Add wos sample results library

02-data/intermediate/wos_sample/9c8af3f1e771d65d1d7df61582190792-ramprakash-rajalaks/info.yaml

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+abstract: 'BackgroundThe continuing impetus for universal health coverage has given
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+  rise to publicly funded health insurance schemes in lower-middle income
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+  countries. However, there is insufficient understanding of how universal
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+  health coverage schemes impact gender equality and equity. This paper
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+  attempts to understand why utilization of a publicly funded health
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+  insurance scheme has been found to be lower among women compared to men
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+  in a southern Indian state. It aims to identify the gender barriers
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+  across various social institutions that thwart the policy objectives of
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+  providing financial protection and improved access to inpatient care for
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+  women.MethodsA qualitative study on the Chief Minister''s Comprehensive
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+  Health Insurance Scheme was carried out in urban and rural impoverished
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+  localities in Tamil Nadu, a southern state in India. Thirty-three women
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+  and 16 men who had a recent history of hospitalization and 14
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+  stakeholders were purposefully interviewed. Transcribed interviews were
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+  content analyzed based on Naila Kabeer''s Social Relations Framework
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+  using gender as an analytical category.ResultsWhile unpacking the
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+  navigation pathways of women to utilize publicly funded health insurance
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+  to access inpatient care, gender barriers are found operating at the
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+  household, community, and programmatic levels. Unpaid care work,
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+  financial dependence, mobility constraints, and gender norms emerged as
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+  the major gender-specific barriers arising from the household.
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+  Exclusions from insurance enrollment activities at the community level
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+  were mediated by a variety of social inequities. Market ideologies in
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+  insurance and health, combined with poor governance by State, resulted
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+  in out-of-pocket health expenditures, acute information asymmetry,
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+  selective availability of care, and poor acceptability. These gender
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+  barriers were found to be mediated by all four institutions-household,
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+  community, market, and State-resulting in lower utilization of the
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+  scheme by women.ConclusionsHealth policies which aim to provide
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+  financial protection and improve access to healthcare services need to
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+  address gender as a crucial social determinant. A gender-blind health
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+  insurance can not only leave many pre-existing gender barriers
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+  unaddressed but also accentuate others. This paper stresses that
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+  universal health coverage policy and programs need to have an explicit
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+  focus on gender and other social determinants to promote access and
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+  equity.'
+affiliation: 'RamPrakash, R (Corresponding Author), Loyola Coll Campus, Loyola Inst
+  Business Adm, Chennai 600034, Tamil Nadu, India.
+
+  RamPrakash, Rajalakshmi, Loyola Coll Campus, Loyola Inst Business Adm, Chennai 600034,
+  Tamil Nadu, India.
+
+  Lingam, Lakshmi, Inst Social Sci, VN Purav Marg, Mumbai 400088, Maharashtra, India.'
+article-number: '350'
+author: RamPrakash, Rajalakshmi and Lingam, Lakshmi
+author-email: rajalaksh@gmail.com
+author_list:
+- family: RamPrakash
+  given: Rajalakshmi
+- family: Lingam
+  given: Lakshmi
+da: '2023-09-28'
+doi: 10.1186/s12889-021-10352-4
+eissn: 1471-2458
+files: []
+journal: BMC PUBLIC HEALTH
+keywords: 'Gender; Publicly funded health insurance (PFHI); Universal health
+
+  coverage (UHC); Social relations (SR) framework; India; Gender analysis'
+keywords-plus: EQUITY; CARE; INTERVIEWS; RESOURCE; GENDER; POLICY
+language: English
+month: FEB 12
+number: '1'
+number-of-cited-references: '61'
+orcid-numbers: RamPrakash, Rajalakshmi/0000-0001-6785-5239
+papis_id: 498cbe7b2661f28b04b0e121cbc752ee
+ref: Ramprakash2021whyis
+times-cited: '7'
+title: 'Why is women''s utilization of a publicly funded health insurance low?: a
+  qualitative study in Tamil Nadu, India'
+type: Article
+unique-id: WOS:000619749900006
+usage-count-last-180-days: '2'
+usage-count-since-2013: '6'
+volume: '21'
+web-of-science-categories: Public, Environmental \& Occupational Health
+year: '2021'