Abstract
The aim of the study is to estimate the extent and determinants of healthcare expenditure of inpatients on childbirth in India. The study is based on sample of 14510 women who gave birth to a child (whether live or still-birth, vaginal or caesarean). To estimate the determinants two-part models has been utilised. The results indicate that women spent on average around INR 9103 per childbirth in hospitals. There are also wide variations in the spending pattern of women on childbirth. Household size, economic status, occupation, religion, and caste impact the expenditure on childbirth in hospitals. There are also wide-variations in the spending of women belonging to different geo-graphical locations of India. Surgeries/caesarean or utilisation of facilities like special room and diagnostic tests etc. also significantly increase the expenditure. Women opting for public health facilities or having insurance spend less as compared to others. Government of India should increase investment in health to strengthen its current infrastructure. There is dire need to improve the quality of public health facilities, to reduce the regional imbalances in health facilities, to improve the coverage of health insurance in India for equitable and pro-people health facilities.
Highlights
Government of India through its recent health initiatives like National Rural Health Mission (NRHM), Janani Suraksha Yojana (JSY, translation: Mother protection plan), Janani Shishu Suraksha Karyakram (JSSK, Translation: Motherchildren protection program) has enhanced the utilization of public health services and this lead to decline in maternal, infant and neonatal mortality(IIPS & ICF, 2017), (CBHI, 2016)
The results indicate that women spent on average around INR 9103 per childbirth in hospitals
Government of India through its recent health initiatives like National Rural Health Mission (NRHM), Janani Suraksha Yojana (JSY, translation: Mother protection plan), Janani Shishu Suraksha Karyakram (JSSK, Translation: Motherchildren protection program) has enhanced the utilization of public health services and this lead to decline in maternal, infant and neonatal mortality(IIPS & ICF, 2017), (CBHI, 2016)
Summary
Government of India through its recent health initiatives like National Rural Health Mission (NRHM), Janani Suraksha Yojana (JSY, translation: Mother protection plan), Janani Shishu Suraksha Karyakram (JSSK, Translation: Motherchildren protection program) has enhanced the utilization of public health services and this lead to decline in maternal, infant and neonatal mortality(IIPS & ICF, 2017), (CBHI, 2016). These initiatives coupled with rising per capita income of Indians may have increased the accessibility and affordability of health services for childbirth. The factors impacting favourably or unfavourably the expenditure on childbirth can assist in designing
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