Experimental Study to Assess Interventions Aimed at Improving the Equity Impact of Community-Based Health Insurance
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.
Behavioral: After-sales service and supportive supervision (AfterSS)
Behavioral: Prospective reimbursement (PR)
Behavioral: Both (AfterSS and PR)
|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|
- socioeconomic status of claimants relative to the membership base in their subdistricts of residence
- enrolment rates in Vimo SEWA
- mean socioeconomic of the insured relative to the general rural population
- rate of insurance claim submission
|Study Start Date:||October 2003|
|Estimated Study Completion Date:||April 2006|
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).
|Self Employed Women's Association|
|Ahmedabad, Gujarat, India, 380001|
|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|