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Developing efficient and responsive community based micro health insurance in India

Objective

Two generations of top-down decisions on health financing systems have produced very modest results for poor people, poor countries or indeed for the major donors/funders. In most developing countries, including India, the lion’s share of health spending is made out of pocket. Impoverishment, low access – especially for weaker segments of the population such as women and children – and thus bad health status are consequences. Health insurance has the potential to remedy or at least reduce the severe consequences of unforeseen health care expenditures. Recently, a growing number of community based health insurance (CBHI) schemes emerge in India and other developing countries. It is expected that CBHI can (i) help mobilizing additional resources for health financing, (ii) provide financial protection and (iii) increase access to health care and hence ultimately the health status of the rural population. Community based health insurance represent the highest hope for extension of insurance amongst the poor, drawing on experience of many western countries and Japan. However, in order to make use of the scarce resources available and build systems offering value to the poor, it is important to have a detailed and evidence based understanding on how to build an efficient and responsive CBHI-system. This proposed project sets out to close the knowledge gap on aspects important for the successful implementation of CBHI. It does so through a set of controlled field experiments through which CBHI is implemented in villages of three states of India. Rigorous longitudinal research documents the learning and makes it available for replication elsewhere. We apply quantitative research along with in depth qualitative research and spatial data. It is the project’s overall objective to: Use affordable, responsive and inclusive Community Based Health Insurance to increase: (i) Equitable access to healthcare and (ii) Financial protection.

Call for proposal

FP7-HEALTH-2007-B
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Coordinator

ERASMUS UNIVERSITEIT ROTTERDAM
Address
Burgemeester Oudlaan 50
3062 PA Rotterdam
Netherlands

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Activity type
Higher or Secondary Education Establishments
Administrative Contact
Eugene Sophia (Mr.)
EU contribution
€ 1 034 606

Participants (5)

UNIVERSITAT ZU KOLN
Germany
EU contribution
€ 301 979
Address
Albertus Magnus Platz
50931 Koln

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Activity type
Higher or Secondary Education Establishments
Administrative Contact
Hans Jürgen Rösner (Prof.)
Sarvajan Unnati Bodhini
India
EU contribution
€ 1 002 005
Address
Sant Nagar, East Of Kailash 246
110065 New Delhi

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Activity type
Research Organisations
Administrative Contact
Iddo Dror (Dr.)
BAIF Development Research Foundation
India
EU contribution
€ 220 469
Address
Kamdhenunagar,
412 202 Pune

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Activity type
Research Organisations
Administrative Contact
Shrikant B. Khadilkar (Dr.)
NIDAN
India
EU contribution
€ 220 469
Address
Sudama Bhawan, Boring Road
800001 Patna

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Activity type
Research Organisations
Administrative Contact
Arbind Singh (Mr.)
Shramik Bharti
India
EU contribution
€ 220 469
Address
Vikas Nagar, Lakhanpur 392
208024 Kanpur

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Activity type
Research Organisations
Administrative Contact
Rakesh Pandey (Mr.)