Experimental Study to Assess Interventions Aimed at Improving the Equity Impact of Community-Based Health Insurance
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 688
- 试验地点
- 2
- 主要终点
- socioeconomic status of claimants relative to the membership base in their subdistricts of residence
研究概览
简要总结
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.
详细描述
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).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •500 or more female (>=18 y of age) SEWA Insurance members in 2003
- •Subdistrict
排除标准
- •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
结局指标
主要结局
socioeconomic status of claimants relative to the membership base in their subdistricts of residence
次要结局
- rate of insurance claim submission
- mean socioeconomic of the insured relative to the general rural population
- enrolment rates in Vimo SEWA