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"Catastrophic" maternal health care
expenditure in India.
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| Article Type: | Brief article |
| Subject: |
Maternal health services
(Economic aspects) Medical care, Cost of (Reports) |
| Pub Date: | 05/01/2010 |
| Publication: | Name: Reproductive Health Matters Publisher: Reproductive Health Matters Audience: General Format: Magazine/Journal Subject: Family and marriage; Health; Women's issues/gender studies Copyright: COPYRIGHT 2010 Reproductive Health Matters ISSN: 0968-8080 |
| Issue: | Date: May, 2010 Source Volume: 18 Source Issue: 35 |
| Geographic: | Geographic Scope: India Geographic Code: 9INDI India |
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| Accession Number: | 236247746 |
| Full Text: |
Using data from the 60th round of the National Sample Survey of
India (2004), this study investigated catastrophic maternal expenditure
in India. Data come from 6,879 births that took place in the year prior
to the survey. Catastrophic maternal expenditure was measured as: (i)
maternal health care expenditure more than 10% of annual household
expenditure (ME-1), and (ii) maternal health care expenditure of more
than 40% of the annual capacity to pay (ME-2). Capacity to pay was
defined as total annual household consumption minus subsistence
expenditure, e.g. on food and other basic needs, and was considered zero
for households below the poverty line. The average maternal expenditure
varied by place of delivery: US$9.50 for birth at home, US$24.70 in a
public facility and and US$104.30 in a private facility. Catastrophic
expenditure was very common, with 16% of households spending more than
ME-1 and 51% incurring ME-2. Incidence of expenditure of more than 10%
of annual household expenditure increased with increased income, bur the
reverse was seen for expenditure of more than 40% of the annual capacity
to pay, showing higher non-use of institutional maternal care by poorer
households due to inability to pay. All the households from the poorest
decile and 99% from the second poorest decile incurred ME-2. Measuring
maternal expenditure against "capacity to pay" (ME-2) may be
the better measure when assessing these financial constraints. Improving
the performance of the public sector, appropriate regulation of and
partnership with the private sector, and effective direct cash transfers
to pregnant women in the poorest households may increase maternal
service use and reduce the considerable financial distress associated
with maternal expenditure. (1) (1.) Bonu S, Bhushan I, Rani M, et al. Incidence and correlates of "catastrophic" maternal health care expenditure in India. Health Policy and Planning 2009;24(6):445-56. |
| Gale Copyright: | Copyright 2010 Gale, Cengage Learning. All rights reserved. |
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