Sharma Sandeep, Verma Pramod B, Viramgami Ankit P, Vala Mayur C, Lodhiya Kaushik K
Epidemiology, ICMR-National Jalma Institute of Leprosy and Other Mycobacterial Diseases, Agra, Uttar Pradesh, India.
Community Medicine Department, GMERS Medical College, Himmatnagar, Gujarat, India.
Indian J Community Med. 2018 Jul-Sep;43(3):215-219. doi: 10.4103/ijcm.IJCM_47_18.
India contributes 20% global maternal deaths every year. An important reason of such maternal mortality is due to cost of maternity services which makes it in accessible to the poor. Knowledge of maternity-related expense and its determinants is useful for health authorities to focus public resources and target financial assistance or exemption guidelines toward the "neediest."
It was a cross-sectional descriptive study conducted amongst 180 women living in urban slums and who had delivered a baby within 1 year of the interview date.
The mean cost of delivery was around Rs. 8880. The average delivery cost of private institutions was significantly higher than that of government hospitals or home delivery. Around 75% of women delivered in private institution had health expenditure of more than 10% of total annual family income - catastrophic expenditure.
In spite of significantly higher maternity care-related costs in private institutes than government hospitals, majority of mothers had utilized services from private clinics and had suffered catastrophic expenditures during utilization of maternity care services. This study highlights the need for birth preparedness counseling as well as effective implementation of maternity benefit schemes to prevent families from pushing downward to the poverty line.
印度每年的孕产妇死亡人数占全球的20%。孕产妇死亡率居高不下的一个重要原因是孕产服务费用高昂，导致穷人难以获得。了解孕产相关费用及其决定因素，有助于卫生当局集中公共资源，并针对“最需要的人”制定财政援助或豁免指导方针。
这是一项横断面描述性研究，研究对象为180名居住在城市贫民窟且在访谈日期前1年内分娩的妇女。
分娩的平均费用约为8880卢比。私立机构的平均分娩费用显著高于政府医院或在家分娩的费用。在私立机构分娩的妇女中，约75%的人健康支出超过家庭年总收入的10%——即灾难性支出。
尽管私立机构的孕产护理相关费用明显高于政府医院，但大多数母亲仍使用了私立诊所的服务，并且在使用孕产护理服务期间遭受了灾难性支出。本研究强调了进行生育准备咨询以及有效实施孕产福利计划的必要性，以防止家庭陷入贫困线以下。
