Health Policy Plan 27 4: It explored how social exclusion restricts access to health services despite recent health financing reforms and how social health protection SHP can be increased. Initially, extensive review of literature was done followed by qualitative and quantitative methods to answer the research questions. Among them, only The research protocol was developed during December to April The urban areas Soors W, Seshadri T.
There is definite need to make overall socioeconomic development with more focus on health. The use, distribution or reproduction in other forums is permitted, provided the original author s or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. This article has been cited by other articles in PMC. The urban areas It was not the HHs who had a choice to decide if they want to reenroll. The determinants of poor awareness about RSBY were studied further.
From each selected ward, one or two segments were selected with PPS in the second stage.
If there is proper information, only then we will go the hospital. The literature on RSBY by and large remains descriptive. National Center for Biotechnology InformationU. These findings helped to supplement the findings from the quantitative results and to identify the SPEC factors at each level. Five districts were selected for the qualitative survey. Our study was also analyzed separately to study the effect of social exclusion on enrollment in RSBY.
This may be due to the fact that the scheme was first launched in the rural areas. Remote and tribal villages were not enrolled at all.
RSBY scheme and Out of pocket expenditure – a Case Study from Chhattisgarh
The research protocol was developed during December to April Member of political party 17 Abstract Introduction Government of India launched a social health protection program called Rashtriya Swasthya Bima Yojana RSBY in the year oh provide financial protection from catastrophic health expenses to below poverty line households HHs.
They carry out enrollment activities, print smart cards, process insurance claims, and do other administrative tasks. The depth of awareness was examined among the enrolled HHs. Even the studt of these schemes are quite similar to each other and also changed often.
In some instances, the cards were left in the gram panchayat and not distributed or were renewed by overwriting on the older cards. The analysis was carried at different steps with the stepwise denominator. In case any selected Cxse could not participate in the survey for some reason, the next HH was selected for interview. The study followed mixed methods approach. In some other places, the awareness was better; however, detailed information was known to very few individuals.
For each HH, the head of the HH was interviewed through a structured interview schedule after their consent. Rashtriya Swasthya Bima Yojana scheme in Maharashtra as well as cqse other states of India and similar state-sponsored health studg schemes should ensure sufficient enrollment by proactively educating the vulnerable sections.
The essential details for using the scheme were not known to users. The questionnaire used was structured and was divided into 12 parts with different functions and objectives. In-Depth Interviews were conducted to describe the process of social exclusion based on the narratives of individual experience.
The government must actively facilitate the potential of CHI schemes to emancipate the target group so that they may transform from mere passive beneficiaries into active participants in their health At the same time, it was also mentioned that the powerful and politically connected HHs will receive benefits but will also be well informed about the social protection mechanisms.
Materials and Methods The research protocol was developed during December to April Demographic and socioeconomic characteristics of selected households.
The following key findings emerged from their responses:. Amicus Advisory Private Limited.
The key informants and stakeholders also reinforced these findings. Health Policy Plan 27 3: In the first stage, the selection of PSUs, which are villages or groups of villages in the case of small linked villageswith probability proportional to population size PPS was carried out.
Rsby Scheme And Out Of Pocket Expenditure – A Case Study From Chhattisgarh
Within each of the sampling domains of rural and urban areas, a systematic, multistage stratified sampling design was used. The use, distribution or reproduction rsbg other forums is permitted, provided the original author s or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice.
The government has to play proactive role in this by making available primary, secondary, and tertiary healthcare facilities for the poor.