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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Out-of-pocket expenses for maternity care in rural Bangladesh: A public-private comparison
International Quarterly of Community Health Education, Volume 33, No. 2, Year 2012
Notification
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Description
Out-of-pocket expenses incurred by women for availing maternal healthcare services at public and private health facilities in Bangladesh were examined using a baseline household survey evaluating the impact of demand side financing vouchers on utilization and service delivery for maternal healthcare. The survey was conducted in 2010 among 3,300 women who gave birth in the previous 12 months from the start of data collection. Information on costs incurred to receive antenatal, delivery, and postnatal care services was collected. Findings reveal that the majority of women reported paying out-of-pocket expenses for availing maternal healthcare services both at public and private health facilities. Out-of-pocket expenses include registration, consultation, laboratory examination, medicine, transportation, and other associated costs incurred for receiving maternal healthcare services. On average, women paid US$3.60 out-of-pocket expenses for receiving antenatal care at public health facilities and US$12.40 at private health facilities. Similarly, women paid one and half times more for normal (US$42.30) and cesarean deliveries (US$136.20) at private health facilities compared to public health facilities. On the other hand, costs for postnatal care services did not vary significantly between public and private health facilities. Utilization of maternal healthcare services can be improved if out-of-pocket expenses can be minimized. At the same time, effective demand generation strategies are necessary to encourage women to utilize health facilities. © 2013, Baywood Publishing Co., Inc.
Authors & Co-Authors
Rahman, Md
Bangladesh, Dhaka
Population Council, Bangladesh
Rob, Ubaidur
Bangladesh, Dhaka
Population Council, Bangladesh
Noor, Forhana
Bangladesh, Dhaka
Population Council, Bangladesh
Bellows, Benjamin W.
Kenya, Nairobi
Population Council Nairobi
Statistics
Citations: 25
Authors: 4
Affiliations: 2
Identifiers
Doi:
10.2190/IQ.33.2.d
ISSN:
0272684X
e-ISSN:
15413519
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Cross Sectional Study
Grounded Theory
Study Approach
Quantitative
Participants Gender
Female