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Community–Based
Health Insurance
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CHI is not-for-prot insurance scheme.
Aims at informal sector and is generally targeted atlow-income populations
Formed on the basis of a collective pooling ofhealth risks and in which the members participatein its management.
As opposed to social health insurance membershipis voluntary rather than mandatory.
!he si"e of the target population #i.e. thepopulation from which members are drawn$ ranges
from a few thousands to %& lakhs. 'ften schemes are initiated by a hospital and
targeted at residents of the surrounding area.
'ption to go either to public or private sector (shall generate competition among providers for
better services
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CHI has emerged as a possible means becauseof)
Improving access to health care among the
poor
Protecting the poor from indebtedness andimpoverishment resulting from medicalexpenditures.
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*icro Insurance
Insurance characteri"ed by low premium andlow coverage limits and designed to service
low-income people. *icro-insurance is the protection of low
-income people against specic perils ine+change for regular premium payments
proportionate to the likelihood and cost ofthe risk involved.
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,lobali"ation in many developing countries is contributing to a growingdisparity between the rich and the poor.
!his worsens the access of the poor to the economic opportunities throughwhich they could build up their assets and enhance income in order tocome out of poverty cycle.
!he commercial banking sector does not consider the poor bankable owingmainly to their inability to meet the eligibility criteria. !hus the poor in
most countries have had no access to formal nancial services.
ue to the above mentioned reasons the rural poor were relying oninformal credit channels such as local moneylenders market vendorsshopkeepers and others including friends and relatives.
!he more rational way to help the poor could be the provision ofsustainable economic opportunities at gross-root level especially provisionof reuired nancial services at competitive rates to support theirinvestments and viable business activities.
India is perhaps the largest emerging market for micronance.
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History
In /012 3rofessor *uhammad 4unus
#bangaldesh$ launched 5!he ,rameen 6ank73ro8ect on an e+perimental basis to studythe framework of banking services for therural poor.
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9orld market
In 2007, 100 million of the world’s
poorest families received a microloan.
*icronance is fast emerging as a hotopportunity for global players
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I:IA: *A;
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D4eshaswiniD
Conceptualised by r. evi hetty.
Eaunched in %??% in association with the
million farmers and
their families in the state for all surgicalprocedures and outpatient care.
!he premium is only /@ rupees per monthfrom ;s & at inception.
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6andhan
9orking towards the twin ob8ective of
poverty alleviation and womenempowerment.
6andhan s 'utreach
o. of states !11 o. of branches!"7#o. of bene$ciaries!1.# milliono. of sta%! &,2'#(umulative loan disbursed! )s. 220' crores
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Target audience
Eandless and asset less women
*onthly household income less than ;s.%&?? in rural areas and ;s. >&?? in urbanareas
Individuals owning less than/G%acre of land
or capital of its euivalent value
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3ricing strategy
First loan ;s. /??? - 1??? #rural areas$ ;s. /??? - /???? #urban areas$
ubseuent loan ;s. /??? - &??? more
than the previous loan
!enure of the micro loan is / year.
!he borrowers are entitled to a graceperiod of 1 weeks.
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6andhan Health 3rogram
3urpose) !o address emergency health needs
=ligibility) Any member who has completedtwo loan cycles
Eoan i"e varies between ;s. /???-&??? Interest rate) /%.&
Associates A6: Amro ICICI 6ank andHFC to geographically diversify their
micronance portfolio.