Skip to main content
Article thumbnail
Location of Repository

Household costs of healthcare during pregnancy, delivery, and the postpartum period : a case study from Matlab, Bangladesh

By Josephine Borghi, Sabina Nazme, Lauren S. Blum, Mohammad Enamul Hoque and Carine Ronsmans

Abstract

A household survey was undertaken in Matlab, a rural area of Bangladesh, to estimate the costs incurred during pregnancy, delivery, and the postpartum period for women delivering at home and in a health facility. Those interviewed included 121 women who delivered at home, 120 who delivered in an ICDDR,B basic obstetric care (BEOC) facility, 27 who delivered in a public comprehensive obstetric care (CEOC) hospital, and 58 who delivered in private hospitals. There was no significant difference in total costs incurred by those delivering at home and those delivering in a BEOC facility. Costs for those delivering in CEOC facilities were over nine times greater than for those delivering in BEOC facilities. Costs of care during delivery were predominant. Antenatal and postnatal care added between 7% and 30% to the total cost. Services were more equitable at home and in a BEOC facility compared to services provided at CEOC facilities. The study highlights the regressive nature of the financing of CEOC services and the need for a financing strategy that covers both the costs of referral and BEOC care for those in need.This research was funded under the Cooperative Agreement No. 388-A-00-97-00032-00 with the United States Agency for International Development (USAID) (ICDDR,B Grant No. GR-00089). ICDDR,B acknowledges with gratitude the commitment of USAID to the Centre’s research efforts. Carine Ronsmans and Jo Borghi are funded by the Department for International Development, UK

Topics: Healthcare costs, Health expenditure, Pregnancy, Childbirth, Health equity, Retrospective studies, Bangladesh
Publisher: ICDDR,B
Year: 2006
OAI identifier: oai:aura.abdn.ac.uk:2164/238
Journal:

Suggested articles

Citations

  1. (2000). Costs of maternal health care services in three Anglophone African countries. Bethesda, MD: Partnerships for Health Reform Project,
  2. (2003). Costs of near-miss obstetric complications for women and their families in Benin and Ghana. Health Policy Plan
  3. Costs of publicly provided maternity services in
  4. Does health intervention improve health equity? Evidence from Matlab, Bangladesh. In: INDEPTH Network. Measuring health equity in small areas—findings from demographic surveillance systems. Hants:
  5. (2001). Effect of removing user fees on attendance for curative and preventive primary health care services in rural South Africa. Bull World Health Organ
  6. (2001). Equity in financing and delivery of health services in Bangladesh, Nepal and Sri Lanka: results of the tri-country study. Colombo: Institute of Policy Studies,
  7. (1994). Gender inequalities of health in the third world. Soc Sci Med
  8. Household expenditures on reproductive and child health care services in Udaipur,
  9. (1995). Impact of user charges on vulnerable groups: the case of Kibwezi in rural Kenya. Soc Sci Med
  10. (2001). Ministry of Health and Family Welfare. Bangladesh national strategy for maternal health. Dhaka: Ministry of Health and Family Welfare, Government of Bangladesh,
  11. (2001). Population Research and Training. Bangladesh demographic and health survey,
  12. (2001). Population Research and Training. Bangladesh maternal health services and maternal mortality survey
  13. (2002). Reduction of catastrophic health care expenditures by a community-based health insurance in Gujurat, India: current experiences and challenges. Bull World Health Organ
  14. (1998). Saftey lessons from Matlab,
  15. (2000). Socio-economic differences in health, nutrition and population in
  16. (1998). The hidden cost of ‘free’ maternity care in
  17. (1997). The safemotherhood action agenda: priorities for the next decade.
  18. The tremendous cost of seeking hopsital obstetric care in Bangladesh.
  19. (1990). The willingness to pay for medical care: evidence from two developing countries.
  20. (1995). Trends in utilization of obstetric care at Wesley Guild Hospital, Ilesa, Nigeria. Effects of a depressed economy. Trop Geogr Med

To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.