Out-of-pocket expenditure on maternity care for hospital births in Uttar Pradesh, India

Srinivas Goli, Anu Rammohan () and Moradhvaj ()
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Anu Rammohan: University of Western Australia
Moradhvaj: Jawaharlal Nehru University (JNU)

Health Economics Review, 2018, vol. 8, issue 1, 1-16

Abstract: Abstract Background and Objective The studies measured Out-of-Pocket Expenditure (OOPE) for hospital births previously suffer from serious data limitations. To overcome such limitations, we designed a hospital-based study for measuring the levels and factors of OOPE on maternity care for hospital births by its detailed components. Methods Data were collected from women for non-complicated deliveries 24-h before the survey and complicated deliveries 48-h prior to the survey at the hospital settings in Uttar Pradesh, India during 2014. The simple random sampling design was used in the selection of respondents. Bivariate analyses were used to estimate mean expenditure on Antenatal care services (ANCs), Delivery care and Total Maternity Expenditure (TME). Multivariate linear regression was employed to examine the factor associated with the absolute and relative share of expenditure in couple’s annual income on ANCs, delivery care, and TME. Results The findings show that average expenditure on maternal health care is high ($155) in the study population. Findings suggest that factors such as income, place, and number of ANCs, type, and place of institutional delivery are significantly associated with both absolute and relative expenditure on maternity care. The likelihood of incidence of catastrophic expenditure on maternity care is significantly higher for women delivered in private hospitals (β = 2.427, p

Keywords: Maternal health care; Catastrophic out-of-pocket expenditure; Health policy; UP; India (search for similar items in EconPapers)
Date: 2018
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Citations: View citations in EconPapers (3)

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DOI: 10.1186/s13561-018-0189-3

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