Understanding the use of India's National Health Insurance Scheme for family planning and reproductive health services in Uttar Pradesh
Understanding the use of India's National Health Insurance Scheme for family planning and reproductive health services in Uttar Pradesh
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DOI：
10.1002/hpm.2531
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发表时间：
2018-10-01
影响因子：
2.7
通讯作者：
Reichenbach, Laura
中科院分区：
文献类型：
--
作者：
Mozumdar, Arupendra;Aruldas, Kumudha;Reichenbach, Laura
印度的国家医疗保险计划Rashtriya Swparya Bima Yojana(RSBY)通过选定的医疗机构将医疗服务扩大到生活在贫困线以下的家庭。RSBY在计划生育(FP)和生殖健康(RH)服务中的用途和不使用的原因以前没有被探索过。这项横断面研究探讨了私立卫生机构对计划生育/生殖健康服务的使用情况、对计划生育/生殖健康服务可获得性的了解，以及影响计划生育/生殖健康服务登记家庭知识的因素。来自印度北方邦3个城市的726名女性和640名男性接受了采访。在参加RSBY的私立医院中，FP/RH服务的使用率为2%。近20%的受访者使用未登记的私立医院提供的计划生育或分娩服务，但可以通过该计划获得这些服务。超过75%的受访者不知道通过RSBY提供的FP/RH服务。受过一定教育的受访者更有可能拥有这方面的知识，而贫困家庭则不太可能拥有这方面的知识。调查结果表明，要让RSBY惠及最脆弱的家庭，需要努力更好地教育已登记的家庭，让他们了解该计划的应得权利和福利。
India's National Health Insurance Scheme, Rashtriya Swasthya Bima Yojana (RSBY), expands health services to families living below the poverty line by enrolling them into the scheme through selected health facilities. Use and reasons for nonuse of RSBY for family planning (FP) and reproductive health (RH) services have not been explored previously. This cross-sectional study explored the use of RSBY for FP/RH services at private health facilities, knowledge of FP/RH service availability, and factors influencing knowledge among RSBY enrolled families. A total of 726 women and 640 men from enrolled families living in 3 cities of Uttar Pradesh, India, were interviewed. Use of FP/RH services at private hospitals enrolled in the RSBY was 2%. Nearly 20% of respondents used FP or delivery services from unenrolled private hospitals but could have accessed these services through the scheme. Over 75% of respondents were unaware of FP/RH service availability through RSBY. Respondents with some education were more likely to have this knowledge, while poorer families were less likely to have this knowledge. Findings suggest that for RSBY to reach the most vulnerable families, efforts need to be made to better educate enrolled families about their entitlements and benefits of the scheme.