Mobilizing Community-Based Health Insurance to Enhance Awareness & Prevention of Airborne, Vector-Borne & Waterborne Diseases in Rural India

Indian J Med Res 142, August 2015, pp 151-164 DOI: 10.4103/0971-5916.164235

15 Pages Posted: 3 Sep 2015

See all articles by Pradeep Panda

Pradeep Panda

International Institute of Health Management Research

Arpita Chakraborty

Oxford Policy Management India Pvt. Ltd

David M. Dror

Micro Insurance Academy (MIA)

Date Written: September 3, 2015

Abstract

Background & Objectives: Despite remarkable progress in airborne, vector-borne and waterborne diseases in India, the morbidity associated with these diseases is still high. Many of these diseases are controllable through awareness and preventive practice. This study was an attempt to evaluate the effectiveness of a preventive care awareness campaign in enhancing knowledge related with airborne, vector-borne and waterborne diseases, carried out in 2011 in three rural communities in India (Pratapgarh and Kanpur-Dehat in Uttar Pradesh and Vaishali in Bihar).

Methods: Data for this analysis were collected from two surveys, one done before the campaign and the other after it, each of 300 randomly selected households drawn from a larger sample of Self-Help Groups (SHGs) members invited to join community-based health insurance (CBHI) schemes.

Results: The results showed a significant increase both in awareness (34%, p<0.001) and in preventive practices (48%, P=0.001), suggesting that the awareness campaign was effective. However, average practice scores (0.31) were substantially lower than average awareness scores (0.47), even in post campaign. Awareness and preventive practices were less prevalent in vector-borne diseases than in airborne and waterborne diseases. Education was positively associated with both awareness and practice scores. The awareness scores were positive and significant determinants of the practice scores, both in the pre- and in the post-campaign results. Affiliation to CBHI had significant positive influence on awareness and on practice scores in the post-campaign period.

Interpretation & Conclusions: The results suggest that well-crafted health educational campaigns can be effective in raising awareness and promoting health-enhancing practices in resource-poor settings. It also confirms that CBHI can serve as a platform to enhance awareness to risks of exposure to airborne, vector-borne and waterborne diseases, and encourage preventive practices.

Suggested Citation

Panda, Pradeep Kumar and Chakraborty, Arpita and Dror, David M., Mobilizing Community-Based Health Insurance to Enhance Awareness & Prevention of Airborne, Vector-Borne & Waterborne Diseases in Rural India (September 3, 2015). Indian J Med Res 142, August 2015, pp 151-164 DOI: 10.4103/0971-5916.164235, Available at SSRN: https://ssrn.com/abstract=2655459

Pradeep Kumar Panda

International Institute of Health Management Research ( email )

Plot No. 3, Sector – 18A
Dwarka, New Delhi 110075
India

Arpita Chakraborty

Oxford Policy Management India Pvt. Ltd ( email )

4/6, 1st Floor,
Siri Fort Institutional Area
New Delhi, ID Delhi 110019
India

David M. Dror (Contact Author)

Micro Insurance Academy (MIA) ( email )

New Delhi, NCR
India
+41 78 790 6789 (Phone)

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