Madhavan Manju, Ravindran Rekha M, Shinu K S
Research Officer, Department of Health and Family Welfare, State Health Systems Resource Centre- Kerala (SHSRC-K), Kerala, India.
Senior Research Officer, Department of Health and Family Welfare, State Health Systems Resource Centre- Kerala (SHSRC-K), Kerala, India.
J Family Med Prim Care. 2021 Nov;10(11):4117-4123. doi: 10.4103/jfmpc.jfmpc_586_21. Epub 2021 Nov 29.
Arogyakiranam program, a state-run health entitlement scheme, caters to health care needs of 0 to 18-year-old children, in government hospitals of Kerala. Very few studies have been conducted in this regard.
An interim analysis of the functioning of this program through stakeholder perspective facilitates understanding the mode in which the program is currently progressing, thereby paving way for bettering it further.
A qualitative study in three purposively selected districts of Kerala consisting of in-depth interviews was conducted across different levels of stakeholders including officials from different health care levels and beneficiary caretakers who bring their wards to these centers.
The functioning of the scheme with regard to implementation, fund flow, monitoring, documenting, reporting etc., was found to be following a fine structure. The scheme provides financial risk protection to the beneficiaries' families. Perceived challenges were lesser public awareness of the scheme, the requirement of an updated guideline, funds, the need for the availability of specialists and other amenities. Complete electronic hospital proceedings, a separate account for the scheme, staff reorientation/training, more reviews, and appraisals were emphasized. The overall functioning of the scheme is found to be streamlined and highly fruitful in terms of catering to the child population in the state.
Arogyakiranam program has proven to be a boon to its beneficiaries with nil out-of-pocket expenditure, providing an array of health care amenities, ensuring equity thereby relentlessly working towards universal health coverage.
“阿罗吉亚基拉南姆”项目是一项由政府运营的健康福利计划，在喀拉拉邦的政府医院中满足0至18岁儿童的医疗保健需求。在这方面开展的研究很少。
通过利益相关者的视角对该项目的运作进行中期分析，有助于了解该项目目前的进展模式，从而为进一步改进该项目铺平道路。
在喀拉拉邦三个有目的地选定的地区进行了一项定性研究，包括对不同层面的利益相关者进行深入访谈，这些利益相关者包括来自不同医疗保健层面的官员以及将其子女带到这些中心的受益人的照顾者。
发现该计划在实施、资金流动、监测、记录、报告等方面的运作遵循着良好的结构。该计划为受益家庭提供了财务风险保护。察觉到的挑战包括公众对该计划的认识不足、需要更新的指导方针、资金、需要有专科医生和其他便利设施。强调了完整的电子医院程序、该计划的单独账户、工作人员重新定位/培训、更多的审查和评估。该计划的整体运作在满足该邦儿童人口需求方面被发现是精简且卓有成效的。
“阿罗吉亚基拉南姆”项目已被证明对其受益人来说是一项福音，无需自掏腰包支出，提供了一系列医疗保健便利设施，确保了公平性，从而不懈地朝着全民健康覆盖努力。
