Experimental Study to Assess Interventions Aimed at Improving the Equity Impact of Community-Based Health Insurance

This study has been completed.
Sponsor:
Collaborator:
Wellcome Trust
Information provided by:
London School of Hygiene and Tropical Medicine
ClinicalTrials.gov Identifier:
NCT00421629
First received: January 10, 2007
Last updated: January 11, 2007
Last verified: January 2007
  Purpose

The purpose of this study is to assesses interventions aimed at improving the distributional impact of a community based health insurance scheme in rural India.


Condition Intervention
Health Insurance
Behavioral: After-sales service and supportive supervision (AfterSS)
Behavioral: Prospective reimbursement (PR)
Behavioral: Both (AfterSS and PR)

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: Open Label
Primary Purpose: Health Services Research
Official Title: Experimental Study to Assess Interventions Aimed at Improving the Equity Impact of Community-Based Health Insurance

Resource links provided by NLM:


Further study details as provided by London School of Hygiene and Tropical Medicine:

Primary Outcome Measures:
  • socioeconomic status of claimants relative to the membership base in their subdistricts of residence

Secondary Outcome Measures:
  • enrolment rates in Vimo SEWA
  • mean socioeconomic of the insured relative to the general rural population
  • rate of insurance claim submission

Estimated Enrollment: 688
Study Start Date: October 2003
Estimated Study Completion Date: April 2006
Detailed Description:

Community based health insurance is often cited as a means of improving access and financial protection in developing countries, but such schemes may not benefit the poorest. We evaluate alternative strategies for improving the uptake of benefits of a community based health insurance scheme by its poorest members.

Comparisons: Three groups are compared to standard insurance scheme members (Control). One group is provided with after-sale service and supportive supervision (AfterSS). A second group is provided with prospective reimbursement (PR). A third group is provided with these two interventions together (Both).

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Criteria

Subdistrict Inclusion Criteria:

  • 500 or more female (>=18 y of age) SEWA Insurance members in 2003

Subdistrict Exclusion Criteria:

  • All members were mandatorily enrolled in the scheme by a donor agency
  • Ahe sub-district had no general hospital of 25 beds or more

Individual Inclusion Criteria:

  • All female and male members of SEWA Insurance for 2004 and 2005

Individual Exclusion Criteria:

  • Those whose home could not be found based on given address data
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00421629

Locations
India
Self Employed Women's Association
Ahmedabad, Gujarat, India, 380001
Sponsors and Collaborators
London School of Hygiene and Tropical Medicine
Wellcome Trust
Investigators
Principal Investigator: Anne J Mills, MA DHSA PhD London School of Hygiene and Tropical Medicine
Study Director: Michael K Ranson, MD MPH PHD London School of Hygiene and Tropical Medicine
  More Information

Publications:
ClinicalTrials.gov Identifier: NCT00421629     History of Changes
Other Study ID Numbers: PHHPBD25, GR067926MA
Study First Received: January 10, 2007
Last Updated: January 11, 2007
Health Authority: United Kingdom: Research Ethics Committee

Keywords provided by London School of Hygiene and Tropical Medicine:
health insurance
hospitalization insurance
community based health insurance
health care access
developing countries
randomized controlled trials

ClinicalTrials.gov processed this record on July 20, 2014