Healthcare Seeking Behavior among Self-help Group Households in Rural Bihar and Uttar Pradesh, India

Wameq Raza*, Ellen van de Poel, Pradeep K. Panda, David Dror, Arjun Bedi

*Corresponding author for this work

Research output: Working paperAcademic

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Abstract

In recent years, supported by non-governmental organizations (NGOs), a number of demand-driven community-based health insurance (CBHI) schemes have been functioning in rural India. These CBHI schemes may design their benefit packages according to local priorities. In this paper we examine healthcare seeking behavior among self-help group households, with a view to understanding the implications for benefit packages offered by such schemes. This study is based on data from rural locations in two of India’s poorest states.1 We find that the majority of respondents do access some form of care and that there is overwhelming use of private services. Within private services, non-degree allopathic providers (NDAP) also called rural medical practitioners account for a substantial share and the main reason to access such unqualified providers is their proximity. The direct cost of care does not appear to have a bearing on choice of provider. Given the importance of proximity in determining provider choices, several solutions could be foreseen, such as mobile medical tours to villages, and/or that insurance schemes consider coverage of transportation costs and reimbursement of foregone earnings.
Original languageEnglish
Place of PublicationThe Hague
PublisherInternational Institute of Social Studies (ISS)
Number of pages32
Publication statusPublished - Dec 2013

Publication series

SeriesISS working papers. General series
Number575

Bibliographical note

This work was funded by the European Commission 7th Framework Program, grant ID HEALTH-F2-2009-223518 – Community-based Health Insurance in India

hdl.handle.net/1765/50172

Series

  • ISS Working Paper-General Series

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