Dhar Rinku Sen Gupta, Nagpal Jitender, Sinha Swati, Bhargava V L, Sachdeva Aarti, Bhartia Abhishek
Department of Gynecology and Obstetrics, Sitaram Bhartia Institute of Science and Research, B-16, Qutab Institutional Area, New Delhi 110 016, India.
J Health Popul Nutr. 2009 Jun;27(3):368-78. doi: 10.3329/jhpn.v27i3.3379.
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 approximately 10% of their annual family income at government facilities and approximately 26% at private hospitals. The direct maternity expense is high for large subsections of the population.
本研究旨在估算近期在南德里分娩的妇女的直接孕产护理费用,并探讨其社会人口学关联。采用两阶段整群随机抽样技术进行了一项调查。通过简单随机抽样从高、中、低收入地区各选取两个聚居区,随后在每个选定的聚居区内进行挨家挨户的调查。通过回忆母婴的医疗费用来收集信息。总共招募了249名受试者(符合条件的282名中的)。正常阴道分娩(n = 182)的平均费用为370.7美元,与政府医院(61.1美元)或在家分娩(55.3美元)相比,私立医院的费用(1,035美元)要高得多。剖宫产(n = 67)的费用更高(1,331.1美元)。在政府医疗机构,最低收入群体的费用约占其家庭年收入的10%,在私立医院约占26%。对于很大一部分人口来说,直接孕产费用很高。