Out of pocket expenditure to deliver at public health facilities in India: a cross sectional analysis

by Anns Issac, Susmita Chatterjee, Aradhana Srivastava et al.
Reproductive Health, 2016 13:99 – Published: 24 August 2016

9 pp. 459 kB
http://reproductive-health-journal.biomedcentral.com/track/pdf/10.1186/s12978-016-
0221-1?site=reproductive-health-journal.biomedcentral.com
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To expand access to safe deliveries, some developing countries have initiated demand-side financing schemes promoting institutional delivery. In the context of conditional cash incentive scheme and free maternity care in public health facilities in India, studies have highlighted high out of pocket expenditure (OOPE) of Indian families for delivery and maternity care. In this context the study assesses the components of OOPE that women incurred while accessing maternity care in public health facilities in Uttar Pradesh, India. It also assesses the determinants of OOPE and the level of maternal satisfaction while accessing care from these facilities. The authors conclude that even though services at the public health facilities in India are supposed to be provided free of cost, it is actually not free, and the women in this study paid almost half of their mandated cash incentives to obtain delivery care.

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