Public Health 6: In the urban areas, a three-stage sampling procedure was followed as these areas are quite large. Considering the government plans to invest more in state-specific health insurance schemes and adaptation of this as key mechanism to finance health services, it becomes essential to explore the overall RSBY experience. Tribal and minority groups tend to live in isolation as a result. Journal List Front Public Health v. The objectives of the current paper are to assess the current status of RSBY in Maharashtra in terms of proportions covered at each step such as awareness, enrollment, renewal, having card, and utilization. External evaluation of user fee scheme in government hospitals in Maharashtra state in India.
Nandurbar rural tribal FGD. Even the names of these schemes are quite similar to each other and also changed often. J Gokhale Inst Polit Econ 51 2: Thus, only booklets were distributed during the enrollment. The Path to Universal Coverage.
The poor level of enrollments and renewals xase the need to reconsider the design of the scheme. Results Initially, the results from the quantitative methods are presented, followed by the results from the qualitative methods.
Qualitative data collection included stakeholder analysis, focused group discussions FGDand in-depth interviews IDIs.
They further report that very few HHs received the information brochure with the name of hospitals and information on the scheme. There was no strategy to inform potential beneficiaries about this. Male participant from rural FGD in Nandurbar. Table 6 Comparison of demographic and background factors among the aware and not aware households as per their urban and rural background. The principle of grounded theory was used to code the transcripts.
Economic and Political Weekly; Econ Polit Wkly 46 Conflict of Interest Statement The author declares that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. Someone in the family a bank account holder.
The government has to play proactive role in this by making available primary, secondary, and tertiary healthcare facilities for the poor. It is usually expected that the urban areas will have better awareness, enrollment, and utilization compared to the rural BPL HHs.
RSBY scheme and Out of pocket expenditure – a Case Study from Chhattisgarh
Maharashtra case study summary. At a district level, it was seen that blocks with tribal rsb reported lower enrollment RSBY was launched with good intention, but it lacked good planning and implementation.
Though many respondents identified the scheme when showed a sample RSBY card, very few knew the scheme by its name.
There are certain limitations of this paper worth mentioning. Social exclusion and social health protection in low- and middle-income countries: Promoting Universal Financial Protection: In addition to that I have been to several hospitals for treatment and there is no relief cure. The essential details for using the scheme were not known to users. The two-way chi-square test and unpaired t test were applied while comparing different groups of respondents for different independent categorical variables.
This indicates the asymmetry of information and underscores the need of empowering the rby The details of awareness were available only for the subsample of enrolled HHs. Thus, only booklets were distributed during the enrollment. Published online Jan 7.
Rsby Scheme And Out Of Pocket Expenditure – A Case Study From Chhattisgarh
The excluded are shown on the left in a red box and the non-excluded on the right in a green box. It explored how social exclusion restricts access to health services despite recent health financing reforms and how social health protection SHP can be increased.
Various other similar schemes in India stuudy definitely learn few important lessons such as the need to improve awareness, issuing prompt enrollment cards with proper details, achieving universal enrollment, ongoing and prompt renewal, and ensuring proper utilization by proactively educating the vulnerable sections. It is seen that out of HHs, only Interviews were conducted in the manner ensuring minimum disturbance.
The entire data collection was completed from December to February This was rsbby reason why many HHs were being excluded from enrollment.
Our study was also analyzed separately to study the effect of social exclusion on enrollment in RSBY.