COSTS AND CHALLENGES: AYUSHMAN BHARAT (AB-PMJAY) SCHEME IN ASSAM'S URBAN AND RURAL SETTINGS
DOI:
https://doi.org/10.29121/shodhkosh.v5.i2.2024.5521Keywords:
Healthcare Financing, Healthcare Costs or Expenditure, Universal Health Coverage (Uhc)Abstract [English]
The Modicare or National Health Protection Scheme (NHPS), a healthcare initiative launched by Prime Minister Narendra Modi has sparked global interest and excitement in the sector. Although 500 million Indians are expected to receive health insurance under this specific healthcare policy, the negative aspects of Modicare far exceed any potential advantages in terms of achieving universal access to high-quality healthcare. This paper ascertains the healthcare expenditure of the households and evaluate the challenges faced by them in financing healthcare expenditure through PM-JAY or Ayushman Bharat schemes in Kamrup Metro and Kamrup districts of Assam representing both urban and rural settings. The study found that the healthcare costs is more in the Urban areas as compared to the rural one. Furthermore, it concludes that the scheme (PM-JAY) provides essential healthcare coverage, but there are significant disparities in healthcare costs and challenges faced by beneficiaries in both urban and rural settings.
References
(n.d.). Retrieved from Pib.gov.in.
Bajpai, V. (2018). National Health Policy 2017, revealing public health Chicanery. Economic and Political weekly, 53(28).
Bhuyan, A. (2019). In India, a tight election-with healthcare trailing the field. British Medical Journal, 365. DOI: https://doi.org/10.1136/bmj.l2175
Chalkidou, K., Jain, N., Cluzeau, F., & Glassman, A. (2019). Modicare Post-election: Recommendations to enhance the impact of Public Health Insurance on UHC Goals in India. Center for Global Development.
Dhaka, R., Verma, R., Agrawal, G., & Kumar, G. (2018). Ayushman Bharat Yojana: a memorable health initiatives for Indians. International Journal of Community medicine and Public Health, 3152-3153. DOI: https://doi.org/10.18203/2394-6040.ijcmph20183043
EPW Engage. (n.d.). Ayushman Bharat and the False Promise of Universal Healthcare. Economic and Political weekly. Retrieved from engage/article/ayushman-bharat-and-false-promise-universal
Gautham, M., Bruxvoort, K., Richard, I., Subharwal, M., Gupta, S., Jain, M., & Goodman, C. (2019). Investing the nature of competition facing private healthcare facilities: the case of maternity care in Uttar Pradesh, India. Health Policy and Planning, 34(6), 450-460. DOI: https://doi.org/10.1093/heapol/czz056
Hooda, S. K. (2020). Health system in transition in India: Journey from state provisioning to Privatization. World Review of Political Economy, 11(4), 506-532. DOI: https://doi.org/10.13169/worlrevipoliecon.11.4.0506
Joseph, J., Sankar D, H., & Nambiar, D. (2021). Empanelment of healthcare facilities under Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) in India. PLOS ONE. Retrieved from https://doi.org/10.1371/journal.pone.0251814 DOI: https://doi.org/10.1371/journal.pone.0251814
Mishra, M., & Mandal, A. (2018). How equitable will Ayushman Bharat be? EPW engage, 54(1).
Panda, P. (2019). Ayushman Bharat: Challenges and Way Forward. Jaipuria International Journal of Management Research, 5(2), 53-65. DOI: https://doi.org/10.22552/jijmr/2019/v5/i2/189062
Shanthosh, J., Durbach, A., & Joshi, R. (2021). Charting the Rights of Community Health Workers in India. Health and Human Rights, 225-238.
Sharma, D., Chauhan, A. s., Guinness, L., Mehndiratta, A., Dhiman, A., Singh, M., & Prinja, S. (2024). Understanding the extent of economic evidence usage for informing policy decisions in the context of India's national health insurance scheme: Ayushman Bharat Pradhan Mantri Jan Aarogya Yojana (PM-JAY). BMJ journals, 9(6). DOI: https://doi.org/10.1136/bmjgh-2024-015079
Sharma, S. D. (2018). Health Care for India's 500 Million. Harvard Public Health Review, 18, 1-14.
Kumar, R., Singh, P., & Sharma, M. (2021). Implementation challenges in the Ayushman Bharat scheme in India: A critical analysis. The Lancet Public Health, 6(3), e160–e161. https://doi.org/10.1016/S2468-2667(20)30251-6
National Health Authority. (2024). Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY). Retrieved from https://pmjay.gov.in
Ministry of Health and Family Welfare. (2023). Annual Report 2022–23. Government of India. Retrieved from https://main.mohfw.gov.in
NITI Aayog. (2021). Health Systems for a New India: Building Blocks—Potential Pathways to Reforms. Retrieved from https://niti.gov.in
World Health Organization. (2022). India’s flagship health insurance scheme Ayushman Bharat PM-JAY: Coverage and equity assessment. Retrieved from https://www.who.int/india
Ministry of Finance. (2023). Economic Survey 2022–23. Government of India. Retrieved from https://www.indiabudget.gov.in
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