Unlocking universal health coverage: Insights from a community-based explanatory sequential mixed-method study on Ayushman Bharat Pradhan Mantri Jan Arogya Yojana scheme in Rural Puducherry.

IF 1 Q4 PRIMARY HEALTH CARE
G Kiruba Sankar, Prahankumar Rajendran, J Jenifer Florence Mary, A Lokeshmaran, Senkadhirdasan Dakshinamurthy, Arun Sugumaran, Thamizhmaran Sundararajan
{"title":"Unlocking universal health coverage: Insights from a community-based explanatory sequential mixed-method study on Ayushman Bharat Pradhan Mantri Jan Arogya Yojana scheme in Rural Puducherry.","authors":"G Kiruba Sankar, Prahankumar Rajendran, J Jenifer Florence Mary, A Lokeshmaran, Senkadhirdasan Dakshinamurthy, Arun Sugumaran, Thamizhmaran Sundararajan","doi":"10.4103/jfmpc.jfmpc_340_25","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) seeks to provide Universal Health Coverage by 2030, addressing the healthcare needs of India's impoverished population. Despite its potential, significant gaps in enrolment and awareness persist, particularly in rural areas. This study aims to assess the knowledge, coverage, and utilization of AB-PMJAY among beneficiaries in rural Puducherry.</p><p><strong>Methodology: </strong>A community-based sequential explanatory mixed-method study was conducted among 540 households over 18 months in the field practice villages under Rural Health Training Centre (RHTC) of a private medical college in Puducherry. The study participants comprised heads of households categorized under the Below Poverty Line (BPL) as per the Socioeconomic Caste Census 2011, and permanent residents of the selected villages. Data were collected using a pretested semi-structured questionnaire and were analysed using SPSS v16.0. Thematic analysis was done for in-depth interviews.</p><p><strong>Results: </strong>The survey revealed that 71.7% of the beneficiaries were aware that AB-PMJAY is a government-funded health insurance scheme, but only 33.5% knew it covers only BPL families. The utilization remained low at 2.03%. Socio-demographic factors such as age, education, and occupation significantly influenced knowledge levels.</p><p><strong>Conclusion: </strong>Additional strategies are required to enhance utilization among beneficiaries. Policymakers should focus on sustained awareness campaigns and addressing systemic issues to ensure the success of AB-PMJAY.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 8","pages":"3427-3433"},"PeriodicalIF":1.0000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488118/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Family Medicine and Primary Care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/jfmpc.jfmpc_340_25","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/9/24 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"PRIMARY HEALTH CARE","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) seeks to provide Universal Health Coverage by 2030, addressing the healthcare needs of India's impoverished population. Despite its potential, significant gaps in enrolment and awareness persist, particularly in rural areas. This study aims to assess the knowledge, coverage, and utilization of AB-PMJAY among beneficiaries in rural Puducherry.

Methodology: A community-based sequential explanatory mixed-method study was conducted among 540 households over 18 months in the field practice villages under Rural Health Training Centre (RHTC) of a private medical college in Puducherry. The study participants comprised heads of households categorized under the Below Poverty Line (BPL) as per the Socioeconomic Caste Census 2011, and permanent residents of the selected villages. Data were collected using a pretested semi-structured questionnaire and were analysed using SPSS v16.0. Thematic analysis was done for in-depth interviews.

Results: The survey revealed that 71.7% of the beneficiaries were aware that AB-PMJAY is a government-funded health insurance scheme, but only 33.5% knew it covers only BPL families. The utilization remained low at 2.03%. Socio-demographic factors such as age, education, and occupation significantly influenced knowledge levels.

Conclusion: Additional strategies are required to enhance utilization among beneficiaries. Policymakers should focus on sustained awareness campaigns and addressing systemic issues to ensure the success of AB-PMJAY.

解锁全民健康覆盖:基于社区的普杜切里农村Ayushman Bharat Pradhan Mantri Jan Arogya Yojana计划解释性顺序混合方法研究的见解。
背景:Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY)寻求到2030年提供全民健康覆盖,解决印度贫困人口的医疗保健需求。尽管有潜力,但在入学率和认识方面仍然存在巨大差距,特别是在农村地区。本研究旨在评估普杜切里农村受益人对AB-PMJAY的知识、覆盖面和利用情况。方法:在普杜切里一所私立医学院农村卫生培训中心(RHTC)下的实地实践村,对540户家庭进行了为期18个月的基于社区的顺序解释性混合方法研究。研究参与者包括根据2011年社会经济种姓普查分类在贫困线以下(BPL)的家庭户主,以及选定村庄的永久居民。使用预测试的半结构化问卷收集数据,并使用SPSS v16.0进行分析。对深度访谈进行专题分析。结果:调查显示,71.7%的受益人知道AB-PMJAY是一项政府资助的健康保险计划,但只有33.5%的人知道它只覆盖贫困家庭。利用率仍然很低,为2.03%。年龄、教育和职业等社会人口因素显著影响知识水平。结论:需要额外的策略来提高受益人的利用。决策者应该把重点放在持续的提高认识运动和解决系统性问题上,以确保AB-PMJAY的成功。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
7.10%
发文量
884
审稿时长
40 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信