The impact of community-based health education on health-seeking behaviour and health insurance utilisation by women and their families
| ISRCTN | ISRCTN21290274 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN21290274 |
| Secondary identifying numbers | N/A |
- Submission date
- 15/10/2010
- Registration date
- 22/10/2010
- Last edited
- 22/10/2010
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year
Plain English summary of protocol
Not provided at time of registration
Contact information
Ms Sapna Desai
Scientific
Scientific
SEWA Health
Chanda Niwas
Nr. Hariharanand Ashram
Ahmedabad
380006
India
| sapna.i.desai@gmail.com |
Study information
| Study design | Cluster randomised trial |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | Other |
| Study type | Quality of life |
| Participant information sheet | Not available in web format, please use the contact details below to request a patient information sheet |
| Scientific title | Experimental cluster randomised study to assess how a community health education intervention affects the health seeking behaviour of women insured by VimoSEWA and non-insured women |
| Study acronym | VSAS (VimoSEWA Arogya Sanshodan) |
| Study objectives | A significant proportion of health insurance hospitalisation claims by the poor are for primary illnesses - waterborne illness and fever/malaria - and hysterectomy (hereafter referred to as commonly claimed for conditions) which may not require hospitalisation. We assess if a targeted health education intervention delivered by community health workers impacts on hospitalisation claim patterns, health seeking behaviour and expenditure for commonly claimed for conditions amongst insured and uninsured women and their families. |
| Ethics approval(s) | Executive Committee of the SEWA Health Cooperative (Shri Gujarat Swashrayi Mahila Lok Swasthya Sahakari Mandli Ltd) approved on the 14th October 2010. |
| Health condition(s) or problem(s) studied | Health seeking behaviour for commonly claimed for illnesses |
| Intervention | Interventions in the treatment group are: 1. Focused group health education sessions for women, delivered by community health workers, and community media on commonly claimed for conditions (waterborne disease, fever/malaria and hysterectomy) 2. Facilitated referral to outpatient facilities by community health workers 3. Additional capacity building and support for community health workers In control areas, SEWA health cooperative's ongoing community health activities and VimoSEWA insurance programs will continue. Treatment duration: At least 18 months. Follow-up duration: 6 monthly follow-ups throughout intervention, to a total of 2 years. Joint Sponsor: VimoSEWA (India) Chanda Niwas Near Hariharanand Ashram Ellis Bridge Ahmedabad 380006 India Additional scientific contact details: Dr Ajay Mahal Alan and Elizabeth Finkel Chair of Global Health School of Public Health and Preventive Medicine, Monash University Third Floor, Burnet Building Alfred Hospital Melbourne, VIC 3004 Australia T: +61 (0)3 990 30 028 E: amahal@hsph.harvard.edu |
| Intervention type | Other |
| Primary outcome measure | Hospitalisation patterns for primary illness and hysterectomy, measured by household surveys and VimoSEWA claims records. Measured 6-monthly for 2 years. |
| Secondary outcome measures | 1. Health seeking behaviour for primary illness and management of gynecological conditions 2. Health care related expenditure 3. Incidence (reported) of common illness Measured 6-monthly for 2 years. |
| Overall study start date | 15/11/2010 |
| Completion date | 15/05/2012 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Adult |
| Lower age limit | 18 Years |
| Sex | Female |
| Target number of participants | 1980 |
| Key inclusion criteria | Cluster inclusion: 1. Village and urban settlement clusters 2. Served by SEWA community health workers 3. Covered by VimoSEWA insurance 4. Area membership of at least 30 policies Individual inclusion: 1. SEWA members (adult women aged 18 to 60 years) currently enrolled in VimoSEWA insurance (for insured group) 2. Women residents of the same area not insured by VimoSEWA (control group) |
| Key exclusion criteria | Cluster exclusion: Village and slum clusters not covered by both SEWA community health workers and VimoSEWA insurance. Individual exclusion: Women whose homes could not be located from the insurance registry or women who no longer reside at the given address. |
| Date of first enrolment | 15/11/2010 |
| Date of final enrolment | 15/05/2012 |
Locations
Countries of recruitment
- India
Study participating centre
SEWA Health
Ahmedabad
380006
India
380006
India
Sponsor information
SEWA Health Cooperative (India)
Research organisation
Research organisation
Shri Gujarat Swashrayi Mahlia Lok Swasthya Sahakari Mandli Ltd
Chanda Niwas
Near Hariharanand Ashram
Ellis Bridge
Ahmedabad
380006
India
| Phone | +91 (0)79 265 80 530 |
|---|---|
| social@sewass.org | |
| Website | http://www.sewainsurance.org |
Funders
Funder type
Research organisation
International Labour Organisation (ILO) (Switzerland) - Microinsurance Innovation Facility (ref: R2-149)
No information available
Results and Publications
| Intention to publish date | |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Not provided at time of registration |
| Publication and dissemination plan | Not provided at time of registration |
| IPD sharing plan |
