Study of Awareness, Enrollment, and Utilization of Rashtriya Swasthya Bima Yojana (National Health Insurance Scheme) in Maharashtra, India

Frontiers in Public Health
Harshad Thakur

Abstract

Government of India launched a social health protection program called Rashtriya Swasthya Bima Yojana (RSBY) in the year 2008 to provide financial protection from catastrophic health expenses to below poverty line households (HHs). The objectives of the current paper are to assess the current status of RSBY in Maharashtra at each step of awareness, enrollment, and utilization. In addition, urban and rural areas were compared, and social, political, economic, and cultural (SPEC) factors responsible for the better or poor proportions, especially for the awareness of the scheme, were identified. The study followed mixed methods approach. For quantitative data, a systematic multistage sampling design was adopted in both rural and urban areas covering 6000 HHs across 22 districts. For qualitative data, five districts were selected to conduct Stakeholder Analysis, Focused Group Discussions, and In-Depth Interviews with key informants to supplement the findings. The data were analyzed using innovative SPEC-by-steps tool developed by Health Inc. It is seen that that the RSBY had a very limited success in Maharashtra. Out of 6000 HHs, only 29.7% were aware about the scheme and 21.6% were enrolled during the period of 2010-2012. Only 11....Continue Reading

References

Jun 12, 2010·Bulletin of the World Health Organization·David B Evans, Carissa Etienne
Apr 14, 2011·Health Policy and Planning·Renu Shahrawat, Krishna D Rao
Jun 11, 2011·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Joris MichielsenHerman Meulemans
Mar 3, 2012·The Indian Journal of Medical Research·David M Dror, Sukumar Vellakkal
Aug 22, 2013·Health Research Policy and Systems·Narayanan DevadasanBart Criel

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Methods Mentioned

BETA
IEC

Software Mentioned

RSBY
RGJAY
Statistical Package for Social Sciences ( SPSS )

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