The use of up-to-date maps is therefore essential when replicating the NSS methodology for research. Also the evaluation of policies or programmes is usually not built in when such policies and programmes are implemented because many of them are politically motivated, as is the case with the Rajiv Aarogyasri scheme. The villages in which the survey is to be undertaken are selected by a probability proportional to size with replacement method, from the census listing of villages. The Aarogyasri scheme has unique features including Aarogyamithras health system navigators , outreach health camps delivered by participating hospitals to educate, screen and case-find and a state-of-the-art information technology-based management system. Equity of access to healthcare remains a major challenge with families continuing to face financial and non-financial barriers to services. We used the National Sample Survey Organization survey as our baseline and the same survey design to collect post-intervention data from households in the state in
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Catastrophe and impoverishment in paying for health care: However, our study shows that education alone may not lead to a reduction in CHE, if there is no concomitant improvement in income, but that publicly funded programmes such as Aarogyasri have the opportunity to overcome the impacts of economic inequalities. Wagstaff A, Doorslaer E. Measures of health inequalities: The use of up-to-date maps is therefore essential when replicating the NSS methodology for research.
In this study we have demonstrated that the gap between the advantaged and disadvantaged was narrowed, and that this bucks the trend that such programmes usually benefit the better off more [ 2 ]. The objective of the study was to examine whether the Aarogyasri scheme has achieved equity of access to hospital inpatient care among households with varying levels of educational attainment.
Aarogyasri – Wikipedia
The population of Andhra Pradesh increased by more than 8. A BPL beneficiary can go to any hospital either public or private and come out without making any payment to the hospital for the aqrogyasri covered under the scheme.
The impact of schemes such as the Aarogyasri is usually not analysed in the context of inequalities. Control variables We adjusted all analyses for age and sex.
By using an ‘inequalities’ lens in this analysis, we have taken the issue of universal health care into the arena of social justice. Last Updated till December 9, This article has been cited by other articles in PMC. Twelfth Five Year Plan — Author information Article notes Copyright and License information Disclaimer. National Sample Survey Organization.
World Bank; Washington DC: India has one of the highest levels awrogyasri out-of-pocket health expenditure [ 4 ]. The benefit on family is on floater basis i. Relative Index of Inequality.
Rajiv Aarogyasri Community Health Insurance Scheme: Andhra Pradesh
As the data was collected using carr complex survey design, we took that also into consideration while calculating the ridit scores. This likelihood was reduced in RII 1.
However, we were fortunate to have the NSSO survey in to use as a baseline and we took care that our follow up survey closely followed its design so that together they constituted a comparable pair of repeated cross-sectional surveys.
The impact of universal coverage schemes in the developing world: Evaluation is often considered as an afterthought or in response to some need that arises later.
Received May 27; Accepted Dec 8. Household survey questionnaires include signed consent by the head of the household rakiv another adult representative of the household. Role of the funding sources The external funding sources had no role in study design, data collection, analysis, interpretation or reporting, or in submission decision.
Although there is some evidence that lack of awareness, probably resulting from low levels of education is a barrier to health care among the poor, the relationships between educational status, and health care access and expenditure have been less well explored. Possible explanations may be that higher incomes associated with better education directly result in improving access to care and lower the risks of CHE [ 18 ].
YSRAHCT Home page – YSRAHCT-Government-of-A.P
Further study is needed to determine specific aspects of the scheme to which change may be directly attributable, and which deserve to be replicated across the country. First stage sampling—villages and urban blocks A stratified multi-stage sampling method is used.
This study has examined health related expenditure and behaviours at only two points in time.
Although policies exist to reduce educational inequalities, the pace of change is likely to be slow, and our findings encourage us to suggest that the health delivery system may be cwrd to effect further change in improving health care access for those with lower levels of education, more rapidly. NSSO provides these weights along with the unit level data to be used in statistical analyses. The villages in which the survey is to be undertaken are selected by a helath proportional to size with replacement method, from the census listing of villages.