Direct Cost of Maternity-care Services in South Delhi: A Community Survey

Authors

  • Rinku Sen Gupta Dhar Department of Gynecology and Obstetrics, Sitaram Bhartia Institute of Science and Research, B-16, Qutab Institutional Area, New Delhi
  • Jitender Nagpal Department of 2Pediatrics, and Clinical Epidemiology, Sitaram Bhartia Institute of Science and Research, B-16, Qutab Institutional Area, New Delhi
  • Swati Sinha Department of Gynecology and Obstetrics, Sitaram Bhartia Institute of Science and Research, B-16, Qutab Institutional Area, New Delhi
  • VL Bhargava Department of Gynecology and Obstetrics, Sitaram Bhartia Institute of Science and Research, B-16, Qutab Institutional Area, New Delhi
  • Aarti Sachdeva Clinical Epidemiology, Sitaram Bhartia Institute of Science and Research, B-16, Qutab Institutional Area, New Delhi
  • Abhishek Bhartia Clinical Epidemiology, Sitaram Bhartia Institute of Science and Research, B-16, Qutab Institutional Area, New Delhi

DOI:

https://doi.org/10.3329/jhpn.v27i3.3379

Keywords:

Community survey, Healthcare cost, Health expenditure, Maternal health services, Maternity care, India

Abstract

The study was conducted to estimate the direct maternity-care expense for women who recently delivered in South Delhi and to explore its sociodemographic associations. A survey was conducted using the two-stage cluster-randomized sampling technique. Two colonies each from high-, middle- and low-income ar­eas were selected by simple random sampling, followed by a house-to-house survey in each selected colony. Information was collected by recall of healthcare expenses for mother and child. In total, 249 subjects (of 282 eligible) were recruited. The mean expense for a normal vaginal delivery (n=182) was US$ 370.7, being much higher in a private hospital (US$ 1,035) compared to a government hospital (US$ 61.1) or a delivery in the home (US$ 55.3). Expenses for a caesarean delivery (n=67) were higher (US$ 1,331.1). Expenses for the lowest-income groups were ~10% of their annual family income at government facilities and ~26% at private hospitals. The direct maternity expense is high for large subsections of the population.

Key words: Community survey; Healthcare cost; Health expenditure; Maternal health services; Maternity care; India

doi: 10.3329/jhpn.v27i3.3379

J Health Popul Nutr 2009 Jun;27(3):368-378

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Author Biography

Abhishek Bhartia, Clinical Epidemiology, Sitaram Bhartia Institute of Science and Research, B-16, Qutab Institutional Area, New Delhi

Dr. Abhishek Bhartia
Director
Sitaram Bhartia Institute of Science and Research
B-16, Qutab Institutional Area
New Delhi 110 016
India
Email: abhishek.bhartia@sitarambhartia.org

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How to Cite

Dhar, R. S. G., Nagpal, J., Sinha, S., Bhargava, V., Sachdeva, A., & Bhartia, A. (2009). Direct Cost of Maternity-care Services in South Delhi: A Community Survey. Journal of Health, Population and Nutrition, 27(3), 368–378. https://doi.org/10.3329/jhpn.v27i3.3379

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Original Papers