Maternity or catastrophe: A study of household expenditure on maternal health care in India
TLDR
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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Utilization of maternal healthcare among adolescent mothers in urban India: evidence from DLHS-3
TL;DR: Findings indicate that there is considerable amount of variation in use of maternity care by educational attainment, household wealth, religion, parity and region of residence.
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Out-of-pocket expenditure and catastrophic health spending on maternal care in public and private health centres in India: a comparative study of pre and post national health mission period
Sanjay K. Mohanty,Anshul Kastor +1 more
TL;DR: NHM has been successful in increasing maternal care and reducing the catastrophic health spending in public health centers and Regulating private health centres and continuing cash incentive under NHM is recommended.
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Sexual and reproductive health services in universal health coverage: a review of recent evidence from low- and middle-income countries
TL;DR: Evidence, moving from descriptive towards explanatory studies which provide insights into the “hows” and “whys” of processes and pathways are essential for guiding policy and programme actions.
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Out of pocket expenditure to deliver at public health facilities in India: a cross sectional analysis
TL;DR: Even though services at the public health facilities in India are supposed to be provided free of cost, it is actually not free, and the women in this study paid almost half of their mandated cash incentives to obtain delivery care.
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Out-of-pocket expenditure on prenatal and natal care post Janani Suraksha Yojana: a case from Rajasthan, India
TL;DR: Results suggest that JSY has increased the coverage of institutional delivery and reduced financial stress to household and families but not sufficient for complicated delivery and Provisioning of providing sonography/other test and treating complicated cases in public health centres need to be strengthened.
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