Magnitude of health expenditure induced removable poverty in India: Some reflections of Ayushman Bharat
The authors have measured the health expenditure-induced removable poverty in India using nationally representative consumer expenditure surveys of three quinquennial rounds conducted by the National Sample Survey Organization (NSSO). This study has also focused on the reflections of Ayushman Bharat...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-01-01
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| Series: | Heliyon |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844023106724 |
| _version_ | 1797337052175400960 |
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| author | Ramna Thakur Mohammad Ahmad Faizan |
| author_facet | Ramna Thakur Mohammad Ahmad Faizan |
| author_sort | Ramna Thakur |
| collection | DOAJ |
| description | The authors have measured the health expenditure-induced removable poverty in India using nationally representative consumer expenditure surveys of three quinquennial rounds conducted by the National Sample Survey Organization (NSSO). This study has also focused on the reflections of Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (AB-PMJAY), the world's largest Government-funded health insurance scheme, on these poverty rates in the country. The study has used headcount, payment gap, and concentration index to measure the economic burden and impoverishment impact of out-of-pocket (OOP) health expenditure. The analysis shows that the incidence and depth of poverty are substantially understated because of overlooking OOP health expenditure in the country's standard poverty measure. Outpatient care contributes almost four times more than inpatient care to health expenditure-induced impoverishment in India, though this care has not been covered in the AB-PMJAY. Muslims, among all religious groups, Scheduled Castes among social groups, and casual labourers among different household types are more vulnerable to OOP health expenditure-induced removable poverty in the country. Poverty, in general, has dropped significantly, but the share of health expenditure-induced poverty in general poverty has increased substantially. It has risen considerably in rural areas and among India's most vulnerable sections of society in the past 20 years. We emphasised that universal health insurance coverage is needed in India. Implementing comprehensive health insurance schemes that cover both inpatient and outpatient care can help alleviate the financial burden of healthcare expenses on households and contribute to reducing poverty rates. |
| first_indexed | 2024-03-08T09:03:48Z |
| format | Article |
| id | doaj.art-b785fff8a02c4284b0a23ff8c58f148a |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-03-08T09:03:48Z |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-b785fff8a02c4284b0a23ff8c58f148a2024-02-01T06:31:59ZengElsevierHeliyon2405-84402024-01-01101e23464Magnitude of health expenditure induced removable poverty in India: Some reflections of Ayushman BharatRamna Thakur0Mohammad Ahmad Faizan1Corresponding author.; School of Humanities and Social Sciences, Indian Institute of Technology Mandi, 175005, IndiaSchool of Humanities and Social Sciences, Indian Institute of Technology Mandi, 175005, IndiaThe authors have measured the health expenditure-induced removable poverty in India using nationally representative consumer expenditure surveys of three quinquennial rounds conducted by the National Sample Survey Organization (NSSO). This study has also focused on the reflections of Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (AB-PMJAY), the world's largest Government-funded health insurance scheme, on these poverty rates in the country. The study has used headcount, payment gap, and concentration index to measure the economic burden and impoverishment impact of out-of-pocket (OOP) health expenditure. The analysis shows that the incidence and depth of poverty are substantially understated because of overlooking OOP health expenditure in the country's standard poverty measure. Outpatient care contributes almost four times more than inpatient care to health expenditure-induced impoverishment in India, though this care has not been covered in the AB-PMJAY. Muslims, among all religious groups, Scheduled Castes among social groups, and casual labourers among different household types are more vulnerable to OOP health expenditure-induced removable poverty in the country. Poverty, in general, has dropped significantly, but the share of health expenditure-induced poverty in general poverty has increased substantially. It has risen considerably in rural areas and among India's most vulnerable sections of society in the past 20 years. We emphasised that universal health insurance coverage is needed in India. Implementing comprehensive health insurance schemes that cover both inpatient and outpatient care can help alleviate the financial burden of healthcare expenses on households and contribute to reducing poverty rates.http://www.sciencedirect.com/science/article/pii/S2405844023106724HouseholdRemovablePovertyHealthExpenditureHealthcare |
| spellingShingle | Ramna Thakur Mohammad Ahmad Faizan Magnitude of health expenditure induced removable poverty in India: Some reflections of Ayushman Bharat Heliyon Household Removable Poverty Health Expenditure Healthcare |
| title | Magnitude of health expenditure induced removable poverty in India: Some reflections of Ayushman Bharat |
| title_full | Magnitude of health expenditure induced removable poverty in India: Some reflections of Ayushman Bharat |
| title_fullStr | Magnitude of health expenditure induced removable poverty in India: Some reflections of Ayushman Bharat |
| title_full_unstemmed | Magnitude of health expenditure induced removable poverty in India: Some reflections of Ayushman Bharat |
| title_short | Magnitude of health expenditure induced removable poverty in India: Some reflections of Ayushman Bharat |
| title_sort | magnitude of health expenditure induced removable poverty in india some reflections of ayushman bharat |
| topic | Household Removable Poverty Health Expenditure Healthcare |
| url | http://www.sciencedirect.com/science/article/pii/S2405844023106724 |
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