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

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT00421629

Enrollment

688

Registered

2007-01-12

Start date

2003-10-31

Completion date

2006-04-30

Last updated

2007-01-12

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Insurance

Keywords

health insurance, hospitalization insurance, community based health insurance, health care access, developing countries, randomized controlled trials

Brief summary

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.

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).

Interventions

BEHAVIORALAfter-sales service and supportive supervision (AfterSS)

BEHAVIORALProspective reimbursement (PR)

BEHAVIORALBoth (AfterSS and PR)

Study design

Allocation

RANDOMIZED

Intervention model

FACTORIAL

Primary purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Inclusion criteria

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

Design outcomes

Primary

Measure	Time frame
socioeconomic status of claimants relative to the membership base in their subdistricts of residence	—

Secondary

Measure	Time frame
enrolment rates in Vimo SEWA	—
mean socioeconomic of the insured relative to the general rural population	—
rate of insurance claim submission	—

Countries

India

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Apr 7, 2026