title: Building awareness to health insurance among the target population of community-based health insurance schemes in rural India.
abstract: OBJECTIVE
  To evaluate an insurance awareness campaign carried out before the launch of three community-based health insurance (CBHI) schemes in rural India, answering the questions: Has the awareness campaign been successful in enhancing participants' understanding of health insurance? What awareness tools were most useful from the participants' point of view? Has enhanced awareness resulted in higher enrolment?
  
  
  METHODS
  Data for this analysis originates from a baseline survey (2010) and a follow-up survey (2011) of more than 800 households in the pre- and post-campaign periods. We used the difference-in-differences method to evaluate the impact of awareness activities on insurance understanding. Assessment of usefulness of various tools was carried out based on respondents' replies regarding the tool(s) they enjoyed and found most useful. An ordinary least square regression analysis was conducted to understand whether insurance knowledge and CBHI understanding are related with enrolment in CBHI.
  
  
  RESULTS
  The intervention cohort demonstrated substantially higher understanding of insurance concepts than the control group, and CBHI understanding was a positive determinant for enrolment. Respondents considered the 'Treasure-Pot' tool (an interactive game) as most useful in enhancing awareness to the effects of insurance.
  
  
  CONCLUSIONS
  We conclude that awareness-raising is an important prerequisite for voluntary uptake of CBHI schemes and that interactive, contextualised awareness tools are useful in enhancing insurance understanding.
authors: Micro Insurance Academy, New Delhi, India.
authors: Pradeep
authors: P
authors: Panda
authors: Micro Insurance Academy, New Delhi, India.
authors: Arpita
authors: A
authors: Chakraborty
authors: Micro Insurance Academy, New Delhi, India.|Erasmus University Rotterdam, Rotterdam, The Netherlands.
authors: David M
authors: DM
authors: Dror
mesh_terms: D000328:Adult; D001290:Attitude; D001364:Awareness; D003256:Community Participation; D032882:Comprehension; D003625:Data Collection; D005191:Family Characteristics; D005260:Female; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006801:Humans; D007194:India; D007348:Insurance, Health; D008297:Male; D008875:Middle Aged; D012424:Rural Population; D012959:Socioeconomic Factors
keywords: Inde; India rural; assurance santé communautaire; awareness campaign; campagne de sensibilisation; campaña de sensibilización; community-based health insurance; educación en seguros; health microinsurance; insurance education; micro-assurance santé; microseguro sanitario; rural; rural India; seguro comunitario; éducation sur l'assurance