Catastrophic household expenditure on caesarean deliveries in India

Dipti Govil (), Sanjay Kumar Mohanty and Pralip Kumar Narzary
Additional contact information
Dipti Govil: International Institute for Population Sciences
Sanjay Kumar Mohanty: International Institute for Population Sciences
Pralip Kumar Narzary: International Institute for Population Sciences

Journal of Population Research, 2020, vol. 37, issue 2, No 2, 139-159

Abstract: Abstract The objectives of our study were to examine the (1) trends and patterns of caesarean deliveries in India and; (2) differentials in catestrophic household expenditure on caesarean deliveries. The paper used data from 71st round of the National Sample Survey, India. The analysis included 14,310 women, hospitalised for delivery during the last 365 days preceding the survey. The proportion of caesarean sections among institutional deliveries in India was 2.5% in 1992–1993, which increased to 23.9% in 2014. In private facilities, 47.8% deliveries were conducted through caesarean section, while in public facilities, this proportion was 8%. OOPE per delivery was US$157 which was 64.9% of the total cost of maternal health care. OOPE varied by type of delivery; US$283 for caesarean and US$77 for non-caesarean delivery. About 60% of households incurred the expenditure on caesarean section exceeding 40% of their capacity to pay. The incidence of catastrophic delivery expenditure declined with increased education and per-capita expenditure. Caesarean delivery in private facilities and a hospital stay of more than 48 h increased the chances of catastrophic expenditure. Interventions and regulations are necessary for both public and private sector to check unwarranted caesarean deliveries and hospital stays to reduce catastrophic expenditure.

Keywords: Caesarean delivery; OOPE; Catastrophic expenditure; India (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
http://link.springer.com/10.1007/s12546-019-09236-7 Abstract (text/html)
Access to the full text of the articles in this series is restricted.

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:spr:joprea:v:37:y:2020:i:2:d:10.1007_s12546-019-09236-7

Ordering information: This journal article can be ordered from
https://www.springer ... tudies/journal/12546

DOI: 10.1007/s12546-019-09236-7

Access Statistics for this article

Journal of Population Research is currently edited by Santosh Jatrana, Dharmalingam Arunachalam, Aude Bernard, Vladimir Canudas-Romo, Ann Evans, Michael Haan, Brian Houle, Trude Lappegård and Gordon Carmichael

More articles in Journal of Population Research from Springer
Bibliographic data for series maintained by Sonal Shukla () and Springer Nature Abstracting and Indexing ().