ArticleFrontiers in public health2023
Socioeconomic and geographic variation in coverage of health insurance across India.
Article in Frontiers in public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Equity in health insurance coverage among women with children under two years of age in Laos: a cross-sectional study of sociodemographic disparities and implications for universal health coverage.Journal of health, population, and nutrition · 2026Article
- Inequities in Health Insurance Coverage among Tribal Populations in India: Evidence from a Multi-State Cross-Sectional Study.Journal of racial and ethnic health disparities · 2026Article
- Does health insurance coverage improve cardiometabolic risk factor levels? Quasi-experimental evidence from India.Global health action · 2025Article
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4 authors.
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Abstract
Introduction: In India, regular monitoring of health insurance at district levels (the most essential administrative unit) is important for its effective uptake to contain the high out of pocket health expenditures. Given that the last individual data on health insurance coverage at district levels in India was in 2016, we update the evidence using the latest round of the National Family Health Survey conducted in 2019-2021. Methods: We use the unit records of households from the latest round (2021) of the nationally representative National Family Health Survey to calculate the weighted percentage (and 95% CI) of households with at least one member covered by any form of health insurance and its types across socio-economic characteristics and geographies of India. Further, we used a random intercept logistic regression to measure the variation in coverage across communities, district and state. Such household level study of coverage is helpful as it represents awareness and outreach for at least one member, which can percolate easily to the entire household with further interventions. Results: We found that only 2/5 Discussion: Despite substantial increase in population eligible for state sponsored health insurance and rise in private health insurance companies, nearly 60% of families do not have a single person covered under any health insurance scheme. Further, the existing coverage is fragmented, with significant rural/urban and geographic variation within districts. It is essential to consider these disparities and adopt rigorous place-based interventions for improving health insurance coverage.
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