Experimental Study to Assess Interventions Aimed at Improving the Equity Impact of Community-Based Health Insurance
January 11, 2007 updated by: London School of Hygiene and Tropical Medicine
The purpose of this study is to assesses interventions aimed at improving the distributional impact of a community based health insurance scheme in rural India.
Study Overview
Status
Completed
Conditions
Detailed Description
Community based health insurance is often cited as a means of improving access and financial protection in developing countries, but such schemes may not benefit the poorest. We evaluate alternative strategies for improving the uptake of benefits of a community based health insurance scheme by its poorest members.
Comparisons: Three groups are compared to standard insurance scheme members (Control). One group is provided with after-sale service and supportive supervision (AfterSS). A second group is provided with prospective reimbursement (PR). A third group is provided with these two interventions together (Both).
Study Type
Interventional
Enrollment
688
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Gujarat
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Ahmedabad, Gujarat, India, 380001
- Self Employed Women's Association
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
N/A
Genders Eligible for Study
All
Description
Subdistrict Inclusion Criteria:
- 500 or more female (>=18 y of age) SEWA Insurance members in 2003
Subdistrict Exclusion Criteria:
- All members were mandatorily enrolled in the scheme by a donor agency
- Ahe sub-district had no general hospital of 25 beds or more
Individual Inclusion Criteria:
- All female and male members of SEWA Insurance for 2004 and 2005
Individual Exclusion Criteria:
- Those whose home could not be found based on given address data
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Factorial Assignment
- Masking: None (Open Label)
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
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socioeconomic status of claimants relative to the membership base in their subdistricts of residence
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Secondary Outcome Measures
Outcome Measure |
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enrolment rates in Vimo SEWA
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mean socioeconomic of the insured relative to the general rural population
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rate of insurance claim submission
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Investigators
- Principal Investigator: Anne J Mills, MA DHSA PhD, London School of Hygiene and Tropical Medicine
- Study Director: Michael K Ranson, MD MPH PHD, London School of Hygiene and Tropical Medicine
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Ranson MK, Sinha T, Chatterjee M, Acharya A, Bhavsar A, Morris SS, Mills AJ. Making health insurance work for the poor: learning from the Self-Employed Women's Association's (SEWA) community-based health insurance scheme in India. Soc Sci Med. 2006 Feb;62(3):707-20. doi: 10.1016/j.socscimed.2005.06.037. Epub 2005 Jul 28.
- Sinha T, Ranson MK, Chatterjee M, Acharya A, Mills AJ. Barriers to accessing benefits in a community-based insurance scheme: lessons learnt from SEWA Insurance, Gujarat. Health Policy Plan. 2006 Mar;21(2):132-42. doi: 10.1093/heapol/czj010. Epub 2005 Dec 22.
- Ranson MK, Sinha T, Morris SS, Mills AJ. CRTs--cluster randomized trials or "courting real troubles": challenges of running a CRT in rural Gujarat, India. Can J Public Health. 2006 Jan-Feb;97(1):72-5. doi: 10.1007/BF03405220.
- Morris SS, Ranson MK, Sinha T, Mills AJ. Measuring improved targeting of health interventions to the poor in the context of a community-randomised trial in rural India. Contemp Clin Trials. 2007 Jul;28(4):382-90. doi: 10.1016/j.cct.2006.10.008. Epub 2006 Oct 14.
- Ranson MK, Sinha T, Gandhi F, Jayswal R, Mills AJ. Helping members of a community-based health insurance scheme access quality inpatient care through development of a preferred provider system in rural Gujarat. Natl Med J India. 2006 Sep-Oct;19(5):274-82.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
October 1, 2003
Study Completion
April 1, 2006
Study Registration Dates
First Submitted
January 10, 2007
First Submitted That Met QC Criteria
January 11, 2007
First Posted (Estimate)
January 12, 2007
Study Record Updates
Last Update Posted (Estimate)
January 12, 2007
Last Update Submitted That Met QC Criteria
January 11, 2007
Last Verified
January 1, 2007
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- PHHPBD25
- GR067926MA
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.