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Achieving equity in health through community based health insurance: India's experience with a large CBHI programme

Author

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  • Aradhna Aggarwal

    (Research Institute for Economics & Business Administration (RIEB), Kobe University, Japan)

Abstract

This paper analyses equity in one of the largest community based health insurance programme in India: Yeshasvini, run by the Department of Cooperation in Karnataka, a state in India. The analysis is based on a primary survey of 4109 households in rural Karnataka. The study covers various dimensions of vulnerability and assesses their relationship with enrolment, renewal of enrolment, and utilisation of health care services using logistic regression techniques. The results demonstrate that inequities do exist. However, they are less pronounced in the distribution of benefits than in enrolment and renewals. The study argues that while CBHI may be used as a mechanism to reach the most disadvantaged population groups, they can not be considered as substitute for government created health infrastructure.

Suggested Citation

  • Aradhna Aggarwal, 2010. "Achieving equity in health through community based health insurance: India's experience with a large CBHI programme," Discussion Paper Series DP2010-31, Research Institute for Economics & Business Administration, Kobe University.
    • Handle: RePEc:kob:dpaper:dp2010-31
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    File URL: https://www.rieb.kobe-u.ac.jp/academic/ra/dp/English/DP2010-31.pdf
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    Cited by:

    1. David Mark Dror, 2018. "What Factors Affect Voluntary Uptake of Community-based Health Insurance Schemes in Lowand Middle-Income Countries? A Systematic Review and Meta-Analysis," World Scientific Book Chapters, in: Financing Micro Health Insurance Theory, Methods and Evidence, chapter 14, pages 271-306, World Scientific Publishing Co. Pte. Ltd..
    2. Panda, P. & Chakraborty, A. & Raza, W.A. & Bedi, A.S., 2015. "Renewing membership in three community-based health insurance schemes in rural India," ISS Working Papers - General Series 608, International Institute of Social Studies of Erasmus University Rotterdam (ISS), The Hague.

    More about this item

    Keywords

    Community-based health insurance (CBHI) Karnataka state India; Equity; Gender; Vulnerability;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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