• English
    • français
    • Deutsch
    • español
    • português (Brasil)
    • Bahasa Indonesia
    • русский
    • العربية
    • 中文
  • English 
    • English
    • français
    • Deutsch
    • español
    • português (Brasil)
    • Bahasa Indonesia
    • русский
    • العربية
    • 中文
  • Login
View Item 
  •   Home
  • OAI Data Pool
  • OAI Harvested Content
  • View Item
  •   Home
  • OAI Data Pool
  • OAI Harvested Content
  • View Item
JavaScript is disabled for your browser. Some features of this site may not work without it.

Browse

All of the LibraryCommunitiesPublication DateTitlesSubjectsAuthorsThis CollectionPublication DateTitlesSubjectsAuthorsProfilesView

My Account

Login

The Library

AboutNew SubmissionSubmission GuideSearch GuideRepository PolicyContact

Statistics

Most Popular ItemsStatistics by CountryMost Popular Authors

Expanding Health Coverage for Vulnerable Groups in India

  • CSV
  • RefMan
  • EndNote
  • BibTex
  • RefWorks
Author(s)
Nagpal, Somil
Keywords
provider payment
expenditures
Health Expenditure
rural hospitals
public hospitals
health care delivery
Health Service Delivery
Ministry of Health
primary care
institutional mechanisms
health systems
tuberculosis
beds
infant mortality
disparities in health
patient satisfaction
progress
family members
income elasticity
child health
cost sharing
National AIDS
Immunization
budget allocation
lack of information
financial resources
insurance companies
tuberculosis patients
Public Health
mother
health care providers
patient choice
health service
Financial Management
universal access
health outcomes
health delivery
vulnerability
community participation
Health Care Services
Life expectancy
health programs
disease control
Health Insurance
referral systems
infant
Health Affairs
Family Welfare
health care expenditure
ambulatory care
Vulnerable Groups
health sector
Health Insurance Scheme
private hospitals
Health Financing
patient
policy decisions
mortality
human resources
public expenditure on health
public health care
integration
maternal mortality
pocket payments
health workers
rural areas
illness
policy makers
health providers
income countries
communicable diseases
plan of action
government departments
workers
Dissemination
income
health sector workers
Adult mortality rate
Sustainable Development
Public Health Expenditure
Incidence Analysis
quality of life
radio
pocket payments for health care
social development
health finance
public insurance
Intermediaries
social sector
hospitals
health conditions
grassroots workers
emergency obstetric care
private insurers
poor families
Public spending
protection mechanisms
information system
social health insurance
financial protection
competition among providers
health care system
Health Specialist
Health Insurance Schemes
health care
health care sector
Gross Domestic Product
primary health care
National Health Policy
global health
aged
family income
fee-for-service
insurance premium
hospitalization
contraception
delivery system
economic growth
medical equipment
Health Impact
richer segments of society
quality of care
decision making
Physician
HIV/AIDS
informal payments
Community Health
service providers
financial risks
Insurers
hospital admissions
screening
inpatient care
social insurance
Health Centres
World Health Organization
patients
Delivery of Health Care
impact evaluations
Life expectancy at birth
expansion of population
Public Providers
Health Organization
Insurance
Nurses
state policy
Health Management
Family Health
health promotion
provision of care
delivery of health services
maternity services
public expenditure
competition among insurers
private sector
Health Policy
cost of care
Health System
access to services
choice of providers
Health Market
hospital services
developing countries
ill health
health interventions
provision of information
Health Centers
adult mortality
Lack of awareness
health services
walking
Hospital beds
health facilities
Public health spending
health insurance industry
public health programs
state governments
access to health services
Burden of Disease
Private insurance
outreach activities
share of health spending
safe blood transfusion
rural population
public hospital
Employment
private health insurance
public health system
Public Sector
Health Activists
public health interventions
pregnant women
families
Infant mortality rate
morbidity
primary health care system
Ministry of Labour
national health
healthcare services
public insurance schemes
capital investments
health delivery system
moral hazard
Health Coverage
Physicians
health insurance coverage
Show allShow less

Full record
Show full item record
URI
http://hdl.handle.net/20.500.12424/1908160
Online Access
http://hdl.handle.net/10986/13286
Abstract
India's health sector continues to be challenged by overall low levels of public financing, entrenched accountability issues in the public delivery system, and the persistent dominance of out-of-pocket spending. In this context, this case study describes three recent initiatives introduced by the central and state governments in India, aimed at addressing some of these challenges and improving the availability of and access to health services, particularly for the poor and vulnerable groups in the country. This includes two federal schemes introduced by the Government of India-the National Rural Health Mission (NRHM) of the Ministry of Health and Family Welfare and the Rashtriya Swasthya Bima Yojana (RSBY) of the Ministry of Labor and Employment-and the Rajiv Aarogyasri scheme launched by the state government of Andhra Pradesh. The three schemes discussed in this case study were designed and implemented by different agencies almost in parallel, over the same time period, and used different financing and delivery approaches. A discussion of the mechanics and operational features of these programs has been undertaken to unravel the underlying complexities, interactions, and interdependencies of these programs within the country's health system. The remainder of this case study on India's march toward universal health coverage focuses on three recent, prominent programs, and includes a discussion on the institutional structure of these programs and their interactions within the country's health system, their mechanisms for beneficiary targeting and enrolment, the benefits packages covered by them, accompanying innovations in public financial management, and their information environment. Annex one presents an overview of the health system and health financing in India, and annex two discusses the evolutionary context of India's Government sponsored health insurance schemes. The discussion of the mechanics and operational features of these programs has been undertaken to unravel the underlying complexities, interactions, and interdependencies within these programs. The case study also aims to contribute to the ongoing debate within the Indian health sector, with opinions divided between investments in traditional input-based health spending for publicly managed health facilities versus demand-side financing, purchasing of care, and involving private providers and intermediaries in delivering services financed by public money. The case study also aims to share how the lessons learned by one program can be applicable more widely within the Indian health system and beyond
Date
2013-05-02
Type
Publications & Research :: Working Paper
Identifier
oai:openknowledge.worldbank.org:10986/13286
http://hdl.handle.net/10986/13286
Copyright/License
CC BY 3.0 IGO
Collections
OAI Harvested Content

entitlement

 

Related items

Showing items related by title, author, creator and subject.

  • Thumbnail

    Health Care in Sri Lanka : What Can the Private Health Sector Offer?

    Seshadri, Shreelata Rao; Govindaraj, Ramesh; Navaratne, Kumari; Cavagnero, Eleonora (World Bank, Washington, DC, 2014-06)
    This review represents an attempt to
 bridge the significant knowledge gaps on the private health
 sector in Sri Lanka, and foster a dialogue on opportunities
 for collaboration between the government and the private
 sector. It accomplishes this through a systematic collection
 and analysis of primary and secondary data on the provision,
 financing, and regulation of health care services. On health
 service delivery, the review finds that the private sector:
 includes a range of providers; focuses primarily on curative
 and outpatient services rather than preventive services; is
 heavily dependent on the public sector for its supply of
 human resources; and is concentrated in urban areas. The
 quality of health care services in Sri Lanka in both the
 private and public sectors, while better than in most
 developing countries, still lags behind those in more
 advanced countries. There is also little systematic dialogue
 and collaboration between the public and private sectors. On
 financing, the review finds that private health expenditure
 is more than half of total health expenditure, mostly in the
 form of out-of-pocket payments by households, with clear
 implications for Sri Lanka's progression toward
 universal health coverage. On stewardship and regulation,
 there is a clear and urgent need to bridge the existing gaps
 in the legal and regulatory framework, and in the
 enforcement of health regulations applicable to the private
 sector, as well as to create an enabling environment for
 more effective private sector participation in the health
 sector. The review demonstrates that the private health
 sector in Sri Lanka is a growing force, due both to greater
 investment from private players as well as greater demand
 from the population. The review highlights areas where a
 more effective engagement with the private sector could
 ensure that Sri Lanka is able to offer its citizens
 universal access to good quality health service while also
 stimulating economic growth.
  • Thumbnail

    Good Practices in Health Financing : Lessons from Reforms in Low and Middle-Income Countries

    Waters, Hugh R.; Schieber, George J.; Gottret, Pablo (Washington, DC : World Bank, 2012-05-25)
    This volume focuses on nine countries that have completed, or are well along in the process of carrying out, major health financing reforms. These countries have significantly expanded their people's health care coverage or maintained such coverage after prolonged political or economic shocks. In doing so, this report seeks to expand the evidence base on good performance in health financing reforms in low- and middle-income countries. The countries chosen for the study were Chile, Colombia, Costa Rica, Estonia, the Kyrgyz Republic, Sri Lanka, Thailand, Tunisia, and Vietnam. With health at the center of global development policy on humanitarian as well as economic and health security grounds, the international community and developing countries are closely focused on scaling up health systems to meet the Millennium Development Goals (MDGs), improving financial protection, and ensuring long-term financing to sustain these gains. With the scaling up of aid, both donors and countries have come to realize that money alone cannot buy health gains or prevent impoverishment due to catastrophic medical bills. This realization has sent policy makers looking for reliable evidence about what works and what does not, but they have found little to guide their search.
  • Thumbnail

    Colombia Case Study : The Subsidized Regime of Colombia’s National Health Insurance System

    Montenegro Torres, Fernando; Bernal Acevedo, Oscar (World Bank, Washington, DC, 2013-05-02)
    This case study provides an overview of the contribution of Colombia's compulsory health insurance, particularly its Subsidized Regime (SR), to universal health care coverage in the country, and the current challenges the SR faces. The case study is based on discussions with stakeholders from academia and the public and private sectors. The report is divided into four sections: (1) country context and health outcomes; (2) the SR within the institutional architecture of the national health insurance system; (3) the subsidized regime: considerations on equity in the context of the public debate on the right to health care in Colombia; and (4) policy decisions and key areas of the agenda for the short and medium term.
DSpace software (copyright © 2002 - 2022)  DuraSpace
Quick Guide | Contact Us
Open Repository is a service operated by 
Atmire NV
 

Export search results

The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.