PHFI

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PHFI is helping to build institutional and systems capacity in India for strengthening education, training, research and policy development in the area of Public Health.
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Public private partnership in the health sector: the case of National Health Insurance for the poorest of the poor in two states of India PDF Print

The aim of the research is to evaluate the use and provision of health services under Public-Private Partnership contracts in the implementation of Rashtriya Swasthya Bima Yojna (RSBY) scheme, in order to inform policy makers on how to improve scheme design. 

The objectives of this study are: 1) To map the allocated roles and responsibilities of partners under RSBY including the central, state and district governments, public and private health care providers, the insurance companies, NGOs and the Third Party Administrators (TPAs); 2)To evaluate the availability of services by mapping the number of enrolled households and the market of empanelled healthcare providers; 3)To assess the influence of demand side factors (e.g. gender) on utilization patterns across public and private providers for RSBY beneficiaries; 4) To compare the provision of health care across both public and private providers for RSBY beneficiaries and between RSBY and non-RSBY beneficiaries for a specific type of provider; 5) To inform policy based on the findings of the study and make recommendations in order to help improve provision of healthcare to the target population. 

The study will use both qualitative and quantitative methods to determine the implications of using contractual arrangements in use and provision of health services in the context of health insurance. Both primary and secondary data would be used for quantitative research. Additionally, multiple qualitative methods would be used to allow for the triangulation of data, which will help enhance the rigor of the research and help improve the validity of the data.

This research will directly address various data needs to help improve scheme design and implementation.

This research is being done as part of a PhD at London School of Hygiene and Tropical Medicine under the PHFI-UKC Wellcome Trust Capacity Building Programme.

PhD Scholar: Sonalini Khetrapal
Supervisors: Sanjay Zodpey (India), Anne Mills & Arnab Acharya (UK)
Project Duration: 2010 – 2013
 
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