Has the Rajiv Aarogyasri Community Health Insurance Scheme of Andhra Pradesh Addressed the Educational Divide in Accessing Health Care?

PloS One
Mala RaoGopalakrishnan Netuveli

Abstract

Equity of access to healthcare remains a major challenge with families continuing to face financial and non-financial barriers to services. Lack of education has been shown to be a key risk factor for 'catastrophic' health expenditure (CHE), in many countries including India. Consequently, ways to address the education divide need to be explored. We aimed to assess whether the innovative state-funded Rajiv Aarogyasri Community Health Insurance Scheme of Andhra Pradesh state launched in 2007, has achieved equity of access to hospital inpatient care among households with varying levels of education. We used the National Sample Survey Organization 2004 survey as our baseline and the same survey design to collect post-intervention data from 8623 households in the state in 2012. Two outcomes, hospitalisation and CHE for inpatient care, were estimated using education as a measure of socio-economic status and transforming levels of education into ridit scores. We derived relative indices of inequality by regressing the outcome measures on education, transformed as a ridit score, using logistic regression models with appropriate weights and accounting for the complex survey design. Between 2004 and 2012, there was a 39% reduction in th...Continue Reading

References

Nov 6, 2003·Health Economics·Adam Wagstaff, Eddy van Doorslaer
Oct 16, 2004·Journal of Epidemiology and Community Health·Enrique Regidor
Jul 7, 2012·International Journal of Health Care Finance and Economics·Victoria Y FanAjay Mahal

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