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
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 April 17, 2014