Maternity or catastrophe: A study of household expenditure on maternal health care in India
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It was found that maternal health care expenditure in urban households was almost twice that of rural households, and increasing education level, higher consumption expenditure quintile and higher caste of women was associated with increasing odds of impoverishment due to maternalhealth care expenditure.Abstract:
Using data from 60th round of the National Sample Survey, this study attempts to measure the incidence and intensity of ‘catastrophic’ maternal health care expenditure and examines its socio-economic correlates in urban and rural areas separately. Additionally, it measures the effect of maternal health care expenditure on poverty incidence and examines the factors associated with such impoverishment due to maternal health care payments. We found that maternal health care expenditure in urban households was almost twice that of rural households. A little more than one third households suffered catastrophic payments in both urban and rural areas. Rural women from scheduled tribes (ST) had more catastrophic head counts than ST women from urban areas. On the other hand, the catastrophic head count was greater among illiterate women living in urban areas compared to those living in rural areas. After adjusting for out-of-pocket maternal health care expenditure, the poverty in urban and rural areas increased by almost equal percentage points (20% in urban areas versus 19% in rural areas). Increasing education level, higher consumption expenditure quintile and higher caste of women was associated with increasing odds of impoverishment due to maternal health care expenditure. To reduce maternal health care expenditure induced poverty, the demand-side maternal health care financing programs and policies in future should take into consideration all the costs incurred during prenatal, delivery and postnatal periods and focus not only on those women who suffered catastrophic expenditure and plunged into poverty but also those who forgo maternal health care due to their inability to pay.read more
Citations
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Has the Janani Suraksha Yojana (a conditional maternity benefit transfer scheme) succeeded in reducing the economic burden of maternity in rural India? Evidence from the Varanasi district of Uttar Pradesh
Saradiya Mukherjee,Aditya Singh +1 more
TL;DR: The Janani Suraksha Yojana appeared to have achieved only a limited success in reducing the economic burden due to maternity, and policy makers should consider increasing the JSY reimbursement to cover not only antenatal and postnatal services but also non-medical expenditure due toaternity.
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Informal Payments for Maternal and Neonatal Health Services in Public Hospitals in Central India
TL;DR: The extent and magnitude of informal payments based on the entitlements in Janani-Shishu Suraksha Karyakram (JSSK) in the Indian context is measured and a significant association was found between participant characteristics and informal payments.
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Out-Of-Pocket Expenditure on Institutional Delivery in Rural Lucknow
TL;DR: Low socioeconomic class, residence outside the catchment area of delivery point, tertiary and secondary health care facilities as place of delivery and low literacy status of head of the family below high school were found to be significantly associated with out of pocket expenditure bivariate analysis.
Factor Influencing the Skilled Birth Attendant Utilization of Non- Institutional Delivery in Empowered Action Group States, India
TL;DR: Findings indicate that there was considerable amount of variation in use of SBA by educational attainment, household wealth, religion, number of ANC visit, health facility for ANC checkup during first trimester and place of residence.
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Does choice of health care facility matter? Assessing out-of-pocket expenditure and catastrophic spending on emergency obstetric care in India.
TL;DR: Logistic regression analysis showed a significant association between household socioeconomic status and level of catastrophic health expenditure on EmOC, which was about 6 times higher than in public hospitals, where mean spending was INR 3651 (US$58).
References
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Journal ArticleDOI
Maternal mortality for 181 countries, 1980-2008: a systematic analysis of progress towards Millennium Development Goal 5.
Margaret C. Hogan,Margaret C. Hogan,Kyle J Foreman,Mohsen Naghavi,Stephanie Y. Ahn,Mengru Wang,Susanna M Makela,Alan D. Lopez,Rafael Lozano,Christopher J L Murray +9 more
TL;DR: Although only 23 countries are on track to achieve a 75% decrease in MMR by 2015, countries such as Egypt, China, Ecuador, and Bolivia have been achieving accelerated progress and substantial, albeit varied, progress has been made towards MDG 5.
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