Lusome R, Sivan Ambady, Kumar M Arun
Department of Economics, Pondicherry University, Puducherry, India.
Matern Child Health J. 2025 Mar;29(3):386-395. doi: 10.1007/s10995-025-04060-3. Epub 2025 Jan 23.
Out-of-pocket expenditure (OOPE) and catastrophic health expenditure (CHE) on institutional deliveries in India impose significant financial burdens, disproportionately affecting socio-economically vulnerable populations and regions despite various policy interventions.
This study evaluates the extent of OOPE and CHE associated with institutional deliveries across Indian states and analyse regional variations using data from National Family Health Survey -5 (2019-21).
The findings reveal substantial inter-state and regional disparities in mean OOPE and CHE incidence, with socioeconomic and healthcare system factors significantly influencing these outcomes.
Effective interventions to reduce OOPE and CHS on deliveries can significantly improve maternal and child health outcomes thereby achieving healthcare equity in the country.
在印度，机构分娩的自付费用（OOPE）和灾难性医疗支出（CHE）带来了沉重的经济负担，尽管有各种政策干预措施，但对社会经济弱势群体和地区的影响尤为严重。
本研究利用全国家庭健康调查-5（2019-2021年）的数据，评估印度各邦与机构分娩相关的自付费用和灾难性医疗支出的程度，并分析区域差异。
研究结果显示，平均自付费用和灾难性医疗支出发生率在邦与邦之间以及地区之间存在显著差异，社会经济和医疗体系因素对这些结果有重大影响。
采取有效干预措施降低分娩的自付费用和灾难性医疗支出，可显著改善母婴健康状况，从而在该国实现医疗公平。
