Rashtriya Swasthya Bima Yojana (RSBY)

Comprehensive Evaluation:

At the instance of the Union Ministry of Labour and Employment, Independent Evaluation Office (IEO) has initiated a comprehensive evaluation of the Rashtriya Swasthya Bima Yojana (RSBY) to assess its performance in terms of coverage of target groups, effectiveness of delivery mechanisms and impact. IEO has sought detailed proposals from reputed research institutions and NGOs for carrying out the evaluation.

Need for Evaluation:

Launched in 2008, RSBY is being administered by the Ministry of Labour & Employment. It aims at providing financial protection against catastrophic health costs and making quality health-care services accessible to the BPL population. During the course of implementation, the coverage of RSBY was extended to include unorganized workers, viz. construction workers, railway porters, street vendors, MGNREGA workers, domestic workers, rickshaw pullers, rag pickers, mine workers and others. In response to fresh proposals for further extension of coverage to other vulnerable sections, the Union Cabinet has sought a comprehensive evaluation of the scheme.

The Evaluation Study:

The evaluation study will cover all States where the scheme is operational and is required to be designed to reflect on issues related to program design, implementation and impact. The study is scheduled to be completed in 12 months and will cover the following:

  1. An analytical note on conceptualization of RSBY, guidelines for implementation, roles/responsibilities of various institutions/actors, allocation and utilization of resources, etc.
  2. Assessment of coverage of target groups across different States, extent of Errors of Inclusion/Exclusion, if any. Identification of factors that explain inter-state variations in Coverage and Inclusion/Exclusion Errors.
  3. Assessment of strategies adopted by different States to improve access to RSBY. Analyze effectiveness of alternate strategies. 
  4. Assess quality of service delivery & beneficiary satisfaction with services rendered by implementing agencies, insurers and empanelled health institutions.
  5. Evaluation of outcome of RSBY in terms of the intended behavioral changes among beneficiaries. Identification of factors that facilitate or impede realization of intended behavioral changes.
  6. Assessment of impact of RSBY on:
    • Improving access to quality health care services for the target groups;
    • Household health expenditure, Indebtedness related to health occurrence of catastrophic health expenditure out of pocket expenditure/direct payment for hospitalization?
    • Instances of treatment not being availed due to inability to pay.
  7. Lessons learned from implementation of RSBY?
  8. Identification of follow-up actions for better performance of RSBY.

Evaluation Process:

The study will be conducted under the guidance and supervision of IEO and all stakeholders involved in design, implementation and resource allocation will participate at different stages of the study.
Deliverables:

  • A note on the study design and instruments of data collection, assessment of data requirements, evaluation approach/methods.
  • A secondary data-based analysis on program design and implementation.
  • A note on sample design and field survey, giving the details of selected villages/wards/ districts.
  • A draft report on the findings a month before the scheduled date of completion of the study. The final report incorporating the comments/observations.

Ongoing Evaluations