ARTICLE
TITLE

Knowledge on National Free Health Services among Preclinical Medical Students

SUMMARY

Background: National free health services are those facilities which are given by the government in free of cost for all the citizens in specific countries. Free health service program provides essential health care services free of charge to all users at Primary Health Care Centers, Health Posts. METHOD: A Cross-sectional analytical study was conducted among 395 preclinical medical students Bharatpur, Chitwan, Nepal by using non probability sampling technique. Data was entered in EpiData 3.1. and analysis was done using SPSS-17 software. In the Bivariate analysis, Chi-square test was done. Before the binary logistic regression Multicollinearity of independent variables was check by using Variance inflation factor (VIF). Only for those variables which were statistically significant in Bivariate analysis for them Binary logistic regression was performed to examine the net effect of each independent variable on the Dependent variable. RESULT: Result showed that 24.8% students had good knowledge on national free health services (with 95% CI 20.81% to 29.3%). The level of knowledge was high among the students of young adult age group, female students had good knowledge and students from urban area had good knowledge. The overall level of knowledge of BPH students had good followed by nursing students and least were in BDS students. Students who were in the age group 20-25 years had 3.54 times (with 95% CI for OR = 1.869 to 6.689) as compared to those who were in the age group 15-20 years and students of age 25-30 years had 14.04 times (with 95% CI for OR = 5.292 to 37.262) good knowledge as compare to those who were in the age group 15-20 years. Female students had 2 times (with 95% CI for OR = 1.002 to 3.977) good knowledge as compare to female male students. Students who were from BDS had 0.83 times (with 95% CI for OR = 0.159 to 4.319), students who were from Nursing had 1.70 times (with 95% CI for OR = 0.658 to 4.402), students who were from BPH had 4.34 times (with 95% CI for OR = 1.698 to 11.087) and students who were from B Pharmacy had 1.10 times (with 95% CI for OR = 0.415 to 2.941) times higher odds of knowledge as compare to those students who were from MBBS. CONCLUSION: The overall level of knowledge among the preclinical medical students is poor; only one fourth students had good level of knowledge. Majority of the students don’t know name of the basic free health services provided by government of Nepal. Students of younger adult had good knowledge. BHP and Nursing students had good knowledge as compared to other level. Statistically significant variable with level of knowledge are age (p-value <0.001), gender (p-value 0.049), level of education (p-value<0.001).

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