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

NCT ID: NCT00421629

Last Updated: 2007-01-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

688 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-10-31

Study Completion Date

2006-04-30

Brief Summary

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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

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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).

Conditions

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Health Insurance

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Interventions

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After-sales service and supportive supervision (AfterSS)

Intervention Type BEHAVIORAL

Prospective reimbursement (PR)

Intervention Type BEHAVIORAL

Both (AfterSS and PR)

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* 500 or more female (\>=18 y of age) SEWA Insurance members in 2003


* All female and male members of SEWA Insurance for 2004 and 2005

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


* Those whose home could not be found based on given address data
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Wellcome Trust

OTHER

Sponsor Role collaborator

London School of Hygiene and Tropical Medicine

OTHER

Sponsor Role lead

Principal Investigators

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Anne J Mills, MA DHSA PhD

Role: PRINCIPAL_INVESTIGATOR

London School of Hygiene and Tropical Medicine

Michael K Ranson, MD MPH PHD

Role: STUDY_DIRECTOR

London School of Hygiene and Tropical Medicine

Locations

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Self Employed Women's Association

Ahmedabad, Gujarat, India

Site Status

Countries

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India

References

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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.

Reference Type BACKGROUND
PMID: 16054740 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 16373360 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 16512334 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 17126613 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 17203684 (View on PubMed)

Other Identifiers

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GR067926MA

Identifier Type: -

Identifier Source: secondary_id

PHHPBD25

Identifier Type: -

Identifier Source: org_study_id

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