Out-of-pocket expenditure and correlates of caesarean births in public and private health centres in India

Sanjay K. Mohanty, Basant Kumar Panda, Pijush Kanti Khan and Priyamadhaba Behera

Social Science & Medicine, 2019, vol. 224, issue C, 45-57

Abstract: Increasing caesarean births is a global trend and of recent origin in India. Besides its utility and disutility, increasing caesarean births exert higher economic burden on households and the nation. Using 148,746 births from the National Family Health Survey, 2015–16, this paper examines the correlates and provides comparable estimates of out of pocket expenditure (OOPE) on caesarean births in public and private health centres in India. The monthly state specific rural-urban consumer price index and the OOPE on births over seven years are used to derive comparable OOPE estimate at 2016 prices. A composite variable combining type of birth and place of delivery is computed and classified as private and caesarean, public and caesarean, private and non-caesarean, public and non-caesarean. Descriptive statistics, logistic and tobit regression model were used to understand the differentials and determinants of OOPE on caesarean births.

Keywords: Out-of-pocket expenditure; Caesarean birth; NFHS; NHM; India (search for similar items in EconPapers)
Date: 2019
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Citations: View citations in EconPapers (4)

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DOI: 10.1016/j.socscimed.2019.01.048

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