Experimental Study to Assess Interventions Aimed at Improving the Equity Impact of Community-Based Health Insurance
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Health Insurance
- Sponsor
- London School of Hygiene and Tropical Medicine
- Enrollment
- 688
- Locations
- 1
- Primary Endpoint
- socioeconomic status of claimants relative to the membership base in their subdistricts of residence
- Status
- Completed
- Last Updated
- 19 years ago
Overview
Brief Summary
The purpose of this study is to assesses interventions aimed at improving the distributional impact of a community based health insurance scheme in rural India.
Detailed Description
Community based health insurance is often cited as a means of improving access and financial protection in developing countries, but such schemes may not benefit the poorest. We evaluate alternative strategies for improving the uptake of benefits of a community based health insurance scheme by its poorest members. Comparisons: Three groups are compared to standard insurance scheme members (Control). One group is provided with after-sale service and supportive supervision (AfterSS). A second group is provided with prospective reimbursement (PR). A third group is provided with these two interventions together (Both).
Investigators
Eligibility Criteria
Inclusion Criteria
- •500 or more female (\>=18 y of age) SEWA Insurance members in 2003
- •Subdistrict
Exclusion Criteria
- •All members were mandatorily enrolled in the scheme by a donor agency
- •Ahe sub-district had no general hospital of 25 beds or more
- •Individual Inclusion Criteria:
- •All female and male members of SEWA Insurance for 2004 and 2005
- •Individual Exclusion Criteria:
- •Those whose home could not be found based on given address data
Outcomes
Primary Outcomes
socioeconomic status of claimants relative to the membership base in their subdistricts of residence
Secondary Outcomes
- rate of insurance claim submission
- mean socioeconomic of the insured relative to the general rural population
- enrolment rates in Vimo SEWA