Experimental Study to Assess Interventions Aimed at Improving the Equity Impact of Community-Based Health Insurance

Not Applicable

Completed

• Conditions: Health Insurance

• Registration Number: NCT00421629
• Lead Sponsor: London School of Hygiene and Tropical Medicine

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).

Study Timeline

• Study Start: 2003-10
• Study Completion: 2006-04
• Status Verified: 2007-01
• Study First Submitted: 2007-01-10
• Study First Submitted QC: 2007-01-11
• Last Update Submitted: 2007-01-11
• Study First Posted: 2007-01-12
• Last Update Posted: 2007-01-12

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 688

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: FACTORIAL

Primary Outcome Measures

Name	Time	Method
socioeconomic status of claimants relative to the membership base in their subdistricts of residence

Secondary Outcome Measures

Name	Time	Method
rate of insurance claim submission
mean socioeconomic of the insured relative to the general rural population
enrolment rates in Vimo SEWA

Trial Locations

Locations (1)

Self Employed Women's Association; 🇮🇳 Ahmedabad, Gujarat, India