Hedging the Health of the Poor : The Case for Community Financing in India

This paper reviews the existing community-based and self-financing health insurance schemes in India catering to the general population as well as addressing the needs of the poor and vulnerable section of the society. Also discussed are some critical issues of accessibility and use of health care services, out-of-pocket expenditure on treatment and the need for health insurance for poor households pursuing varied occupations in both rural and urban areas. The paper examines in detail the determinants of enrollment in the community-based financing scheme, using the household-level data from the pilot study undertaken in Gujarat (India). It also investigates the issue of how much health insurance mitigates the households' burden of health care expenditure. The findings suggest that the community plan fairly addresses equity in enrollment but that, in terms of providing financial

Bibliographic Details

Main Author:	Gumber, Anil
Language:	English en_US
Published:	World Bank, Washington, DC 2001-09
Subjects:	HEALTH ECONOMICS, POVERTY & HEALTH, HEALTH CARE, HEALTH INSURANCE COVERAGE, COMMUNITY FINANCING ACCESSIBILITY, AGRICULTURE, BEDS, CHILDBIRTH, CHRONIC MORBIDITY, CLINICS, COMMUNITIES, COMMUNITY HEALTH, COMMUNITY HEALTH SERVICES, COMMUNITY HOSPITALS, COMMUNITY PARTICIPATION, COST OF TREATMENT, CURATIVE HEALTH CARE, DAY CARE, DISPENSARIES, DISTRICTS, DOCTORS, ECONOMIC DEVELOPMENT, EMPLOYMENT, EMPLOYMENT OPPORTUNITIES, EXPENDITURES, FAMILIES, FAMILY PLANNING, GENDER, GYNECOLOGY, HEALTH, HEALTH CARE COSTS, HEALTH CARE FINANCE, HEALTH CARE FINANCING, HEALTH CARE SERVICES, HEALTH CARE UTILIZATION, HEALTH CENTERS, HEALTH EDUCATION, HEALTH EXPENDITURE, HEALTH FACILITIES, HEALTH FINANCING, HEALTH INSTITUTIONS, HEALTH INSURANCE, HEALTH INSURANCE PLANS, HEALTH NEEDS, HEALTH PROGRAMS, HEALTH SECTOR, HEALTH SERVICES, HEALTH TRAINING, HOMES, HOSPITAL BEDS, HOSPITAL CARE, HOSPITALIZATION, HOSPITALIZATION COSTS, HOSPITALS, HOUSEHOLDS, HOUSING, IMMUNIZATION, INCOME, INFORMAL SECTOR, INPATIENT CARE, INSURANCE COMPANIES, INSURERS, ISOLATION, LIFE INSURANCE, LOW INCOME, LOW- INCOME COUNTRIES, LOW-INCOME COUNTRIES, MALNUTRITION, MEDICAL CARE, MEDICAL EXPENSES, MEDICAL INSURANCE, MEDICINES, MORBIDITY, MOTIVATION, NONGOVERNMENTAL ORGANIZATIONS, NONPROFIT ORGANIZATIONS, NUTRITION, OBSTETRICS, OCCUPATIONAL HEALTH, OCCUPATIONS, OUTPATIENT CARE, PATIENTS, PEDIATRIC CARE, PREGNANCY, PRIMARY HEALTH CARE, PRIVATE INSURANCE, PRIVATE SECTORS, PROBABILITY, PUBLIC HEALTH, PUBLIC HOSPITALS, PUBLIC SECTOR, REHABILITATION, REHABILITATION CENTERS, RURAL HOSPITALS, SETTLEMENT, SLUMS, SOCIAL INSURANCE, SURGERY, TRANSPORT, URBAN AREAS, VILLAGES, WORKERS,
Online Access:	http://documents.worldbank.org/curated/en/2001/09/3521882/hedging-health-poor-case-community-financing-india https://hdl.handle.net/10986/13663
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