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Anupam Singh @anupampom
, 4 tweets, 3 min read Read on Twitter
@DrManojGrover @yates_rob Your conclusion that RSBY doesn't decrease OOP is informed by pre-post design or quasi randomised studies . Some studies (Karnataka) did so decrease OOPE as well as mortality. Others didn't account for health inflation.
Let's look at OOPE across Indian states.
@DrManojGrover @yates_rob Now Tamil Nadu and Kerala have good health parameters,govt investment and still the OOPE of households are higher than BMARU states, indicating we can't compare apples to oranges.
@DrManojGrover @yates_rob Only way these can be compared is an RCT . Not by flawed surveys so saying that OOPE doesn't change due to RSBY is flawed. We need an RCT/controlled experiment to say that.
@DrManojGrover @yates_rob Most RSBY studies you cite were done within 3 years of intervention, had poor recruitment rates(not sufficient to evaluate effect of intervention), don't give us median and distribution of expenditure. Methodological quality leaves a lot to be desired.
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