Mixed and Multi-Methods Protocol to Evaluate Implementation Processes and Early Effects of the Pradhan Mantri Jan Arogya Yojana Scheme in Seven Indian States

Manuela De Allegri, Swati Srivastava, Christoph Strupat, Stephan Brenner, Divya Parmar, Diletta Parisi, Caitlin Walsh, Sahil Mahajan, Rupak Neogi, Susanne Ziegler, Sharmishtha Basu and Nishant Jain
Additional contact information
Manuela De Allegri: Heidelberg Institute of Global Health, Medical Faculty and University Hospital, Heidelberg University, 69120 Heidelberg, Germany
Swati Srivastava: Heidelberg Institute of Global Health, Medical Faculty and University Hospital, Heidelberg University, 69120 Heidelberg, Germany
Christoph Strupat: German Development Institute/Deutsches Institut für Entwicklungspolitik (DIE), 53113 Bonn, Germany
Stephan Brenner: Heidelberg Institute of Global Health, Medical Faculty and University Hospital, Heidelberg University, 69120 Heidelberg, Germany
Divya Parmar: Centre for Global Health and Health Partnerships, School of Population Health and Environmental Sciences, King’s College London, London SE5 9RJ, UK
Diletta Parisi: Heidelberg Institute of Global Health, Medical Faculty and University Hospital, Heidelberg University, 69120 Heidelberg, Germany
Caitlin Walsh: Heidelberg Institute of Global Health, Medical Faculty and University Hospital, Heidelberg University, 69120 Heidelberg, Germany
Sahil Mahajan: IQVIA Consulting and Information Services India, New Delhi 110001, India
Rupak Neogi: Nielsen India Private Limited, Gurugram 122002, India
Susanne Ziegler: Indo-German Social Security Programme (IGSSP), Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH, New Delhi 110029, India
Sharmishtha Basu: Indo-German Social Security Programme (IGSSP), Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH, New Delhi 110029, India
Nishant Jain: Indo-German Social Security Programme (IGSSP), Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH, New Delhi 110029, India

IJERPH, 2020, vol. 17, issue 21, 1-15

Abstract: In September 2018, India launched Pradhan Mantri Jan Arogya Yojana (PM-JAY), a nationally implemented government-funded health insurance scheme to improve access to quality inpatient care, increase financial protection, and reduce unmet need for the most vulnerable population groups. This protocol describes the methodology adopted to evaluate implementation processes and early effects of PM-JAY in seven Indian states. The study adopts a mixed and multi-methods concurrent triangulation design including three components: 1. demand-side household study, including a structured survey and qualitative elements, to quantify and understand PM-JAY reach and its effect on insurance awareness, health service utilization, and financial protection; 2. supply-side hospital-based survey encompassing both quantitative and qualitative elements to assess the effect of PM-JAY on quality of service delivery and to explore healthcare providers’ experiences with scheme implementation; and 3. process documentation to examine implementation processes in selected states transitioning from either no or prior health insurance to PM-JAY. Descriptive statistics and quasi-experimental methods will be used to analyze quantitative data, while thematic analysis will be used to analyze qualitative data. The study design presented represents the first effort to jointly evaluate implementation processes and early effects of the largest government-funded health insurance scheme ever launched in India.

Keywords: health insurance; health financing; India; impact assessment; supply-side; demand-side; process evaluation (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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