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Home » Countries » India » Insurance coverage in NFHS-5 (is PMJAY insurance scheme covered in the study )
Insurance coverage in NFHS-5 [message #27917] Sun, 22 October 2023 03:55 Go to next message
Rupon is currently offline  Rupon
Messages: 16
Registered: October 2023
Member
Dear Sir/Madam,
A recent manuscript on insurance coverage submitted by us got rejected by a reviewer on the ground that NSS 2017-18 does not include India's largest insurance scheme PMJAY. I tried exploring NFHS 2019-21 thereafter. In the NFHS questionnaire RSBY is mentioned. I will be grateful if anyone on the forum could clarify on the following two questions
1. Is PMJAY included in the survey? If so, is it included as a part of RSBY?
2. What does the option 'other' cover for health insurance?

Thank you
Regards
Rupon
Re: Insurance coverage in NFHS-5 [message #27922 is a reply to message #27917] Sun, 22 October 2023 12:51 Go to previous messageGo to next message
fred.arnold@icf.com is currently offline  fred.arnold@icf.com
Messages: 84
Registered: May 2021
Senior Member
The NFHS-5 Household Questionnaire asks if any usual member of this household is covered by a health scheme or health insurance. If yes, the respondent is asked 'what type of health scheme or health insurance?" and "Any other type?" The response categories are:
A. EMPLOYEES STATE INSURANCE SCHEME (ESIS), B. CENTRAL GOVERNMENT HEALTH SCHEME (CGHS), C. STATE HEALTH INSURANCE SCHEME, D. RASHTRIYA SWASTHYA BIMA YOJANA (RSBY), E. COMMUNITY HEALTH INSURANCE PROGRAMME, F. OTHER HEALTH INSURANCE THROUGH EMPLOYER, G. MEDICAL REIMBURSEMENT FROM EMPLOYER, H. OTHER PRIVATELY PURCHASED COMMERCIAL HEALTH INSURANCE, X. OTHER (SPECIFY).
Multiple responses are accepted.
The OTHER (SPECIFY) response includes every type of health scheme or health insurance that is not included in responses A-H.
PMJAY is not included as a response category. That's because the PMJAY programme was not launched until 23 September 2018. At that time, each of the states and union territories made their own choice about whether or not to participate in Ayushman Bharat Yojana. For example, Maharashtra and Tamil Nadu initially declined to join because they had their own state health programmes. Kerala did not join until November 2019. In March 2020, Delhi announced that they would join. Some states and union territories joined the program and later dropped out.
PMJAY could not be included in the NFHS-5 questionnaires because the NFHS-5 questionnaires were approved by the NFHS-5 Technical Advisory Committee in October 2017. The final questionnaires were sent to the printer on 15 December 2017. A few changes in the questionnaires were made after that, but the questionnaires were approved and locked well before PMJAY was rolled out.
Re: Insurance coverage in NFHS-5 [message #27923 is a reply to message #27922] Sun, 22 October 2023 13:03 Go to previous messageGo to next message
Rupon is currently offline  Rupon
Messages: 16
Registered: October 2023
Member
Thank you so much for quick and detailed reply.
Re: Insurance coverage in NFHS-5 [message #27973 is a reply to message #27922] Sun, 29 October 2023 05:02 Go to previous messageGo to next message
Rupon is currently offline  Rupon
Messages: 16
Registered: October 2023
Member
I responded to your reply earlier.

From your reply, it looks obvious to me that if there is any other health insurance including PMJAY (apart from the categories mentioned in the questionnaire), it was recorded in 'Others'.

Hope I got it correct.

Thank you
Re: Insurance coverage in NFHS-5 [message #27975 is a reply to message #27973] Sun, 29 October 2023 11:54 Go to previous messageGo to next message
fred.arnold@icf.com is currently offline  fred.arnold@icf.com
Messages: 84
Registered: May 2021
Senior Member
PMJAY is a component of the Ayushman Bharat scheme. Since neither of those were mentioned in the NFHS-5 questionnaire as a health scheme or health insurance, you are correct to assume that if any usual member of the household was covered by a health scheme or health insurance, if they had PMJAY, it would be listed as OTHER.
Re: Insurance coverage in NFHS-5 [message #27976 is a reply to message #27975] Sun, 29 October 2023 12:14 Go to previous message
Rupon is currently offline  Rupon
Messages: 16
Registered: October 2023
Member
Thank you so much.
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