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Functioning of Arogyakiranam programme in Kerala: A qualitative study

Manju Madhavan1, Rekha M Ravindran2, K S Shinu3

  • 1Research Officer, Department of Health and Family Welfare, State Health Systems Resource Centre- Kerala (SHSRC-K), Kerala, India.

Journal of Family Medicine and Primary Care
|February 9, 2022
PubMed

Insights

The Arogyakiranam program provides essential healthcare for children in Kerala, ensuring financial protection and equity. Stakeholder feedback highlights areas for improvement, aiming to enhance this vital state-run health scheme.

Area of Science:

  • Public Health
  • Healthcare Policy
  • Pediatric Healthcare

Background:

  • The Arogyakiranam program is a state-run health entitlement scheme in Kerala, India.
  • It provides healthcare services to children aged 0 to 18 years in government hospitals.
  • Limited research exists on the program's effectiveness and operational aspects.

Purpose of the Study:

  • To conduct an interim analysis of the Arogyakiranam program's functioning.
  • To understand the program's progress from the perspective of various stakeholders.
  • To identify areas for improvement to enhance the program's delivery and impact.

Main Methods:

  • A qualitative study was conducted in three purposively selected districts of Kerala.
  • In-depth interviews were performed with diverse stakeholders, including healthcare officials and beneficiary caretakers.
  • The study focused on understanding the implementation, fund flow, monitoring, and overall operational aspects of the scheme.

Main Results:

  • The program demonstrates a well-structured implementation process, including fund flow and monitoring mechanisms.
  • It offers significant financial risk protection to beneficiary families, with zero out-of-pocket expenditure.
  • Key challenges identified include low public awareness, need for updated guidelines, funding, and specialist availability.

Conclusions:

  • The Arogyakiranam program is highly effective in providing healthcare to children in Kerala.
  • It ensures equitable access to a range of health amenities, contributing to universal health coverage.
  • Recommendations include enhancing public awareness, updating guidelines, securing adequate funds, and improving infrastructure and training.
Abstract

Keywords:
Arogyakiranam programfree entitlement health schemehealth coverage for childrenstakeholder perspective

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