EXPENDITURE ON MATERNAL HEALTH CARE IN UTTAR PRADESH, India: study of out of pocket expenditure leading to catastrophic and health impoverishment
Abstract
Abstract: In the present paper analysis is done in order to examine whether maternal health expenditure has direct relation with maternal death and to examine the socio - spatial variation in out of pocket expenditure in... [ view full abstract ]
Abstract: In the present paper analysis is done in order to examine whether maternal health expenditure has direct relation with maternal death and to examine the socio - spatial variation in out of pocket expenditure in private and public health care centres. The use of maternal health care is limited in India despite several programmatic efforts for its improvement since the late 1980’s. The use of maternal health care is typically patterned on socioeconomic and cultural contours. The study uses the 71st round of schedule 25.0 data on Social consumption: health, collected by the National Sample Survey Organisation (NSSO) during January – June 2014. Bivariate analysis was carried out in order to analyse utilization of public, private health facilities for antenatal care, delivery, post natal care across socio economic stratum of rural and urban area. Multinomial logistic regression was done in order to find out the determinants of utilization of services. The result found that the expenditure incurred for treatment of childbirth in the state of uttar Pradesh was higher in the private sector both in the rural as well as urban area. This private expenditure leads to out of pocket expenditure and a state of catastrophism. The key determinants of catastrophic expenditure were low economic status, modern medical care use (usually use of private services), illness episodes and a household member with chronic illness. Out Of Pocket expenditure reduces with increase in public spending on health and the government should take proper initiative in this field.
Authors
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priyanka yadav
(Jawaharlal Nehru University)
Topic Area
V. Healthcare Service 5.1 Accessibility of healthcare services and its optimization 5.2 He
Session
PS-3 » POSTER SESSION 3 (12:15 - Sunday, 3rd April, TBA)
Paper
iush_abs.docx
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