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Management initiatives in a community‐based health insurance scheme
Author(s) -
Sinha Tara,
Ranson M. Kent,
Chatterjee Mirai,
Mills Anne
Publication year - 2007
Publication title -
the international journal of health planning and management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.672
H-Index - 41
eISSN - 1099-1751
pISSN - 0749-6753
DOI - 10.1002/hpm.898
Subject(s) - situated , psychological intervention , business , scheme (mathematics) , accountability , health care , public relations , knowledge management , process management , environmental resource management , political science , computer science , medicine , nursing , economic growth , economics , mathematics , artificial intelligence , mathematical analysis , law
Abstract Community‐based health insurance (CBHI) schemes have developed in response to inadequacies of alternate systems for protecting the poor against health care expenditures. Some of these schemes have arisen within community‐based organizations (CBOs), which have strong links with poor communities, and are therefore well situated to offer CBHI. However, the managerial capacities of many such CBOs are limited. This paper describes management initiatives undertaken in a CBHI scheme in India, in the course of an action‐research project. The existing structures and systems at the CBHI had several strengths, but fell short on some counts, which became apparent in the course of planning for two interventions under the research project. Management initiatives were introduced that addressed four features of the CBHI, viz . human resources, organizational structure, implementation systems, and data management. Trained personnel were hired and given clear roles and responsibilities. Lines of reporting and accountability were spelt out, and supportive supervision was provided to team members. The data resources of the organization were strengthened for greater utilization of this information. While the changes that were introduced took some time to be accepted by team members, the commitment of the CBHI's leadership to these initiatives was critical to their success. Copyright © 2007 John Wiley & Sons, Ltd.