ISSN (Print) - 0012-9976 | ISSN (Online) - 2349-8846

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Healthcare Utilisation in Rural Andhra Pradesh

The Government of Andhra Pradesh has invested in the Rajiv Aarogyasri Community Health Insurance Scheme as a means to reduce burdensome health expenses incurred by the state's below-the-poverty-line population. However, recent household data collected in two districts of AP suggest that poor patients continue to spend significantly on conditions that are not covered by the RAS at both government and private facilities. These findings suggest that the RAS alone is not likely to reduce the financial burden (of illness) on the BPL population. Instead, fundamental changes to the health system, including introduction of a gatekeeping system, may be warranted.

Healthcare Utilisation in Rural Andhra Pradesh government vastly underfunded India’s public health system (spending just 1% of GDP on health) and currently only onethird of that spent by other lower-middle   income countries (WHO 2008), which has   resulted in an “ailing” primary care sys- Andrew Mitchell, Ajay Mahal, Thomas Bossert tem (Peters 2002; De Costa and Diwan

january 29, 2011 A mong the many challenges India faces in improving the health of its population is lowering the nan

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