Labour migration is defined as the movement of persons from their home country to another country for the purpose of employment. International labour migration is a transnational phenomenon. Remittance is money or goods sent by migrant to their family. Health care expenditure is total amount of money spent on health services. The aim of this study is to assess the use of remittance in health service utilization of left behind family. A descriptive Cross sectional study was conducted in Two municipalities of Jhapa district, Koshi province. This is a parallel mix method study. Face to Face interview was conducted among 767 sample households from each ward. Two municipalities were selected by lottery method of simple random sampling techniques. Each ward was supposed as cluster, proportionate to size method was used to identify the household number from each cluster. At last systematic random sampling Technique was used to collect information from household. Data was collected from labour migrant and nonimmigrant household to show the difference in health care expenditures. Health care expenditures question was adopted from Nepal living standard survey and modify it according to objectives. KOBO tool for fata collection was used to collect data. Data was extracted in SPSS for further analysis. In-depth interview and Key Informant Interview was conducted to obtain qualitative data. Thematic analysis was performed for analysis of qualitative data. Descriptive statistics was applied for data analysis of quantitative data. Among 767 household 53.3% household was found migrated to Gulf Co-Operative Council (GCC) Countries including Malaysia. Among this country Dubai was first choice and must of they were worked as security guard. Almost all household received remittance in last three months. Nearly 70 % used money transfer to send money to their home. Remittance was used must frequently for daily consumption in household. Nearly half household got illness in last three months. Among ill member 77% went for consultation and most of them prefer modern medical practitioner for consultation. Nearly half of those who went for consultation were in private health facilities. Significant association was found among the household those income was

remittance with health care expenditure (P-value-<0.001) and visiting private health facilities (P-value-0.009). Most of the findings from qualitative data support that remittance plays an important role in health crisis for households.

Researchers can conclude that remittance does not directly play the rple on in health care expenditure and preference of health facilities but there was indirect role of remittance (major income source of household) observed in this study. Remittance is common source of health financing in this study. So, the Government has to enroll more household on health insurance and improve its service quality.