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Verfasst von:Franke, Mara Anna [VerfasserIn]   i
 Ranaivoson, Rinja Mitolotra [VerfasserIn]   i
 Rebaliha, Mahery [VerfasserIn]   i
 Rasoarimanana, Sahondra [VerfasserIn]   i
 Bärnighausen, Till [VerfasserIn]   i
 Knauss, Samuel [VerfasserIn]   i
 Emmrich, Julius [VerfasserIn]   i
Titel:Direct patient costs of maternal care and birth-related complications at faith-based hospitals in Madagascar
Titelzusatz:a secondary analysis of programme data using patient invoices
Verf.angabe:Mara Anna Franke, Rinja Mitolotra Ranaivoson, Mahery Rebaliha, Sahondra Rasoarimanana, Till Bärnighausen, Samuel Knauss, Julius Valentin Emmrich
E-Jahr:2022
Jahr:22 April 2022
Umfang:8 S.
Fussnoten:Gesehen am 30.05.2022
Titel Quelle:Enthalten in: BMJ open
Ort Quelle:London : BMJ Publishing Group, 2011
Jahr Quelle:2022
Band/Heft Quelle:12(2022), 4, Artikel-ID e053823, Seite 1-8
ISSN Quelle:2044-6055
Abstract:Objectives We aimed to determine the rate of catastrophic health expenditure incurred by women using maternal healthcare services at faith-based hospitals in Madagascar. - Design This was a secondary analysis of programmatic data obtained from a non-governmental organisation. - Setting Two faith-based, secondary-level hospitals located in rural communities in southern Madagascar. - Participants All women using maternal healthcare services at the study hospitals between 1 March 2019 and 7 September 2020 were included (n=957 women). - Measures We collected patient invoices and medical records of all participants. We then calculated the rate of catastrophic health expenditure relative to 10% and 25% of average annual household consumption in the study region. - Results Overall, we found a high rate of catastrophic health expenditure (10% threshold: 486/890, 54.6%; 25% threshold: 366/890, 41.1%). Almost all women who required surgical care, most commonly a caesarean section, incurred catastrophic health expenditure (10% threshold: 279/280, 99.6%; 25% threshold: 279/280, 99.6%). The rate of catastrophic health expenditure among women delivering spontaneously was 5.7% (14/247; 10% threshold). - Conclusions Our findings suggest that direct patient costs of managing pregnancy and birth-related complications at faith-based hospitals are likely to cause catastrophic health expenditure. Financial risk protection strategies for reducing out-of-pocket payments for maternal healthcare should include faith-based hospitals to improve health-seeking behaviour and ultimately achieve universal health coverage in Madagascar.
DOI:doi:10.1136/bmjopen-2021-053823
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext ; Verlag: https://doi.org/10.1136/bmjopen-2021-053823
 Volltext: https://bmjopen.bmj.com/content/12/4/e053823
 DOI: https://doi.org/10.1136/bmjopen-2021-053823
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:catastrophic health expenditure
 Madagascar
 maternal healthcare
 out of pocket payment
 Sub-Saharan Africa
K10plus-PPN:1805157205
Verknüpfungen:→ Zeitschrift

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