A systematic review of community-based health insurance programs in South Asia

Research output: Contribution to journalReview article

4 Citations (Scopus)

Abstract

Background: Community-based health insurance (CBHI) has been evolving as an effective means of healthcare financing in many countries of South Asia. A systematic review in this context would give a comprehensive report of the performance of these schemes in terms of improving the health-seeking behaviour of the beneficiaries enrolled for the schemes. Methods: Important databases like PubMed, Elsevier, SocINDEX (EBSCO), Cochrane Reviews, Medline and Scopus were reviewed along with relevant portals—Google Scholar, www.who.int/, www.worldbank.org and www.cochrane.org—and specific journals and discussion series with published literature in the areas of community health insurance and health microfinance. Results: The review finally chronicles 20 CBHI schemes from published and unpublished literature from the countries comprising South Asia. These schemes have been reviewed in terms of their enrolment process, entry point and the extent to which they have contributed to the healthcare-seeking behaviour. Conclusion: The CBHI schemes can also serve as an alternative healthcare financing mechanism where fee-for-service and user fees have not made any impact. There have been very few studies that have tried to carry out an impact evaluation of the CBHI schemes on the target population, and more and more such studies can be a scope for further research.

Original languageEnglish
Pages (from-to)e218-e231
JournalInternational Journal of Health Planning and Management
Volume32
Issue number2
DOIs
Publication statusPublished - 01-04-2017

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Health Insurance
Healthcare Financing
Fee-for-Service Plans
Fees and Charges
Health Services Needs and Demand
Health
PubMed
Databases
Delivery of Health Care
Research

All Science Journal Classification (ASJC) codes

  • Health Policy

Cite this

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title = "A systematic review of community-based health insurance programs in South Asia",
abstract = "Background: Community-based health insurance (CBHI) has been evolving as an effective means of healthcare financing in many countries of South Asia. A systematic review in this context would give a comprehensive report of the performance of these schemes in terms of improving the health-seeking behaviour of the beneficiaries enrolled for the schemes. Methods: Important databases like PubMed, Elsevier, SocINDEX (EBSCO), Cochrane Reviews, Medline and Scopus were reviewed along with relevant portals—Google Scholar, www.who.int/, www.worldbank.org and www.cochrane.org—and specific journals and discussion series with published literature in the areas of community health insurance and health microfinance. Results: The review finally chronicles 20 CBHI schemes from published and unpublished literature from the countries comprising South Asia. These schemes have been reviewed in terms of their enrolment process, entry point and the extent to which they have contributed to the healthcare-seeking behaviour. Conclusion: The CBHI schemes can also serve as an alternative healthcare financing mechanism where fee-for-service and user fees have not made any impact. There have been very few studies that have tried to carry out an impact evaluation of the CBHI schemes on the target population, and more and more such studies can be a scope for further research.",
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A systematic review of community-based health insurance programs in South Asia. / Bhageerathy, Reshmi; Nair, Sreekumaran; Bhaskaran, Unnikrishnan.

In: International Journal of Health Planning and Management, Vol. 32, No. 2, 01.04.2017, p. e218-e231.

Research output: Contribution to journalReview article

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