DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20192322

Awareness and satisfaction about state health insurance scheme among beneficiaries at tertiary care hospital in Maharashtra

Roza G. Bhaisare, Gaurav M. Rangari

Abstract


Background: The Rajiv Gandhi Jeevandayee Arogya Yojana (RGJAY) is cashless medical insurance scheme launched in 2nd July 2012 by Maharashtra government is for poor families like below poverty line, above poverty line categories, Antyodaya and Annapurna cards holders with annual income less than Rs. 1 lakh. It’s implemented throughout the state of Maharashtra in phased manner for a period of 3 years. The aim is to provide quality care and free medical facilities worth Rs. 1.5 lakh. Aim of this study is to see awareness of the scheme and satisfaction level among beneficiaries about RGJAY scheme.

Methods: It’s a cross sectional hospital based study. 500 Patient enrolled under RGJAY scheme selected daily during study period January 2013 to June 2014 in Raigad district. Statistical analysis was done by using SPSS 21.0.

Results: Most of the beneficiaries were male (63.4%), age group 40-70 (51.2%). 67.2% participants were aware about RGJAY and 35% were came to know through media. Only 20% participants utilized services under RGJAY scheme more than one time. 31% participant’s family members had taken benefits of the scheme. 45.4% participants were highly satisfied, 28.8% satisfied with services provided under RGJAY scheme.

Conclusions: The participants were aware about the scheme, but utilization of the scheme was low in the population. Most of the participants were satisfied with services provided under scheme. It shows that scheme was successful in Raigad district.


Keywords


Awareness, Below poverty line, Rajiv Gandhi Jeevandayee Arogya Yojana, State health insurance scheme, Satisfaction

Full Text:

PDF

References


Park K. Epidemiology of Communicable Diseases, in Parks Textbook of Preventive and Social Medicine. 22th ed. Jabalpur: M/s Banarsidas Bhanot Publishers; 2013: 28.

Patil AV, Somasundaram KV, Goyal RC. Current health scenario in Rural India. Aust J Rural Health. 2002;10:129-35.

Peter DH, Yazbeck AS, Sharma RR, Raman GNV, Pritchett LH, Wagstaff A. Better Health System for India’s Poor: Findings, Analysis, and Options. Washington D.C: The World Bank; 2002.

Regnier P, Andrews M, Gengler A. Health Care Reform. Money. 2010;39(4):70-80.

Nair KS, Sherin R, Tiwari VK. Rastriya Swasthya Bima Yojana (RSBY) – Hospitalised Families in National Capital Territory of Delhi. Arthavijnana. 2013;LV(1):71-88.

Patel J, Shah J, Agarwal M, Kedia G. Post Utilization Survey of RSBY beneficiaries in civil hospital, Ahmedabad: A cross sectional study. Int J Med Sci Public Health. 2013;2(4):1109-12.

Samuel JC, Rajagopal N. Performance evaluation of 'Kalaignar Health Insurance Scheme -For Life Saving Treatment: A Study among the Beneficiaries of Madurai District. J Contemp Res Manag 2011;6(4):1-17.

Osuchukwu NC, Osonwa KO, Eko JE, Uwanede CC, Abeshi SE, Offiong DA. Evaluating the Impact of National Health Insurance Scheme on Health Care Consumers in Calabar Metropolis, Southern Nigeria. Int J Learning Develop. 2013;3(4):30-45.

Onyedibe KI, Goyit MG, Nnadi NE. An evaluation of the national health insurance scheme (NHIS) in Jos, a north-central Nigerian city. Global Adv Res J Microbiol. 2012;1(1):5-12.

Evaluation Study of Rashtriya Swasthya Bima Yojana in Shala and Kangra Districts in Himachal Pradesh 2013. Available at: http://www.rsby.gov. in/Documents.aspx?ID=14 Accessed on 05 August 2018.

Rajasekhar D, Berg E, Maitreesh G, Manjula R, Sanchari R. Implementing Health Insurance: The Rollout of Rashtriya Swasthya Bima Yojana in Karnataka. Economic and Political Weekly. 2011;XLVI(20):56-63.

Ghosh S. Publicly-Financed Health Insurance for the Poor Understanding RSBY in Maharashtra. Economic & Political Weekly. 2014;XLIX(43-44):93-9.

Rapid Assessment of to map out Situational Realities in Jaunpur, Mirzapur and Sant Ravidas Nagar: Rashtriya Swasthya Bima Yojana: Study commissioned by UNDP; 2009.

Seshadri T, Trivedi M, Saxena D, Nair R, Soors W, Criel B, et al. Health Insurance in India 2013. Accessed on 15-9-18] Available from: http://www.iphindia.org/v2/wpcontent/uploads/2013/01/RSBYreport_2013_Jan_02.pdf Accessed on 15 September 2018.

Vasisht S, Pandit N. Experiences of RSBY beneficiaries in a district of Western India – A Qualitative study. IJEMR. 2012;2(7):1-8.

Kumar S. Awareness, accessibilty and barriers in utilization of Rastriya Swasthya Bima Yojana services among BPL families in Puri district, Odisha. Available at: http://www.slideshare.net/ SudheirYadav/awareness-accessibility-and-barriers-in-utilization-of-rastriya-swasthya-bima-yozna-services-among-bpl-families-in-puri-district-odisha. Accessed on 01 October 2018.

Rao M, Kadam S, Sathyanarayana TN, Shidhaye R, Shukla R, Ramchandra SS, et al. Rapid evaluation of Rajiv Arogyashree community health insurance scheme, Andhra Pradesh. BMC Proceedings. 2012;6(1):1-2.