Healthcare Seeking Behavior Among Self-Help Group Households in Rural Bihar and Uttar Pradesh, India

Raza, W. A., Van de Poel, E., Panda, P., Dror, D. M. and Bedi, A. (2015) ‘Healthcare seeking behaviour among self-help group households in rural Bihar and Uttar Pradesh, India’, BMC Health Services Research, 16(1). doi: 10.1186/s12913-015-1254-9.

13 Pages Posted: 5 Sep 2015 Last revised: 5 Jan 2016

See all articles by Wameq Raza

Wameq Raza

BRAC

Ellen van de Poel

Erasmus University Rotterdam (EUR) - Erasmus School of Economics (ESE)

Pradeep Panda

International Institute of Health Management Research

David M. Dror

Micro Insurance Academy (MIA)

Arjun S. Bedi

Erasmus University Rotterdam - International Institute of Social Studies; IZA Institute of Labor Economics

Date Written: February 16, 2015

Abstract

Background: In recent years, supported by non-governmental organizations (NGOs), a number of community based health insurance (CBHI) schemes have been operating in rural India. Such schemes design their benefit packages according to local priorities. This paper examines healthcare seeking behaviour among self-help group households with a view to understanding the implications for the benefit packages offered by such schemes.

Methods: We use cross-sectional data collected from two of India’s poorest states and estimate an alternative specific conditional logit model to examine healthcare seeking behaviour.

Results: We find that the majority of respondents do access some form of care and that there is overwhelming use of private providers. Non-degree allopathic providers (NDAP) also called rural medical practitioners are the most popular providers. In the case of acute illnesses, proximity plays an important role in determining provider choice. For chronic illnesses, cost of care influences provider choice.

Conclusion: Given the importance of proximity in determining provider choice, benefit packages offered by CBHI schemes should consider coverage of transportation costs and reimbursement of foregone earnings.

Keywords: Healthcare seeking behavior; Non-degree allopathic providers; Community-based Health Insurance schemes; Self-help group; India

Suggested Citation

Raza, Wameq and van de Poel, Ellen and Panda, Pradeep Kumar and Dror, David M. and Bedi, Arjun S., Healthcare Seeking Behavior Among Self-Help Group Households in Rural Bihar and Uttar Pradesh, India (February 16, 2015). Raza, W. A., Van de Poel, E., Panda, P., Dror, D. M. and Bedi, A. (2015) ‘Healthcare seeking behaviour among self-help group households in rural Bihar and Uttar Pradesh, India’, BMC Health Services Research, 16(1). doi: 10.1186/s12913-015-1254-9.. Available at SSRN: https://ssrn.com/abstract=2656008 or http://dx.doi.org/10.2139/ssrn.2656008

Wameq Raza

BRAC ( email )

75 Mohakhali
Dhaka, 1212
Bangladesh

Ellen Van de Poel

Erasmus University Rotterdam (EUR) - Erasmus School of Economics (ESE) ( email )

P.O. Box 1738
3000 DR Rotterdam, NL 3062 PA
Netherlands

Pradeep Kumar Panda

International Institute of Health Management Research ( email )

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

David M. Dror (Contact Author)

Micro Insurance Academy (MIA) ( email )

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

HOME PAGE: http://https://en.everybodywiki.com/

Arjun S. Bedi

Erasmus University Rotterdam - International Institute of Social Studies ( email )

PO Box 29776
2502 LT The Hague, 2518 AX
Netherlands
+31 70 426 0493 (Phone)
+31 70 426 0799 (Fax)

IZA Institute of Labor Economics

P.O. Box 7240
Bonn, D-53072
Germany

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