Assessing the Coverage of the Pradhan Mantri Jan Arogya Yojana Scheme and Out-of-Pocket Expenditure in Mysore Urban Slum Dwellers
Introduction: In 2018, the Government of India launched the Pradhan Mantri Jan Arogya Yojana (PM-JAY), a part of the Ayushman Bharat scheme as a progressive step toward universal health coverage. The scheme was intended to provide health insurance for the socioeconomically deprived population. This...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
|
| Series: | Indian Journal of Medical Specialities |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/injms.injms_92_22 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849224475039498240 |
|---|---|
| author | Vijaylakshmi Rao Vadaga Deepak Anil Shabeena Akbar M R Narayana Murthy Sunil Kumar Doddaiah |
| author_facet | Vijaylakshmi Rao Vadaga Deepak Anil Shabeena Akbar M R Narayana Murthy Sunil Kumar Doddaiah |
| author_sort | Vijaylakshmi Rao Vadaga |
| collection | DOAJ |
| description | Introduction:
In 2018, the Government of India launched the Pradhan Mantri Jan Arogya Yojana (PM-JAY), a part of the Ayushman Bharat scheme as a progressive step toward universal health coverage. The scheme was intended to provide health insurance for the socioeconomically deprived population. This study was undertaken to assess the coverage of the scheme and to assess the reduction in medical out-of-pocket expenditure (OOPE).
Methods:
This was a cross-sectional study conducted among the urban slum dwellers in Mysuru. A semi-structured questionnaire was used for the study. Oral consent was taken from the participants before administering the questionnaire. Data were collected by face-to-face interviews. Statistical tests such as percentages and mean were calculated using SPSS software (Version 26, Licensed by JSSAHER).
Results:
The study was conducted among 104 individuals, of which 73% were females. Only 38 (33%) of the participants had PM-JAY cards while 59 (56.73%) did not have any health insurance. Thirty percentage (78.95%) of the card holders had utilized the insurance in the past 1 year and incurred an OOPE of Rs. 25,873/-. For all the cardholders, this amount was spent from their savings.
Conclusion:
The coverage of the scheme and OOPE reduction toward health care is still lacking. Greater measures need to be taken by medical officers, medicosocial workers, and other field workers to identify eligible households and help them avail the benefits of this scheme. |
| format | Article |
| id | doaj-art-d322575d0aa44fb98f0bca983d88bb1c |
| institution | Kabale University |
| issn | 0976-2884 0976-2892 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Medical Specialities |
| spelling | doaj-art-d322575d0aa44fb98f0bca983d88bb1c2025-08-25T08:43:30ZengWolters Kluwer Medknow PublicationsIndian Journal of Medical Specialities0976-28840976-28922023-01-01141222510.4103/injms.injms_92_22Assessing the Coverage of the Pradhan Mantri Jan Arogya Yojana Scheme and Out-of-Pocket Expenditure in Mysore Urban Slum DwellersVijaylakshmi Rao VadagaDeepak AnilShabeena AkbarM R Narayana MurthySunil Kumar DoddaiahIntroduction: In 2018, the Government of India launched the Pradhan Mantri Jan Arogya Yojana (PM-JAY), a part of the Ayushman Bharat scheme as a progressive step toward universal health coverage. The scheme was intended to provide health insurance for the socioeconomically deprived population. This study was undertaken to assess the coverage of the scheme and to assess the reduction in medical out-of-pocket expenditure (OOPE). Methods: This was a cross-sectional study conducted among the urban slum dwellers in Mysuru. A semi-structured questionnaire was used for the study. Oral consent was taken from the participants before administering the questionnaire. Data were collected by face-to-face interviews. Statistical tests such as percentages and mean were calculated using SPSS software (Version 26, Licensed by JSSAHER). Results: The study was conducted among 104 individuals, of which 73% were females. Only 38 (33%) of the participants had PM-JAY cards while 59 (56.73%) did not have any health insurance. Thirty percentage (78.95%) of the card holders had utilized the insurance in the past 1 year and incurred an OOPE of Rs. 25,873/-. For all the cardholders, this amount was spent from their savings. Conclusion: The coverage of the scheme and OOPE reduction toward health care is still lacking. Greater measures need to be taken by medical officers, medicosocial workers, and other field workers to identify eligible households and help them avail the benefits of this scheme.https://journals.lww.com/10.4103/injms.injms_92_22ayushman bharat schemehealth insuranceout-of-pocket expenditurepradhan mantri jan arogya yojana |
| spellingShingle | Vijaylakshmi Rao Vadaga Deepak Anil Shabeena Akbar M R Narayana Murthy Sunil Kumar Doddaiah Assessing the Coverage of the Pradhan Mantri Jan Arogya Yojana Scheme and Out-of-Pocket Expenditure in Mysore Urban Slum Dwellers Indian Journal of Medical Specialities ayushman bharat scheme health insurance out-of-pocket expenditure pradhan mantri jan arogya yojana |
| title | Assessing the Coverage of the Pradhan Mantri Jan Arogya Yojana Scheme and Out-of-Pocket Expenditure in Mysore Urban Slum Dwellers |
| title_full | Assessing the Coverage of the Pradhan Mantri Jan Arogya Yojana Scheme and Out-of-Pocket Expenditure in Mysore Urban Slum Dwellers |
| title_fullStr | Assessing the Coverage of the Pradhan Mantri Jan Arogya Yojana Scheme and Out-of-Pocket Expenditure in Mysore Urban Slum Dwellers |
| title_full_unstemmed | Assessing the Coverage of the Pradhan Mantri Jan Arogya Yojana Scheme and Out-of-Pocket Expenditure in Mysore Urban Slum Dwellers |
| title_short | Assessing the Coverage of the Pradhan Mantri Jan Arogya Yojana Scheme and Out-of-Pocket Expenditure in Mysore Urban Slum Dwellers |
| title_sort | assessing the coverage of the pradhan mantri jan arogya yojana scheme and out of pocket expenditure in mysore urban slum dwellers |
| topic | ayushman bharat scheme health insurance out-of-pocket expenditure pradhan mantri jan arogya yojana |
| url | https://journals.lww.com/10.4103/injms.injms_92_22 |
| work_keys_str_mv | AT vijaylakshmiraovadaga assessingthecoverageofthepradhanmantrijanarogyayojanaschemeandoutofpocketexpenditureinmysoreurbanslumdwellers AT deepakanil assessingthecoverageofthepradhanmantrijanarogyayojanaschemeandoutofpocketexpenditureinmysoreurbanslumdwellers AT shabeenaakbar assessingthecoverageofthepradhanmantrijanarogyayojanaschemeandoutofpocketexpenditureinmysoreurbanslumdwellers AT mrnarayanamurthy assessingthecoverageofthepradhanmantrijanarogyayojanaschemeandoutofpocketexpenditureinmysoreurbanslumdwellers AT sunilkumardoddaiah assessingthecoverageofthepradhanmantrijanarogyayojanaschemeandoutofpocketexpenditureinmysoreurbanslumdwellers |