FRUITFULNESS OF RAJIV GANDHI JIVANDAYI YOJANA TO PATIENTS OF END-STAGE KIDNEY DISEASE TAKING DIALYSIS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 64
Abstract
BACKGROUND In recent era, incidence of CKD is increasing. Despite of it, very few patients seek Renal Replacement Therapy in India due to very high costs. Recently, Govt. of India has launched Rajiv Gandhi Jivandayi Yojana (RGJAY) Insurance Scheme for the poor. Our study aims to know fruitfulness of this yojana to ESKD patients taking Renal Replacement Therapy in our rural area. MATERIALS AND METHODS Our study is a retrospective study. Data analysis of last 3 years was done. Incomplete data and patients having lost follow-ups were excluded from data analysis. We compared the data of ESKD patients before (one and a half year) and after (one and a half year) appliance of RGJAY to our institute; 32 patients were under dialysis before RGJAY out of 32, 11 patients continued to take dialysis under RGJAY; 46 new patients were added after appliance of RGJAY (total 57 = 11 + 46). Our outcome was measured with variables like number of patients, follow-ups and advised dialysis frequency, adherence to the treatment, tendency to seek ICU care for complications, renal transplant and mortality. Statistical analysis was done with R programming. Chi square test was applied. RESULTS Number of patients of CKD increased from 32 to 57 after RGJAY. Average dialysis frequency increased from 61 per month to 252 per month. Average percentage frequency of dialysis done and advised rose from 38.29 to 91.4. It was proved statistically that number of patients taking ICU care as and when advised and having good drug adherence has been increased after RGJAY. Patients seeking vaccination (though not covered under RGJAY) and renal transplant has been increased from 2 to 35 and none to 6. Still many deserving patients are unable to take these facilities, due to lack of documentation. CONCLUSION Rajiv Gandhi Jivandayi Yojana has been really jeevan daan to ESKD patients.
Authors and Affiliations
Gajanan Gondhali, Susheel Bhattad
Keywords
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- EP ID EP231479
- DOI 10.14260/Jemds/2017/1005
- Views 93
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