Draft report of the RSBY study in Gujarat

Draft report of the RSBY study in Gujarat

RSBY_REPORT

The study assesses the impact of Rashtriya Swasthya Bima Yojana (RSBY) in Gujarat, India. RSBY is a national health insurance scheme launched by the Government of India in 2008, to enhance access to quality hospital care by families living below the poverty line (BPL). The impact of RSBY was measured with respect to its enrolment rates, effect on access to hospital care, and financial protection offered to BPL families. This study also attempts to understand the factors influencing these outcomes by describing issues related to performance, governance, and monitoring of the scheme via stakeholder analysis.

To read more download the report RSBY draft report – click here 

Draft report of the RSBY study in Gujarat

Out-of-pocket healthcare payments on chronic conditions

Chronic-disease

Background

The burden of chronic conditions is on the rise in India, necessitating long-term support from healthcare services. Healthcare, in India, is primarily financed through out-of-pocket payments by households. Considering scarce evidence available from India, our study investigates whether and how out-of-pocket payments for outpatient care affect individuals with chronic conditions.

Methods

A large census covering 9299 households was conducted in Bangalore, India. Of these, 3202 households that reported presence of chronic condition were further analysed. Data was collected using a structured household-level questionnaire. Out-of-pocket payments, catastrophic healthcare expenditure, and the resultant impoverishment were measured using a standard technique.

To Read the full article – Click here

To download the  provisional PDF- Click here

 

Draft report of the RSBY study in Gujarat

RSBY Press release

RSBY_PressRelease

IPH prepared a press release based on their findings from the WHO supported study on RSBY in Gujarat, India and shared it with the print media. This was widely covered in both print and online newspapers, insurance portals and discussion groups. To read more stories, visit the links provided below:

  1. The Hindu: Indemnity in Peril by Aarti Dhar
  2. New York Daily News: India’s poor get raw deal from insurance firms: Study
  3. Aaj Ki Khabar: India’s poor get raw deal from insurance firms: Study

 

To download Press release Click here

Draft report of the RSBY study in Gujarat

3rd Global Meeting of the Health Inc Consortium at Bangalore

The third Global meeting of the Health Inc Consortium was held in Bangalore, Karnataka between 20th and 23rd November 2012. This meeting was hosted by the Institute of Public Health, Bangalore at Hotel Lemon Tree Premier.

In the last meeting, the four sites namely, Ghana, Senegal, Maharashtra (India) and Karnataka (India), had shared their research protocols for data collection. Since then, all of them have started conducting their data collection and this meeting provided the opportunity for them to share their progress with each other. Over the next four days, partners discussed the preliminary findings and the next phase of the project.

For more information about the Health Inc project, read the following blogs from LSE:

  1. Does social exclusion limit the impact of healthcare financing reforms in India?
  2. New research seeks to ensure that vulnerable groups benefit from health care financing reforms.
Draft report of the RSBY study in Gujarat

Is embracing death @ 24 so easy?

This time it was neither KG Halli nor urban health project….but Health Inc…trying to find reasons for social exclusion in Bangalore Rural district.

When we entered 8×8 single room house, Jagadish was lying on the bed. We asked how he was feeling, he pushed bed sheet aside and showed his leg…yes it was badly infected & looked scary and his hospital discharge card said Cellulitis!  He said few days ago we went again to private medical college they refused to admit me, then we went to Government Hospital, doctor said nothing can be done..it is too late, so we came back home. I was speechless and ran out of words…just to listen from that  24yr old boy in a calm and composed voice, with no emotions saying I’m waiting for my death! I said to myself.. Is it so easy to accept death?

For a moment I forgot why we were in that house, started  making calls to friends and colleagues for help… one of the district surgeon assured to do his best. In the last 2 month, family which is mainly dependent on daily wage had borrowed Rs 40000 for his treatment, admitting him again means one or two family member loosing their  wage….where money lenders are already demanding repyment….can they really afford to give time to save Jagadish? After two days I get information that he is yet to reach hospital!!

It must be the frustration, helplessness and poverty forcing people accept things easily as their fate! Is it the fate which is preventing Jagadish from getting care or is our health system failed to provide care for people like Jagadish or access care? Who should be blamed for…is it the tertiary care center which did not consider worth treating him or is it so simple that we blame poverty for everything and record exclusion due to poverty??