Access to Health Care and Basic Minimum Services in Kerala, India

The CBHSS

    

Sali, 18 juin 2004

D. Narayana, S. Haddad

UdeM-CDS /2001

Objective

To support Women’s Self Help Groups and other

community organisations in building and

implementing a Community Based Health

Solidarity Scheme (CBMS)

UdeM-CDS /2001

The history of the CBHSS

Evidence of: Exclusion of the poor, scheduled tribes and scheduled castes.

High inequalities in access to health care.

High burden of health care on poor households.

Use of SHG savings to help members overcome financial barriers to access to health care.

Reaction to CBMS The CBMS: OK but what will be the benefits for us?

UdeM-CDS /2001

Development phase: Methodology

Process: Consultation - needs assessment - preparatory studies.

Mobilisation of local partners (SHGs – NGO).

Workshop July, 2004.

Surveys Purpose: estimates of risks, scenarios of risk coverage, and

subsequently the specific design of the scheme

Measures: health condition, consumption of health care, access -exclusion, preferences for type of scheme.

Surveys “baseline” census (3352 HH) panel survey (534 HH – over sampling of tribes)

Location of the insurance schemes