Health Service Utilisation and Associated Factors among Older People in Kamalamai Municipality, Sindhuli District

Abstract

Population ageing is becoming a major concern in Nepal with the increasing prevalence of multiple chronic conditions. This study examines factors affecting health service utilisation among older people aged 60 years and above. A cross-sectional survey of 694 older people was conducted in Kamalamai Municipality, Sindhuli District. A structured digital questionnaire was applied to collect data. Data were analysed using descriptive statistics and a hierarchical multivariable logistic regression model. Sixty-four percent of older people had utilised health services in the past 12 months. This study demonstrates that health insurance, general health status, and morbidity conditions were significantly associated with health service utilisation. This study provides potential evidence for health policymakers to develop health strategies to improve health service utilisation among older people.