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NATIONAL LEVEL MEETING OF
PROJECT DIRECTORS OF
RURAL DEVELOPMENT
ANDHRA PRADESH
PRESENTATION ON
3. Food Security
SANJEEVANI
Community Managed
Health Insurance
SANJEEVANI
Sanjeevani is a Community based and
Community managed Health Welfare Scheme,
promoted by Zilla Samakhya, Vishakhapatnam.
Cumbersome Procedure
3. Quality Medicine
Free of cost at PHC level
2. 10% Discount rate at NWH
3. Grossly discount at Drug depots of IKP (Sanjeevani
Pharmacy)
Features of the Scheme
Contd
4. Hospitalization cover:
Cover- Inpatient treatment requiring hospitalization for more
than 24 hours.
Cover would include consultation, investigation and room
charges, medicines and consumables.
5. Medical and Secondary and Tertiary Surgical Care
Treatment provided through Referral Network Hospitals only
with 100% Cashless facility
6. Pre existing diseases are covered
7. Treatment in General ward only
Surgeries Covered
Beneficiary approaches VO
Representative
Intimation to
TPA/ZS by NWH
Patient pays 10%
of the bill Pre-Authorization-
from TPA/ZS
Investigation
Special rates CASHLESS
Hospitalization
Member signs on
the Claim Form
Discharge
Claims Flowchart
Receipt of claims
From NWH
Document Incomplete
verification
Communication To Hospital
Complete
Claim ID Generation
Collection of DD
Dispatch o hospital
Outward
Progress
Jaundice 76 28%
Typhoid 27 10%
TOTAL 273
Medical Cases Treated
185
200
180
160
140
120
76
100
53
80
60 27 22
40
20
0
Cerebral Jaundice Normal Typhoid Others
Malaria Delivery
Expenditure (From May to
December 2007)
Surgical Cases
TOTAL 273
Surgical Cases Treated
120
106
100
80
65
60
52
40 34
20
20
0
Hysterectomies Orthopedic Caesarians Hernia Others
Hydrosols
Community Managed Life
Insurance Scheme
Community Based life Insurance Scheme
Objective
Need
Evolution
Implementation
Impact
SERP
DRDA
Objective
SERP
DRDA
Need
Rural poor household having no access to formal Insurance
services to cover risks.
SERP
DRDA
Evolution
SERP
DRDA
A.P. Level Achievement 2007-08
Total Members covered : 26,15,540
Premium Amount collected : Rs.26.68 Crores
Premium Amount paid to
Insurance Company : Rs.21.71 Crores
No. of Claims Received sofar : 7215
Natural Deaths : 6459
Accidental Deaths : 756
Claims settled sofar : 6133
Natural Deaths : 5515
Accidental Deaths : 618
Claim amount settled : Rs.15.73 Crores
SERP
DRDA
District-wise Achievement 2007-08
District Women Claims Claims Claim amount
covered received settled settled
Adilabad 93394 200 124 4675000
Ananthapur 129776 187 137 4025000
Chittor 336163 338 278 9340000
East Godavari 134000 306 236 8080000
West Godavari 153786 322 271 9130000
Kurnool 46319 141 103 3400000
Karimnagar 336946 59 16 320000
Khammam 109326 605 548 17830000
Kadapa 122701 656 600 20690000
Mahaboob Nagar 26028 174 131 3900000
SERP
DRDA
District-wise Achievement 2007-08
SERP
DRDA
Implementation in Visakhapatnam 2006-07
Amount collected by CBO per member Rs. 105/-
SERP
DRDA
Implementation in Visakhapatnam 2007-08
Amount collected by CBO per member Rs. 80/-
Life Insurance Corporation Rs. 50/-
National Insurance Rs. 18/-
Corpus available per member at ZS Rs 12/-
Members covered so far as against proposed target of
83,266 members.
Rs. 66.61Lakhs Amount collected by Zillah Samakhya.
Rs. 41.63 Lakhs Amount paid to Life Insurance towards
life insurance.
Rs. 14.98 Lakhs Amount paid to National Insurance
towards general insurance.
Rs. 9.99 Lakhs with ZS.
SERP
DRDA
Claim settlement process
Information from affected family to VO from SHG.
Verification and Certification by VO.
Claim submission to Zilla Samakhya through Mandal
Samakhya.
Verification by ZS monitoring committee.
Claim submission by ZS to insurance company.
Claim settlement by ZS within 7 days of receipt of the claim
by ZS pending release of money by insurance company is ZS.
Claim shall reach ZS within 90 days of occurrence of the
incident.
SERP
DRDA
Impact in Visakhapatnam District
2006-2007
Affordable premium
Immediate claim settlement by Zillah Samakhya.
357 Claims settled so far against 390 claims
received.
Rs. 89.10 Lakhs Amount distributed towards claim
settlement.
2007-2008
193 Claims settled so far against 235 claims
received.
Rs. 73.69 Lakhs Amount distributed towards claim
settlement.
SERP
DRDA
Total Financial Inclusion
General definition of financial inclusion
Whether urban or
rural, the spread is
wide in non-poor vis-
-vis poor
83.6 85.3
14.7
100
16.4
P OOR
50
NON-P OOR
0
P HY FI N
Analysis of financial
needs of the poor
The Expenditure Portfolio of the Poor
Food House
Working capital Health
Health Marriage
Children education Land-
purchase/development
Income generating asset Higher education
Coping mechanism by the rural poor family
Banks
Debt
Money lenders/friends & relatives
5
.0
5
60
7.
300
1
20
200
Fin
1
100
17
0 Phy
1 2
Financial inclusion not deeper -
empirical evidence
In CC Palli village the total debt of 201
families was Rs. 29 lakh
Bank share was 11% (mainly for small needs)
Money lenders share was 87% (mainly for
big needs)
Others share was 2%
The Result .
Total
Loan Interest interest
amount per amount
Interest No of
from month paid by
per SHGs in
money Rate of paid by SHGs per
annum the
leners/mfi interest SHG to annum in
paid by district
in each money a district
SHG (average)
SHG lenders/ to money
(average) mfi lenders/
mfi
230
1,50,000 36 4,800 57,600 40,000
crores
TOTAL
Outstanding bank-linkage: 1
Grand Total: 2
Repayment by members to SHG
The installment shall comprise both principal and
interest
It shall be monthly installment
It shall not be short term repayment minimum 60
months
The members repayment is as per their
capacity to re-pay
The members repayment schedule may vary-below
60 months-may be 40 to 48 months
There shall be surplus in SHG in every month
Repayment
Principal Ins Number Principal Ins Number Principal Income Ins Numbe
amou of Ins amo of Ins amou r of Ins
nt unt nt
3 X3 28000
4 X4 54000
5 X5 47000
6 X6 15000
7 X7 25000
8 X8 40000
9 X9 36000
10 X10 45000
TOTAL 365000 320000 65000 385000 10350 3650 14000 30000
REPAYMENT 6000 3650 60
TO
BANK
To members
To Village Organisation
Other Products to members of SHG
120
98.15 Lakhs
100
80
56.77 Lakhs
60
40 28.52 Lakhs
12.86 Lakhs
20
0
For Debt Swapping For income generation For Social needs Total
activities
Loan Amount Taken Under TFI
in Gopularam H/o Maharajpet (V) of Rangareddy District
50
44.41 Lakhs
45
40
35
30
22.06 Lakhs
25
20
14.5 Lakhs
15
7.99 Lakhs
10
0
For Debt Swapping For income generation For Social needs Total
activities
Relief in interest burden per annum
7
in Gopularam H/o Maharajpet(V) of Rangareddy District
6
5.33 Lakhs
2
1.33 Lakhs
0
Interest amount paid by poor families in the village as on After TFI
TFI
Building up of Assets of the poor in T.F.I.
120
Village : Gopularam
100 96
Before T.F.I
After T.F.I
80
60
52.5
42.7
40
35
21 22.5
20
9
6 5 4
0 0
0
Milch Animals Auto Rickshaw s Bore w ells for irrigation Small Business Land holding(in acres) Land taken on lease
Increase in Annual Income of the poor
in Gopularam H/o Maharajpet (V) of Rangareddy District
80 75.48 Lakhs
70
58.73 Lakhs
60
50
40
28.51 %
30
16.75 Lakhs
20
10
0
Before TFI After TFI Difference % of change
EFFECTIVE IMPACT OF TOTAL FINANCIAL INCLUSION ON THE POOR
IN GOPULARAM h/o MAHARAJ PET (V)
75.48
80
Before TFI
70
58.73
60
After TFI
50 44.41
Rs. in
40
Lakhs
30
16.83
20
9.08
5.33
10 1.33 1.76
0
as % of annual
Deb t Interest amount Annual Income
income
Money Lenders 16.83 5.33 58.73 9.08
Bankers 44.41 1.33 75.48 1.76
The impact of TFI vis-a-vis SHG-Bank Linkage
Name : Mrs. Krishnaveni, VSP dist.
50000
50000
Bank Linkage
34524
40000 Additional income
30000
10000 1500
0
0
0
1st 2nd 3rd 4th TFI
linkage linkage linkage linkage
The impact of TFI vis-a-vis SHG-Bank Linkage
Name : Mrs.Ananthamma,Medak dist.
Bank Linkage
70000
70000 Additional income
60000
50000 40000
40000
30000
3000 8000
20000 8000 4500
1000 9500
10000 3000 0
0
1st 2nd 3rd 4th TFI
linkage linkage linkage linkage
The impact of TFI vis-a-vis SHG-Bank Linkage
Name : Mrs.Satyavathi, Khammam.
100000
80000
60000 46000
40000
1000 2000 0 4000 8000
20000 0
0
1st 2nd 3rd 4th TFI
linkage linkage linkage linkage
The impact of TFI vis-a-vis SHG-Bank Linkage
Name : Mrs.N.Jyothi, W.G.Dt
Bank Linkage
60000
58000
60000 Additional income
50000
40000
30000
15000
20000 10000
2000
10000 0 0 0
0
1st 2nd 3rd 4th TFI
linkage linkage linkage linkage
Achievement done sofar
2006-07
2007-08
Kalva China
1 Mariamma 3 3 2 60 1.6 48 12 20 1.8 54 6 10
Kalva Peda 16.
2 Mariamma 3 2 1.8 54 1.5 45 9 1.7 51 3 5.6
7
Kukkamudi
3 Jyothi 3 3 2 60 1.6 48 12 20 1.8 56 6 10
Macherla
13.
4 China 4 4 3 90 2.6 78 12 2.8 84 6 6.7
Venkaiah 3
Kalva
5 Seshamma 3 3 2 60 1.6 48 12 20 1.8 54 6 10
Dasari 13.
6 Masthanamma 4 3 3 90 2.6 78 12 2.8 84 6 6.7
3
Source of Supply of Rice to the Poorest of the Poor & the Poor
Source of Supply
.(1) .(2) .(3a) .(3b) .(3c) .(3d) (4a) .(4b) .(4c) .(4d) (4e)
Kalva China
1
Mariamma
20 28 0 48 20 0 0 34 54
Kalva Peda
2
Mariamma
16 29 0 45 16 0 0 35 51
3 Kukkamudi Jyothi 25 23 0 48 25 0 0 31 56
Macherla China
4
Venkaiah
30 48 0 78 30 0 0 54 84
5 Kalva Seshamma 26 21 0 47 26 0 0 28 54
Dasari
6
Masthanamma
27 51 0 78 27 0 0 57 84
The Impact
Reduction in Food Gap
and increase in food
intake by the poor
Reduction in price
Increase in real income
Increase in quality
Ensuring Total Food
Security
Caring for the aged,
destitute and pregnant
women
Capital formation in VOs
and MSs