Evolution of Government-funded health insurance for universal health coverage in India

Dubey, Sweta; Deshpande, Swasti; Krishna, Lokesh; Zadey, Siddhesh

doi:10.1016/j.lansea.2023.100180

Cited by 15 publications

(6 citation statements)

References 22 publications

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“…Inadequacy in the public healthcare system increased during this time due to a decrease in government expenditure in the healthcare industry. Later, the Centre and several states adopted this concept, as shown in Figure 2 [ 11 ].…”

Section: Reviewmentioning

confidence: 99%

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Public Health Insurance Status and Utilization of Healthcare Services Across India: A Narrative Review

Shende,

Wagh

2024

Cureus

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Health insurance literacy gauges how knowledgeable people are regarding the comparison of health insurance plans to find out the optimal health plan that suits their needs and preferences. Enrolling in a comprehensive plan and proactively addressing health and financial aspects can fortify the stability of families. The plan needs to be used effectively by adapting to evolving circumstances and prioritizing the well-being and prosperity of the household. Having public health insurance can significantly impact an individual's utilization of healthcare services. Having health insurance encourages individuals to promptly seek medical attention without hesitating or avoiding treatment due to financial worries. This results in higher utilization of healthcare services, encompassing routine check-ups, preventive care, and timely intervention for illnesses and injuries. Public health insurance can also improve access to specialized care and expensive treatments that may otherwise be unaffordable for individuals without insurance. By having health insurance, individuals and families can experience a decrease in the economic strain associated with healthcare expenses, thereby enhancing the accessibility and affordability of healthcare services.

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Section: Reviewmentioning

confidence: 99%

“…In India, private investors cover 70% of healthcare costs, of which 86% come from OOP expenses [ 10 ]. Beneficiaries should be thus able to be conveniently treated for a wide range of medical disorders at the price and level of care they choose [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Public Health Insurance Status and Utilization of Healthcare Services Across India: A Narrative Review

Shende,

Wagh

2024

Cureus

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“…For instance, India recently expanded its government-funded healthcare insurance to cover the bottom 40% of the country’s population under the Pradhan Mantri Jan Arogya Yojana (PMJAY). While ambitious in its vision and implementation, there have been notable limitations in the equitable uptake of the scheme that need to be rectified for target coverage achievement ( 156 ). (b) Accreditation of SOTA care facilities and standardization can ensure high-quality service delivery ( 157 ).…”

Section: Potential Directionsmentioning

confidence: 99%

Achieving Surgical, Obstetric, Trauma, and Anesthesia (SOTA) care for all in South Asia

Zadey,

Rao,

Gondi

et al. 2024

Front. Public Health

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South Asia is a demographically crucial, economically aspiring, and socio-culturally diverse region in the world. The region contributes to a large burden of surgically-treatable disease conditions. A large number of people in South Asia cannot access safe and affordable surgical, obstetric, trauma, and anesthesia (SOTA) care when in need. Yet, attention to the region in Global Surgery and Global Health is limited. Here, we assess the status of SOTA care in South Asia. We summarize the evidence on SOTA care indicators and planning. Region-wide, as well as country-specific challenges are highlighted. We also discuss potential directions—initiatives and innovations—toward addressing these challenges. Local partnerships, sustained research and advocacy efforts, and politics can be aligned with evidence-based policymaking and health planning to achieve equitable SOTA care access in the South Asian region under the South Asian Association for Regional Cooperation (SAARC).

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“…Yojana (RSBY), designed to provide a safety net for vulnerable segments against health-related shocks. 5 In a similar vein, Pakistan, sharing sociodemographic similarities with India, has introduced its own social health protection endeavour-the Sehat Sahulat Programme (SSP), formerly known as the Prime Minister's National Health Programme. This initiative aims to extend financial security to Pakistan's vulnerable populace by means of health insurance.…”

Section: Open Accessmentioning

confidence: 99%

Utilisation and barriers of social health protection program among its enrolled population of federally administrative areas, Pakistan

Farooqui,

Nabeel Ali,

Riaz

2024

BMJ Open Qual

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ObjectivesThe objective of this research is to analyse the extent of utilisation and identify the barriers faced by individuals in the Federally Administrative Area of Pakistan concerning the Social Health Protection Programme.MethodsA cross-sectional study was carried out, enrolling permanent residents from Islamabad, Gilgit-Baltistan and Azad Kashmir. The sampling frame was provided by the Sehat Sahulat Programme (SSP) office in Islamabad, using a simple random sampling method. The study used the ‘WHO Health Survey 2002’ tool, which is validated, to assess the utilisation and barriers of the Social Health Protection Programme.ResultsThe study findings indicated that approximately 12% of the participants used the Social Health Protection Programme, while 6.5% experienced barriers in utilisation. The identified barriers were further classified into seeking (3%), reaching (0.25%) and receiving care (3.25%) barriers. A χ2test of association revealed significant statistical associations between card utilisation and sociodemographic factors such as age and level of education (p value <0.001). Additionally, statistically significant associations were observed with hospitalisation in the last year, duration and frequency of hospitalisation (p value <0.001). However, no statistically significant association was found between the utilisation of SSP and utilisation barriers.ConclusionThe SSP had a low utilisation ratio due to the fact that half of the enrolled households were satisfied with their health conditions and did not feel the need for hospitalisation.

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Evolution of Government-funded health insurance for universal health coverage in India

Cited by 15 publications

References 22 publications

Public Health Insurance Status and Utilization of Healthcare Services Across India: A Narrative Review

Public Health Insurance Status and Utilization of Healthcare Services Across India: A Narrative Review

Achieving Surgical, Obstetric, Trauma, and Anesthesia (SOTA) care for all in South Asia

Utilisation and barriers of social health protection program among its enrolled population of federally administrative areas, Pakistan

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