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Cost and Utilisation of Hospital Based Delivery Care in Empowered Action Group (EAG) States of India

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Abstract

Large scale investment in the National Rural Health Mission is expected to increase the utilization and reduce the cost of maternal care in public health centres in India. The objective of this paper is to examine recent trends in the utilization and cost of hospital based delivery care in the Empowered Action Group (EAG) states of India. The unit data from the District Level Household Survey 3, 2007–2008 is used in the analyses. The coverage and the cost of hospital based delivery at constant price is analyzed for five consecutive years preceding the survey. Descriptive and multivariate analyses are used to understand the socio-economic differentials in cost and utilization of delivery care. During 2004–2008, the utilization of delivery care from public health centres has increased in all the eight EAG states. Adjusting for inflation, the household cost of delivery care has declined for the poor, less educated and in public health centres in the EAG states. The cost of delivery care in private health centres has not shown any significant changes across the states. Results of the multivariate analyses suggest that time, state, place of residence, economic status; educational attainment and delivery characteristics of mother are significant predictors of hospital based delivery care in India. The study demonstrates the utility of public spending on health care and provides a thrust to the ongoing debate on universal health coverage in India.

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Notes

  1. The 18 high focused states covered under the NRHM include three broad categories, eight Empowered Action Group (EAG) states (Uttar Pradesh, Bihar, Madhya Pradesh, Rajasthan, Jharkhand, Chhattisgarh, Uttarakhand and Odisha), seven north-eastern states (Arunachal Pradesh, Manipur, Meghalaya, Mizoram, Nagaland, Tripura, Sikkim) and others (Assam, Jammu and Kashmir and Himachal Pradesh).

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Authors and Affiliations

  1. Department of Fertility Studies, International Institute for Population Sciences (IIPS), Govandi Station Road, Deonar, Mumbai, 400088, India

    Sanjay K. Mohanty

  2. Research Scholar, International Institute for Population Sciences (IIPS), Mumbai, India

    Akanksha Srivastava

Authors
  1. Sanjay K. Mohanty
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  2. Akanksha Srivastava
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Correspondence to Sanjay K. Mohanty.

Appendix

Appendix

See Table 6.

Table 6 Mean cost of institutional delivery (Indian Rupees) by educational attainment of mothers and household wealth index in EAG states of India, 2004–2008
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Mohanty, S.K., Srivastava, A. Cost and Utilisation of Hospital Based Delivery Care in Empowered Action Group (EAG) States of India. Matern Child Health J 17, 1441–1451 (2013). https://doi.org/10.1007/s10995-012-1151-3

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