Baseline Findings Jan 2011 VimoSEWA Arogya Sanshodan.
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Transcript of Baseline Findings Jan 2011 VimoSEWA Arogya Sanshodan.
![Page 1: Baseline Findings Jan 2011 VimoSEWA Arogya Sanshodan.](https://reader030.fdocuments.in/reader030/viewer/2022032612/56649eac5503460f94bb22c8/html5/thumbnails/1.jpg)
Baseline FindingsJan 2011
VimoSEWAArogya Sanshodan
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Today’s Presentation
Overview of Swasthya Sanshodan project
Summary of baseline findings
Analysis plan
Your feedback on data, analysis and use
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Action Research – Why?
VimoSEWA claims 2007-9Primary illness 40% of claimsHysterectomy top claim for rural women, avg
age 37
Effectiveness of health education Longstanding SEWA activity, in different formsRecent studies show impact on neonatal
mortality Can it work for primary care and
hysterectomy?
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Research QuestionsCan health education reduce unnecessary
hospitalisation for diarrhea and fever?IncidenceExpenditureHealth seeking behaviour
What are the drivers of hysterectomy? How does education impact on knowledge and
response to hysterectomy and gynecological care?
Do insured members seek health care differently?Does an education program work differently for
the uninsured?
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Intervention Design
Selected 28 sevikas who work where VimoSEWA/LSM active
Randomly selected 14 sevikas to implement health education
Focus on diarrhea, malaria/fever and hysterectomyFilm, games and demonstrationsCapacity building and regular feedback
Over 2 years, 5 survey rounds amongst insured and uninsured to capture health seeking behavior
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Study Coverage
70 HH sampled in each cluster 35 uninsured – from area listing35 insured – from Vimo MIS
Insured Uninsured Total
Urban 420 396 816
Rural 560 558 1,118
Total 980 954 1,934
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HH Profile Rural Urban
Nuclear Family 57% 62%
HH size 5.8 5.8
Yrs in current home
17 yrs 19 yrs
Religion 93% Hindu6% Muslim
83% Hindu16% Muslim
HH income (annual)
INR 79,260 INR 83,337
HH expenditure INR 66,505 INR 66,120
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Education: % ever studied
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Respondent Profile
Rural Urban
Age 37 39
Marital status
92% married7% widowed
83% married13% widowed
Women working
85% 61%
% SEWA members
53% 60%
% SEWA Bank
13% 55%
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Women’s Work
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Housing : % HH by Type
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Household Toilets
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Drinking WaterRural Urban
Own Tap 74% 78%
Shared Tap 13% 12%
Use chlorine 27% 46%
Filter with cloth
94% 83%
Take with doyo
22% 40%
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Mosquito precautions
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Ration Cards/BPL
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SEWA Health Services
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VimoSEWA Services
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VimoSEWA Coverage
VimoSEWA reach Rural Urban
% of SEWA members 89 74
% of Bank members 77 69
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HH with anyone ill – last month
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Illness Rates – last month
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Leading Illnesses - Women
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Place of OPD Treatment
Avg private exp: Rs. 380Primarily private care, but less so in city
Note slight differences within HH
Avg private exp: Rs. 501
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% HH reported hospitalisation in last 6 months
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Hospitalisation per 100; last 6 mos.
Rural and Urban
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Hospitalisation amongst women
Rural Urban
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Rates: Rural Vimo/Non-insured
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Rates: Urban Vimo/Non-insured
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Where Hospitalised - AllRural
Urban
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Place of Hospitalisation
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Expenditure – Vimo and NV
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Are VimoSEWA members different?
DIFFERENCESSES – only urban
More salaried Higher expMore pucca houses
DemographicMore widowsLess educated
(urban)Much more likely to have a ration card
SIMILARITIESSES
Income ToiletsHousing (rural)
DemographicHH sizeFamily structure
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Reproductive Health
Rural Urban
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Hysterectomy
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Age at hysterectomy
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Hysterectomy Reasons
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Place of Hysterectomy
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Analysis PlanBaselineWomen’s illnesses and health seeking behaviour Insured and UninsuredSocial Determinants of Health
OverallImpact of health education – with qualitativeHysterectomy – with qualitative Community health workers – performance and roles