Enrollment in Community Based Health Insurance Schemes in Rural Bihar and Uttar Pradesh, India

Panda, Pradeep Kumar; Chakraborty, Arpita; Dror, David M.; Bedi, Arjun S.

doi:10.2139/ssrn.2246260

Cited by 4 publications

(1 citation statement)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Education of household heads facilitated better understanding of insurance schemes and their processes. As the decision to enroll is much dependent on the household heads' perceptions about illness expenditures 24 . This study affirms the previous findings that more educated people tend to get health insurance.…”

Section: Discussionmentioning

confidence: 99%

Factors Influencing Low Enrollment in a Community Based Health Insurance Scheme, Karachi, Pakistan: a Mixed Methods Case Study

Khuwaja

Karmaliani

Mistry

et al. 2021

Bangladesh J Med Sci

View full text Add to dashboard Cite

Background: There is strong evidence on the potential of the Community Based Health Insurance (CBHI) schemes to facilitate access to healthcare and offer financial protection against the cost of illness for people excluded from formal insurance systems. However, enrollment in the Family Health Insurance scheme has remained low and there has been substantial dropout from the initial enrollment of the scheme’s insured members. Aim:This research aimed at exploring factors influencing enrollment of community members in a CBHI scheme. Methods:A mixed methods case studycomprisingqualitative phase of 10 Key Informant Interviews and 18 In-depth Interviews, and quantitative phase of 190 households: 96 insured and 94 uninsured were involved. Qualitative analysis was done using open coding while descriptive analysis was done for quantitative data. Results:Lack of awareness regarding insurance, lack of trust in management, unaffordability of insurance premiums, limited coverage of services in insurance plans, ambiguity regarding pre-existing conditions, negative marketing by drop-outs, and exclusion of vulnerable groups were some of the common reasons among uninsured group. Insured members of the scheme also had little knowledge about the scheme. Conclusions:The major reason for enrollment was the influence of community leader’s guidance. Stakeholders believed in modification of marketing strategies and innovations in increasing community awareness. Bangladesh Journal of Medical Science Vol.20(2) 2021 p.293-301

show abstract

Section: Discussionmentioning

confidence: 99%

Factors Influencing Low Enrollment in a Community Based Health Insurance Scheme, Karachi, Pakistan: a Mixed Methods Case Study

Khuwaja

Karmaliani

Mistry

et al. 2021

Bangladesh J Med Sci

View full text Add to dashboard Cite

show abstract

The Demand for (Micro) Health Insurance in the Informal Sector

Dror

Firth

2018

World Scientific Series in Health Investment and Financing

View full text Add to dashboard Cite

<strong>Effectiveness</strong><strong> of Public and Co-operative Health Insurance Models in Nepal: A Concurrent Mixed Study</strong>

Ranabhat

Kim

Park

2016

Preprint

View full text Add to dashboard Cite

Background: Health insurance (HI) run by government is providing health care service to large population. Due to poor accountability, participation and sustainability, cooperative health insurance is becoming more popular and effective in low and middle income and some high-income countries too. In Nepal, there are public and cooperative HI is in practice. The aim of this study is to compare the effectiveness of public (government) and cooperative HI in relation to benefit packages, population coverage, inclusiveness, health care utilization, and promptness for treatment in these two health insurance models in Nepal. Method: This is an institution based concurrent mixed study consists of qualitative and quantitative variables from public and cooperative groups. We included all public HI operated by government hospitals and cooperatives groups those purchased hospital service in contract. Two separate study tools were applied to access the effectiveness of insurance models. The key questions were asked for the representatives of government and private health insurance. The numeric information consisted of in quantitative data and subjective response was included in qualitative approach. Descriptive statistics and Mean Whitney U test was applied in numeric data and qualitative information were analyzed by inductive approach Results: The study revealed that new enrolment was not increased, health care utilization rate was increased and the benefit package was almost same in both groups. The overall inclusiveness was higher for the government HI, but enrolment from the religious minority, proportion of negotiated amount during treatment were significantly higher (p<0.05). During illness, the response time to reach hospital was significantly faster in cooperative health insurance than government health insurance. Qualitative findings showed that level of participation, accountability, transparency and recording system was better in cooperative health insurance than public. Conclusion: Cooperative HI could be more sustainable and accountable to the community for all; low, middle and high-income countries.

show abstract

Enrollment in Community Based Health Insurance Schemes in Rural Bihar and Uttar Pradesh, India

Cited by 4 publications

References 26 publications

Factors Influencing Low Enrollment in a Community Based Health Insurance Scheme, Karachi, Pakistan: a Mixed Methods Case Study

Factors Influencing Low Enrollment in a Community Based Health Insurance Scheme, Karachi, Pakistan: a Mixed Methods Case Study

The Demand for (Micro) Health Insurance in the Informal Sector

<strong>Effectiveness</strong><strong> of Public and Co-operative Health Insurance Models in Nepal: A Concurrent Mixed Study</strong>

Contact Info

Product

Resources

About