Factors such as lack of accurate data for enrolling the BPL HHs and lack of infrastructure at the grass root level are reported as the key reasons. Here, the Ministry of Health was not involved. At the same time, it was also mentioned that the powerful and politically connected HHs will receive benefits but will also be well informed about the social protection mechanisms. Our study was also analyzed separately to study the effect of social exclusion on enrollment in RSBY. The government must actively facilitate the potential of CHI schemes to emancipate the target group so that they may transform from mere passive beneficiaries into active participants in their health The same pattern was seen among both enrolled and non-enrolled HHs. Poor awareness among all the expected beneficiaries in the community, especially BPL families as well as stakeholders such as implementers, policy makers, etc.

These local health workers often do not view RSBY information dissemination as a priority due to numerous other responsibilities. Maharashtra case study summary. Considering the government plans to invest more in state-specific health insurance schemes and adaptation of this as key mechanism to finance health services, it becomes essential to explore the overall RSBY experience. Shahrawat R, Rao KD. The coverage decreases with each step.

Discusses intimate and personal matters in the community. Further, those who renewed their membership were not necessarily provided with a new card. Remote and tribal villages were not enrolled at all.

Due to lack of awareness, several respondents had incurred expenditure for hospitalization episodes in spite of being covered by the scheme. Lack of effective IEC activities from the agencies, which were entrusted to enroll the HHs in the given district, emerged as a principal reason for the low awareness, enrollment, and utilization of the scheme.


Even the names of these schemes are quite similar to each cas and also changed often. Amicus Advisory Private Limited; Available from: After understanding the stakeholders involved, IDIs of those who are closely related to the scheme were conducted.

They will not come here. Stakeholder Analysis Stakeholder analysis was conducted in two parts. Overall, 18 FGDs were conducted.

Feel that have been treated fairly because of your political beliefs, stdy The renewal of the cards occurred quite infrequently. Thus, if the denominator is kept constant, different picture is seen.

RSBY scheme and Out of pocket expenditure – a Case Study from Chhattisgarh

Materials and Methods The research protocol was developed during December to April This indicates the asymmetry of information and underscores the need of empowering the users The awareness and enrollment were usually done simultaneously resulting in poor awareness among the respondents. They further report that very few HHs received the information brochure with the name of hospitals and information on the scheme.

case study on rsby

Stakeholder analysis was conducted in two parts. This resulted in majority of the HHs enrolling the elderly members and thus excluding the younger children and female members intra-HH exclusion. This article has been cited by other articles in PMC.

case study on rsby

Poor awareness among all the expected beneficiaries in the community, especially BPL families as well as stakeholders such as implementers, policy makers, etc. The views and conclusions presented in this policy brief are the sole responsibility of the author and do not necessarily reflect the views of the Stuvy Commission.


They also reported that among the enrolled cohort, awareness was increasing about the components of scheme. Murgai R, Palacios R. The design of the scheme allows only five HH members to be enrolled.

rsvy A new approach to providing health insurance to the poor in India. These findings helped to supplement the findings from the quantitative results and to identify the SPEC factors at each level. It is seen that out of HHs, only Indian J Med Res 1: This may be due to the fact that the scheme was first launched in the rural areas.

Rsby Scheme And Out Of Pocket Expenditure – A Case Study From Chhattisgarh

The World Health Report Maharashtra is divided czse 35 districts administrative block below the level of state. The sample in Maharashtra was designed to provide estimates for the state as a whole, for urban and rural areas.

Economic and Political Weekly; 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.