Publication: Government Health Insurance for People Below Poverty Line in India: Quasi-Experimental Evaluation of Insurance and Health Outcomes
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2014-09-11
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2019-12-24
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The objective of this study is to evaluate the effects of a government insurance program covering tertiary care for people below the poverty line in Karnataka, India, on out-of-pocket expenditures, hospital use, and mortality.
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Annex one presents an overview of the health system and health financing in India, and annex two discusses the evolutionary context of India's Government sponsored health insurance schemes. The discussion of the mechanics and operational features of these programs has been undertaken to unravel the underlying complexities, interactions, and interdependencies within these programs. The case study also aims to contribute to the ongoing debate within the Indian health sector, with opinions divided between investments in traditional input-based health spending for publicly managed health facilities versus demand-side financing, purchasing of care, and involving private providers and intermediaries in delivering services financed by public money. The case study also aims to share how the lessons learned by one program can be applicable more widely within the Indian health system and beyondPublication Government-Sponsored Health Insurance in India : Are You Covered?(2012-08-26)Since independence, India has struggled to provide its people with universal health coverage. Whether defined in terms of financial protection or access to and effective use of health care, the majority of Indians remain irregularly and incompletely covered. Finally, and most recently, a new generation of Government-Sponsored Health Insurance Schemes (GSHISs) has emerged to provide the poor with financial coverage. Briefly, the main objective of these new GSHISs was to offer financial protection against catastrophic health shocks, defined in terms of an inpatient stay. Between 2007 and 2010, six major schemes have emerged, including one sponsored by the Government of India (GOI) and five state-sponsored schemes. 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For the most part, social health insurance adoption has no significant impact on amenable mortality, but for one cause-breast cancer among women-social health insurance systems perform significantly worse, with 5-6 percent more potential years of life lost.Publication Bhutan : Maternal and Reproductive Health at a Glance(World Bank, Washington, DC, 2014-11)Bhutan is a small landlocked country in the Himalayas between China and India. Poverty reduction has been rapid from about 23 percent in 2007 to 12-13 percent in 2012. Gender equality and women's empowerment are important determinants of reproductive health. Contraceptive prevalence rate (CPR) is higher among the poorest quintile than the richest. Large disparities in access to skilled birth attendant remain by geography and wealth quintile. Poor nutrition is a serious issue for pregnant mothers, since 55 percent of women are anemic. 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