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Protocol

Mixed and Multi-Methods Protocol to Evaluate Implementation Processes and Early Effects of the Pradhan Mantri Jan Arogya Yojana Scheme in Seven Indian States

1
Heidelberg Institute of Global Health, Medical Faculty and University Hospital, Heidelberg University, 69120 Heidelberg, Germany
2
German Development Institute/Deutsches Institut für Entwicklungspolitik (DIE), 53113 Bonn, Germany
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Centre for Global Health and Health Partnerships, School of Population Health and Environmental Sciences, King’s College London, London SE5 9RJ, UK
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IQVIA Consulting and Information Services India, New Delhi 110001, India
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Nielsen India Private Limited, Gurugram 122002, India
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Indo-German Social Security Programme (IGSSP), Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH, New Delhi 110029, India
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(21), 7812; https://doi.org/10.3390/ijerph17217812
Received: 28 September 2020 / Revised: 15 October 2020 / Accepted: 22 October 2020 / Published: 26 October 2020
In September 2018, India launched Pradhan Mantri Jan Arogya Yojana (PM-JAY), a nationally implemented government-funded health insurance scheme to improve access to quality inpatient care, increase financial protection, and reduce unmet need for the most vulnerable population groups. This protocol describes the methodology adopted to evaluate implementation processes and early effects of PM-JAY in seven Indian states. The study adopts a mixed and multi-methods concurrent triangulation design including three components: 1. demand-side household study, including a structured survey and qualitative elements, to quantify and understand PM-JAY reach and its effect on insurance awareness, health service utilization, and financial protection; 2. supply-side hospital-based survey encompassing both quantitative and qualitative elements to assess the effect of PM-JAY on quality of service delivery and to explore healthcare providers’ experiences with scheme implementation; and 3. process documentation to examine implementation processes in selected states transitioning from either no or prior health insurance to PM-JAY. Descriptive statistics and quasi-experimental methods will be used to analyze quantitative data, while thematic analysis will be used to analyze qualitative data. The study design presented represents the first effort to jointly evaluate implementation processes and early effects of the largest government-funded health insurance scheme ever launched in India. View Full-Text
Keywords: health insurance; health financing; India; impact assessment; supply-side; demand-side; process evaluation health insurance; health financing; India; impact assessment; supply-side; demand-side; process evaluation
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MDPI and ACS Style

Allegri, M.D.; Srivastava, S.; Strupat, C.; Brenner, S.; Parmar, D.; Parisi, D.; Walsh, C.; Mahajan, S.; Neogi, R.; Ziegler, S.; Basu, S.; Jain, N. Mixed and Multi-Methods Protocol to Evaluate Implementation Processes and Early Effects of the Pradhan Mantri Jan Arogya Yojana Scheme in Seven Indian States. Int. J. Environ. Res. Public Health 2020, 17, 7812. https://doi.org/10.3390/ijerph17217812

AMA Style

Allegri MD, Srivastava S, Strupat C, Brenner S, Parmar D, Parisi D, Walsh C, Mahajan S, Neogi R, Ziegler S, Basu S, Jain N. Mixed and Multi-Methods Protocol to Evaluate Implementation Processes and Early Effects of the Pradhan Mantri Jan Arogya Yojana Scheme in Seven Indian States. International Journal of Environmental Research and Public Health. 2020; 17(21):7812. https://doi.org/10.3390/ijerph17217812

Chicago/Turabian Style

Allegri, Manuela D., Swati Srivastava, Christoph Strupat, Stephan Brenner, Divya Parmar, Diletta Parisi, Caitlin Walsh, Sahil Mahajan, Rupak Neogi, Susanne Ziegler, Sharmishtha Basu, and Nishant Jain. 2020. "Mixed and Multi-Methods Protocol to Evaluate Implementation Processes and Early Effects of the Pradhan Mantri Jan Arogya Yojana Scheme in Seven Indian States" International Journal of Environmental Research and Public Health 17, no. 21: 7812. https://doi.org/10.3390/ijerph17217812

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