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Out-of-pocket expenditure on prenatal and natal care post Janani Suraksha Yojana: a case from Rajasthan, India.
- Source :
-
Journal of health, population, and nutrition [J Health Popul Nutr] 2016 May 20; Vol. 35, pp. 15. Date of Electronic Publication: 2016 May 20. - Publication Year :
- 2016
-
Abstract
- Background: Though Janani Suraksha Yojana (JSY) under National Rural Health Mission (NRHM) is successful in increasing antenatal and natal care services, little is known on the cost coverage of out-of-pocket expenditure (OOPE) on maternal care services post-NRHM period.<br />Methods: Using data from a community-based study of 424 recently delivered women in Rajasthan, this paper examined the variation in OOPE in accessing maternal health services and the extent to which JSY incentives covered the burden of cost incurred. Descriptive statistics and logistic regression analyses are used to understand the differential and determinants of OOPE.<br />Results: The mean OOPE for antenatal care was US$26 at public health centres and US$64 at private health centres. The OOPE (antenatal and natal) per delivery was US$32 if delivery was conducted at home, US$78 at public facility and US$154 at private facility. The OOPE varied by the type of delivery, delivery with complications and place of ANC. The OOPE in public health centre was US$44 and US$145 for normal and complicated delivery, respectively. The share of JSY was 44 % of the total cost per delivery, 77 % in case of normal delivery and 23 % for complicated delivery. Results from the log linear model suggest that economic status, educational level and pregnancy complications are significant predictors of OOPE.<br />Conclusions: Our 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. Provisioning of providing sonography/other test and treating complicated cases in public health centres need to be strengthened.
- Subjects :
- Adult
Cross-Sectional Studies
Delivery, Obstetric economics
Educational Status
Female
Health Care Surveys
Health Facilities, Proprietary
Healthcare Disparities
Home Childbirth adverse effects
Home Childbirth economics
Hospitals, Public
Humans
India
Obstetric Labor Complications economics
Obstetric Labor Complications therapy
Patient Acceptance of Health Care
Pregnancy
Social Class
Young Adult
Delivery, Obstetric adverse effects
Health Expenditures
Obstetric Labor Complications prevention & control
Perinatal Care economics
Prenatal Care economics
Rural Health economics
State Medicine
Subjects
Details
- Language :
- English
- ISSN :
- 2072-1315
- Volume :
- 35
- Database :
- MEDLINE
- Journal :
- Journal of health, population, and nutrition
- Publication Type :
- Academic Journal
- Accession number :
- 27207164
- Full Text :
- https://doi.org/10.1186/s41043-016-0051-3