by iphindia | Dec 20, 2018 | Blog, Health financing and universal health coverage, Latest Updates, Public Health Seminars
Since its announcement in Budget 2018, Ayushman Bharat has received considerable attention. It aims to achieve universal access to primary, secondary and tertiary healthcare through its two component: Health and Wellness Centres and Pradhan Mantri Jan Arogaya Yojana (PMJAY). This presentation by Ketki will give a brief overview of the design and implementation of PMJAY, a financial protection scheme which aims to cover 10 crores vulnerable families.
by iphindia | Oct 4, 2018 | Blog, Health financing and universal health coverage, Latest Updates, Public Health Seminars
Mahesh will present an introduction to the Health Inc. project, the methods and the SPEC framework used in the project.
Institute of Public Health, Bengaluru
#250, 2nd C Main, 2nd C Cross,
Girinagar Ist Phase,
Bengaluru – 560085
by iphindia | Sep 20, 2018 | Blog, Health financing and universal health coverage, Latest Updates, Public Health Seminars
India’s health care is predominantly financed by households through out-of-pocket payments at the point of care. Recognising this, successive governments have introduced various measures including health insurance schemes to protect the poor from high hospitalisation costs. One such scheme introduced in 2008, was the Rashtriya Swasthya Bima Yojana (RSBY). Meant for the poorest of the poor, the government subsidised the premiums so that patients from this population are able to get free hospitalisation care at select hospitals in their neighbourhood. Despite a 100% subsidy of premiums and the promise of free health care even in private hospitals, in 2011-2012 the enrolment rate in RSBY was 51.4%. The aim of our study was to identify the reasons for the poor enrolment.
Institute of Public Health, Bengaluru
#250, 2nd C Main, 2nd C Cross,
Girinagar Ist Phase,
Bengaluru – 560085
![Does AADHAAR and PAN card mean RSBY card??]()
by iphindia | Jul 14, 2012 | Blog, Latest Updates, Research
It was another day in the field collecting data for Health Inc project. The team reached village near Nelamangala. After meeting staff in Gram Panchayat (GP) we were asked to talk to Anganawadi teacher and take her help to identify the houses for collecting data. But the teacher was not happy to accompany us. She said “why should I help you? it is GPs responsibility”, however we managed to convince her to accompany us.
Source*
Interesting discussion started after that, we gave her the list of household and explained where we got that list. She said…oh then I have that list with me and I also have many cards in the cup board and she took out box full of Rashtriya Swasthya Bima Yojana (RSBY) smart cards. When asked why cards were not distributed..she said…”why should I give, it is GPs responsibility”! It was clear there was no coordination between Anganawadi teacher and GP. But it was poor who were deprived of benefit. I asked teacher, do you know what this card is. She said yes it is health card!! Do you know anything more than that? No…that is the only information given on the day of camp!!
Then team got divided and along with Mr Omkar I followed teacher to one house. Teacher first entered the house and said there are some people who want to collect information and she started walking out. I heard female voice from inside asking what information? Teacher screamed from outside.. “about that PAN card you collected from me last week”!! I said …what!! PAN card…no no we are not here to collect information about PAN card…teacher smiled and said “madam these people don’t understand” and she started walking away….I questioned myself…who does not understand? Does the teacher understand? How does she know they do not understand? Anyways it was time for me to get inside the house and sit with Omkar.
When Omkar showed RSBY smart card asked do you know about this card….informant said yes it is AADHAAR card (AADHAAR is Unique Identification number issued by Govt India) and when asked who told you that…Anganawadi teacher came and called us to take photo for AADHAAR card and she gave this card later. Informant showed some paper which was given on the day photo was taken; those papers were related to AADHAAR.
I thought on the day of camp did they take photos for AADHAAR and RSBY? Why was no information given to people about RSBY? Why did Anganwadi teacher call people for AADHAAR card? Did not get answer but thought may be people responsible to issue cards felt poor people will not understand or they did not want to give information? Not sure but I moved to next house thinking does different types of card means the same for poor…NO BENEFITS & NO INFORMATION?
*http://www.rsby.gov.in/
by iphindia | Aug 26, 2011 | Latest Updates, Publications
Purpose
Recently, the Indian government launched health insurance schemes for the poor both to protect them from highhealth spending and to improve access to high-quality health services. This article aims to review the potentials of healthinsurance interventions in order to improve access to quality care in India based on experiences of community health insurance schemes.
Data sources
PubMed, Ovid MEDLINE (R), All EBM Reviews, CSA Sociological Abstracts, CSA Social Service Abstracts,EconLit, Science Direct, the ISI Web of Knowledge, Social Science Research Network and databases of research centers were searched up to September 2010. An Internet search was executed.
Study selection.
One thousand hundred and thirty-three papers were assessed for inclusion and exclusion criteria. Twenty-five papers were selected providing information on eight schemes.
Data extraction.
A realist review was performed using Hirschman’s exit-voice theory: mechanisms to improve exit strategies (financial assets and infrastructure) and strengthen patient’s long voice route (quality management) and short voice route (patient pressure).
Results of data synthesis.
All schemes use a mix of measures to improve exit strategies and the long voice route. Most mechanisms are not effective in reality. Schemes that focus on the patients’ bargaining position at the patient-provider interface
seem to improve access to quality care.
Conclusion.
Top-down health insurance interventions with focus on exit strategies will not work out fully in the Indian context. Government must actively facilitate the potential of CHI schemes to emancipate the target group so that they may transform from mere passive beneficiaries into active participants in their health.
Keywords: health insurance, quality improvement, access to care, community health insurance, realist review, India
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