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Completed

NCT Number: NCT00421629

Experimental Study to Assess Interventions Aimed at Improving the Equity Impact of Community-Based Health Insurance

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.

Completed

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Key information

Conditions

Health Insurance

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Self Employed Women's Association

Ahmedabad, Gujarat, 380001, India

About this study

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).

Who can participate

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

After-sales service and supportive supervision (AfterSS)

Behavioral

Prospective reimbursement (PR)

Behavioral

Both (AfterSS and PR)

Behavioral

Primary outcomes

  1. socioeconomic status of claimants relative to the membership base in their subdistricts of residence

Secondary outcomes

  1. enrolment rates in Vimo SEWA

  2. mean socioeconomic of the insured relative to the general rural population

  3. rate of insurance claim submission

Sponsors and collaborators

Lead sponsor

London School of Hygiene and Tropical Medicine

Other

Collaborators

  • Wellcome Trust

Registry information

Important dates

Study start
2003
Study completion
2006
First posted
Jan 12, 2007
Registry last updated
Jan 12, 2007

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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