Experimental Study to Assess Interventions Aimed at Improving the Equity Impact of Community-Based Health Insurance
Study Details
Study Description
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.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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N/A |
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 Design
Outcome Measures
Primary Outcome Measures
- socioeconomic status of claimants relative to the membership base in their subdistricts of residence []
Secondary Outcome Measures
- enrolment rates in Vimo SEWA []
- mean socioeconomic of the insured relative to the general rural population []
- rate of insurance claim submission []
Eligibility Criteria
Criteria
Subdistrict 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
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Self Employed Women's Association | Ahmedabad | Gujarat | India | 380001 |
Sponsors and Collaborators
- London School of Hygiene and Tropical Medicine
- Wellcome Trust
Investigators
- Principal Investigator: Anne J Mills, MA DHSA PhD, London School of Hygiene and Tropical Medicine
- Study Director: Michael K Ranson, MD MPH PHD, London School of Hygiene and Tropical Medicine
Study Documents (Full-Text)
None provided.More Information
Publications
- Morris SS, Ranson MK, Sinha T, Mills AJ. Measuring improved targeting of health interventions to the poor in the context of a community-randomised trial in rural India. Contemp Clin Trials. 2007 Jul;28(4):382-90. Epub 2006 Oct 14.
- Ranson MK, Sinha T, Chatterjee M, Acharya A, Bhavsar A, Morris SS, Mills AJ. Making health insurance work for the poor: learning from the Self-Employed Women's Association's (SEWA) community-based health insurance scheme in India. Soc Sci Med. 2006 Feb;62(3):707-20. Epub 2005 Jul 28.
- Ranson MK, Sinha T, Gandhi F, Jayswal R, Mills AJ. Helping members of a community-based health insurance scheme access quality inpatient care through development of a preferred provider system in rural Gujarat. Natl Med J India. 2006 Sep-Oct;19(5):274-82.
- Ranson MK, Sinha T, Morris SS, Mills AJ. CRTs--cluster randomized trials or "courting real troubles": challenges of running a CRT in rural Gujarat, India. Can J Public Health. 2006 Jan-Feb;97(1):72-5.
- Sinha T, Ranson MK, Chatterjee M, Acharya A, Mills AJ. Barriers to accessing benefits in a community-based insurance scheme: lessons learnt from SEWA Insurance, Gujarat. Health Policy Plan. 2006 Mar;21(2):132-42. Epub 2005 Dec 22.
- PHHPBD25
- GR067926MA