| Online-Ressource |
Verfasst von: | Franke, Mara Anna [VerfasserIn]  |
| Ranaivoson, Rinja Mitolotra [VerfasserIn]  |
| Rebaliha, Mahery [VerfasserIn]  |
| Rasoarimanana, Sahondra [VerfasserIn]  |
| Bärnighausen, Till [VerfasserIn]  |
| Knauss, Samuel [VerfasserIn]  |
| Emmrich, Julius [VerfasserIn]  |
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 |
Direct patient costs of maternal care and birth-related complications at faith-based hospitals in Madagascar / Franke, Mara Anna [VerfasserIn]; 22 April 2022 (Online-Ressource)