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Catastrophic household expenditure on caesarean deliveries in India

Author

Listed:
  • Dipti Govil

    (International Institute for Population Sciences)

  • Sanjay Kumar Mohanty

    (International Institute for Population Sciences)

  • Pralip Kumar Narzary

    (International Institute for Population Sciences)

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.

Suggested Citation

  • Dipti Govil & Sanjay Kumar Mohanty & Pralip Kumar Narzary, 2020. "Catastrophic household expenditure on caesarean deliveries in India," Journal of Population Research, Springer, vol. 37(2), pages 139-159, June.
    • Handle: RePEc:spr:joprea:v:37:y:2020:i:2:d:10.1007_s12546-019-09236-7
    DOI: 10.1007/s12546-019-09236-7
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    References listed on IDEAS

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    1. Balabanova, Dina & McKee, Martin, 2002. "Understanding informal payments for health care: the example of Bulgaria," Health Policy, Elsevier, vol. 62(3), pages 243-273, December.
    2. Leone, Tiziana & Padmadas, Sabu S. & Matthews, Zoë, 2008. "Community factors affecting rising caesarean section rates in developing countries: An analysis of six countries," Social Science & Medicine, Elsevier, vol. 67(8), pages 1236-1246, October.
    3. World Health Organization & UNICEF & UNFPA & World Bank Group & United Nations, 2015. "Trends in Maternal Mortality," World Bank Publications - Books, The World Bank Group, number 23550.
    4. Fox-Rushby, Julia A. & Foord, Frances, 1996. "Costs, effects and cost-effectiveness analysis of a mobile maternal health care service in West Kiang, The Gambia," Health Policy, Elsevier, vol. 35(2), pages 123-143, February.
    5. O'Donnell, Owen & van Doorslaer, Eddy & Rannan-Eliya, Ravi P. & Somanathan, Aparnaa & Adhikari, Shiva Raj & Akkazieva, Baktygul & Harbianto, Deni & Garg, Charu C. & Hanvoravongchai, Piya & Herrin, Ale, 2008. "Who pays for health care in Asia?," Journal of Health Economics, Elsevier, vol. 27(2), pages 460-475, March.
    6. Sanjay K. Mohanty & Anshul Kastor, 2017. "Out-of-pocket expenditure and catastrophic health spending on maternal care in public and private health centres in India: a comparative study of pre and post national health mission period," Health Economics Review, Springer, vol. 7(1), pages 1-15, December.
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