not to purchase an item at the store, and someone who can be
influenced by marketing and advertisements.
Consumer health encompasses all aspects of the marketplace related to the purchase of
health products and services. It is a social movement seeking to secure rights and powers
of the buyers in relation to sellers of goods and services. (McCoy, 2016) Thus,
consumer's health is a condition of health, which is affected by consuming goods and
services available in the market.
Consumer health deals with the decisions of the individuals made about the purchases
and use of the available health products and services that will have a distinct effect on
their health. It involves the economic or monetary aspects of health over which
individuals have control. In brief, we can say that, the term consumer health refers to that
are of health teaching concerned with giving consumers a background that will enable
them to make sound decisions in the selection, purchase and use of professional health
services and products. This also includes a consideration of health advertising by mass
media of communication aimed at influencing such choices, and the topics of
misinformation, misconceptions, fake quackery and superstitions which influence health
attitudes and consequently health practices (Madlena, 2015).
It is a recently introduced subject in the context of our country. It has been started in
Nepal with the objective of making consumers aware of their health. In the beginning, the
1
concept of consumer health was initiated keeping in mind the adverse effect to consumers
while buying and using the medicines randomly. Now, the scope of consumer health has
been widened as it deals with all kinds of health problems created due to the consumption
of the goods and products available in the market (Byrne L, 2015).
There are various consumer health issues in Nepal which can be categorized into three
broad categories as service-related issues, health-related issues and consumer behavior
issues.
Health products are the goods or things that people take or use. They are the products
supposed with providing health benefits Health products are the inevitable components
required by the consumer to maintain healthy life. Healthy services are available in
different forms at different level. Consumer have the right to make choice, rights to be
informed of healthy products, rights to raise their voice against any types of fraudulent
and Quackery activities against the service provider while getting access to health
products and getting the service from Private clinics or G Healthcare Unit issues.
Consumer can raise their voice against unproven health products, drugs products, blood
products and the dispensaries, unfair trade practice, label or packaging of the product,
date of manufacture or expiry, company, address etc.
Consumer is the individual who purchases goods and services from market for the
personal or family needs without the interest of profit. Consumer health refers to the
decisions you make about the purchase of product and use of health information and
services that will have direct effect on your health. Consumer Health helps to assure the
2
consumers are buying the healthy product and services being aware of any type of
misleading information and the Quackery or fraudulent behavior of the seller.
This survey is to identify consumers practice during health products and service
utilization. There are a number of issues with health products, including labeling,
packaging, manufacture and expiration dates all of which have an impact on consumer
health. As a result, this study is carried out in order to examine consumer understanding
on health products buying apart from this consumer’s perception towards the Health
service seeking pattern with the intelligent consumer behavior in choosing healthy
product and service.
To access the consumers behavior while utilizing the health products and services.
3
CHAPTER II
METHODLOGY
Semi-structured questionnaire i.e. both close and open ended questionnaire were
used for collecting the information.
The collected data were analyzed in Excel sheet and MS-word and presented in
dummy table, bar diagram, Pie-chart and line graph.
Informed consent was taken before the data collection. Confidentiality and privacy of
the respondents were maintained and protected.
4
CHAPTER III
FINDINGS AND DISCUSSION
3.1 Findings
There was a 100% response to the survey on health products and service use among
consumers conducted in the Kathmandu metropolitan city ward no 3, around the areas of
Maharajgunj Teaching hospital and Kanti Children Hospital and it’s periphery. The
following results shows the practices of the respondents.
1. 18-40 71 59.2%
2. 41-59 37 30.8%
3. 60+ 12 10%
The above figure describes that the respondents of age 18-40 category were high which is
59.2% and the respondents from age 41-59 were 30.8% and 10% of respondent was from
60+ age category.
5
2: Distribution of respondents according to gender:
Figure 1 Gender Distribution
Gender
Male Female
Above diagram shows that there were 56% male respondents and 44% female
respondents.
3: Distribution of respondents according to current resident
Ethnicity
6
The above diagram describes that 46.67% respondents were Brahmin/Chettri whereas
35.83% were Newar.
Educational Level
The above diagram describes that the educational status of 45% respondents were
secondary level whereas 41.67% were from above secondary level.
40
35
30
25
20
15
10
0
Respondents frequency seeking for health products and services in percentage
The above bar diagram show respondents' seek for health products and services according
to their need based is 36%.
7
Figure 5 Choice of place for seeking service
The above pie-chart describes that 38% of respondents seek both private and government
health services.
Yes No
The above diagram describes that 84% of respondents doesn’t visit traditional healers for
treatment.
8
Figure 7 Preference of Health service center
60
50
40
30
20
10
0
Respondents preference for chooing products for use in percentage
The above bar diagram show respondents' prefer private hospital and clinic for choosing
products for use, ie.48%
Figure 8 Satisfaction Level with the service and product availability and Utilization
50
45
40
35
30
25
20
15
10
5
0
Satisfaction of respondents with the skills and competency of the service provider in percentage
9
Table 3 monthly expenditure on health products and services utilization
Around 5k 56%
The above table clearly shows that 56% respondents say their montly expenditure on
health products and services utilization is Nrs. 5000, followed by 15000-30000 to 19%
respondents.
The above bar diagram show respondents are satisfied with the skills and competency of
the service provider ie, 45%
50
45
40
35
30
25
20
15
10
5
0
Rating of respondents for the governement services that they experienced in percentage
The above bar diagram show respondents' rate government hospital as average ie. 45%
according to the services they experienced.
10
Figure 10 Satisfaction towards Private services
40
35
30
25
20
15
10
5
0
Rating of respondents for the private services that they experienced in percentage
The above bar diagram show respondents' rate private services as excellent ie. 38%
according to the services they experienced.
Yes No
The above pie-chart describes that 81% of respondent’s does not face any type of
quackery and fraudulent activities/behavior during product utilization.
11
Figure 12 Selection criteria for choosing Health product/services
The above pie-chart describes that 25% of respondents look cost/affordability while
affording products.
60
50
40
30
20
10
0
Number of respondents how they ensure the minimum risk and maximum benefit while buying product
The above bar diagram show 54% respondents' ensure the minimum risk and maximum
benefit while buying product by searching for product detail on internet.
12
Figure 14 Consumers satisfaction to Healthcare Cost
50
45
40
35
30
25
20
15
10
0
Satisfaction of respondents with the cost of health services and products in percentage
The above bar diagram show 45% respondents are satisfied with the cost of health
services and products.
Yes
No
43%
57%
The above pie chart describes that 57% of respondents are protected by health insurance
whereas 43% are not.
13
Figure 16 Type of Health Insurance Owned
The above bar diagram show 41% respondents use private health insurance followed by
37% who use government health insurance.
50
45
40
35
30
25
20
15
10
5
0
Respondents knowledge about Incentives and allowances provided by the government in percentage
The above bar diagram show 45% respondents say the incentives and allowances
provided by government is 1500.
14
Figure 18 Consumer’s Choice for getting Rights Insured
The above pie-chart describes that 44% of respondents seek protection for their consumer
rights in police station.
25
20
17
15 13
10
0
Respondents awaring other people about the consumer rights and protection in percentage
The above bar diagram show 36% respondents aware other people about the consumer
rights and protection
15
3.2 Discussions
There was 100% response on consumer use of health products and services. Where Total 120
respondents participated in our survey, among them 56% were male and 44% were female.
59.2% of respondents were of age group 18-40 and most of the participants are from Kathmandu
i.e. 56.6% respectively. Maximum number of respondents were secondary level (45%).
Most of the respondents seek health product and services need based ie 36%. 38% of the
respondents go both public and private hospital to seek health services and where 26% of them
goes public and 38% goes private hospital only. Most of the respondent know the nearest
government health facilities and only few doesn’t know. 16% of the respondent visit traditional
healers for treatment. Among them most of them does to dhami to treat their diseases.
The respondent’s i.e. 45% were very satisfied with the skills and competency of the services
providers whereas 23% unsatisfied. Monthly expenditure on utilization health products and
services where 56% around 5k, 14% around 5-15k, 19% around 15-30k and 11%of respondents
has around above 30k. 45 % of the respondents rate government services as average. 38 % of the
respondents rate private services as excellent. 81% of the respondent’s doesn’t have faced any
types of quackery and fraudulent activities/ behavior. Most of the respondents look quality and
brand while affording the products while few of them look cost and affordability and very few
look for amount and quality.
Most of them i.e. 54 % search for product details on internet. 23% of the peoples were
unsatisfied with cost for the health services, 45% were satisfied with the cost a 17% wee neutral.
57% of the respondents were covered with health insurance and 43% of them were not covered
with health insurance. Among those who are covered with health insurance, most of them are
private i.e. 41%, followed by government i.e. 37%. Many of the respondent are known with the
service provided by the government.
Regarding the incentives and allowance provided by the government hospital during delivery
80% were known and only 20% of them were not known. Among those who were known most
of them told 1500 few told 2000 and very few told 1000. Similarly, majority knows about the
consumer right during service and product utilization in health care delivery. Many of the
respondents have faced any incidents of violating their consumer rights. Those whose rights are
violated 60% have seek justice for their rights. And 44% goes to police station, 23% goes to
consumer protection commission and 31% Use media and press help. Also many people aware
other people about consumer rights and its protection.
16
CHAPTER IV
CONCLUSION AND RECOMMENDATION
17
REFERENCES
18
ANNEX
Questionnaire
A) Socio-demographic data
Name of respondent (optional)...............
Address…………………………………
1. Age
a) 18-25
b) 25-40
c) 40 and above
2. Gender
a) Female
b) Male
c) N/A
3. Ethnicity
a) Brahmin/Chehetri
b) Adibasi/janajati
c) Newar
d) Dalit
e) Other
4. Religion
a) Hindu
b) b) Christian
c) c) Buddhist
d) d) Muslims
e) e) others
5. Marital status
a) Married
b) unmarried
c) other
6. Education level
a) Illiterate
b) Primary
c) Secondary
d) Above the Secondary
7. Occupation
a) Government service
b) b)Military service
c) c)Business
d) d) private
19
e) e) unemployed
f) f)other
8. Family Size
a) Nuclear
b) Joint
9. Number of Family member…………………………
10. Average Family Income (per month) ……………………….
11. Place of current Resident………………………………………….
20
c) satisfied
d) not sure
10. How do you rate the government services that you experienced?
a) excellent
b) average
c) poor
d) very poor
11. How do you rate the government services that you experienced?
a) excellent
b) average
c) poor
d) very poor
12. During the product utilization, have you faced any type of quackery and fraudulent
activities/behavior?
a) yes
b) no
21
a) private
b) government
c) employer-sponsored
d) other
19. Do you know about the services provided by the government?
a) yes
b) no
20. If yes what kind of services are provided by the government?....................
21. Do you know about the incentives and allowances provided by the government
hospital during delivery?
a) yes
b) no
22. If yes, then how much (Nrs.)?
a) 500
b) 1000
c) 1500
d) 2000
23. Do you know about the consumer rights during service and products utilization in
health care delivery?
a) yes
b) no
24. Have you faced any incident that your consumer right have been violated?
a) many times
b) sometimes
c) no
25. Have you seek justice or your protection for your consumer rights?
a) yes
b) no
26. Where did you go for protection for your consumer rights?
a) police station
b) consumer protection commission
c) media and press help
d) others
27. How often do you aware other people about the consumer and its protection?
a) sometime
b) frequently
c) seldom
d) never
22
Some picture during survey:
23