NCT00421629

Brief Summary

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.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
688

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Oct 2003

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

October 1, 2003

Completed
2.5 years until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2006

Completed
9 months until next milestone

First Submitted

Initial submission to the registry

January 10, 2007

Completed
2 days until next milestone

First Posted

Study publicly available on registry

January 12, 2007

Completed
Last Updated

January 12, 2007

Status Verified

January 1, 2007

First QC Date

January 10, 2007

Last Update Submit

January 11, 2007

Conditions

Health Insurance

Keywords

health insurancehospitalization insurancecommunity based health insurancehealth care accessdeveloping countriesrandomized controlled trials

Outcome Measures

Primary Outcomes (1)

  • socioeconomic status of claimants relative to the membership base in their subdistricts of residence

Secondary Outcomes (3)

  • enrolment rates in Vimo SEWA

  • mean socioeconomic of the insured relative to the general rural population

  • rate of insurance claim submission

Interventions

After-sales service and supportive supervision (AfterSS)BEHAVIORAL
Prospective reimbursement (PR)BEHAVIORAL
Both (AfterSS and PR)BEHAVIORAL

Eligibility Criteria

Age18 Years+
Sexall
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

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

You may not qualify if:

  • All members were mandatorily enrolled in the scheme by a donor agency
  • Ahe sub-district had no general hospital of 25 beds or more
  • All female and male members of SEWA Insurance for 2004 and 2005
  • Those whose home could not be found based on given address data

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Self Employed Women's Association

Ahmedabad, Gujarat, 380001, India

Location

Related Publications (5)

  • 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.

    PMID: 16054740BACKGROUND

  • 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.

    PMID: 16373360BACKGROUND

  • 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.

    PMID: 16512334BACKGROUND

  • 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.

    PMID: 17126613BACKGROUND

  • 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.

    PMID: 17203684BACKGROUND

MeSH Terms

Interventions

Prospective Payment System

Intervention Hierarchy (Ancestors)

Reimbursement MechanismsInsurance, Health, ReimbursementFinancing, OrganizedEconomicsHealth Care Economics and Organizations

Study Officials

  • Anne J Mills, MA DHSA PhD

    London School of Hygiene and Tropical Medicine

    PRINCIPAL INVESTIGATOR

  • Michael K Ranson, MD MPH PHD

    London School of Hygiene and Tropical Medicine

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
FACTORIAL
Sponsor Type
OTHER

Study Record Dates

First Submitted

January 10, 2007

First Posted

January 12, 2007

Study Start

October 1, 2003

Study Completion

April 1, 2006

Last Updated

January 12, 2007

Record last verified: 2007-01

Locations

IN(1)