Out-of-pocket expenditures of Maternity Services at a Tertiary Level Hospitals in Western, Nepal
Introduction: Government of Nepal revised free maternity health services “Aama Surakshya Karyakram” since the start of Fiscal Year 2012/13 with specifies the services to be funded, the tariffs for reimbursement and the system for claiming and reporting on free deliveries each month. This study was...
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Universiti Kebangsaan Malaysia
2016
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| Online Access: | http://journalarticle.ukm.my/9695/ http://journalarticle.ukm.my/9695/ http://journalarticle.ukm.my/9695/1/vol_6_no_1_2016_85_%281%29_%281%29.pdf |
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ukm-96952016-12-14T06:50:34Z http://journalarticle.ukm.my/9695/ Out-of-pocket expenditures of Maternity Services at a Tertiary Level Hospitals in Western, Nepal Jeevan Acharya, Introduction: Government of Nepal revised free maternity health services “Aama Surakshya Karyakram” since the start of Fiscal Year 2012/13 with specifies the services to be funded, the tariffs for reimbursement and the system for claiming and reporting on free deliveries each month. This study was designed to investigate the amount of money expenditure incurred by families in using apparently free maternity services. Methods: It was a hospital based cross-sectional study conducted at Manipal Teaching Hospital and Western Regional Hospital. Nepalese women’s were not involved in the family finance and had very little knowledge of income or expenditure. That’s why face to face interviewed among 384 post-partum mothers with their husband or house head of family were conducted at the time of discharge by using a pre-tested semi-structural questionnaire. Results: The average monthly family income was 19272.4 NRs (189.01 US$). The median duration of hospital was 4 days (2-19 days). The median patient’s expenditure was equivalent to 13% of annual family income. The average total visible costs was 3887.07 NRs (38.1 US $). When the average total hidden cost 27288.5 NRs (267.6US $) was added then the average total maternity care expenditures was 31175.6 NRs (305.76 US $). Average-costper-day was 7167.5 NRs (70.29 US$). The mean patient's expenditure on the food and drinking, clothes, transport and medicine were equivalent to 53.07%, 9.8%. 7.3% and 5.6% of mean total maternity care expenditure respectively. 5963.7 NRs (58.4 US$), 7429.3 NRs (72.9 US$) and 6175.9 NRs (60.6 US$) were lost earning of women, husband and House head respondents respectively. Conclusion: A free maternity service in Nepal has high out-of-pocket expenditures and it was more than average monthly income for most families. Therefore, arrange of medicine by the hospital in the free of cost which were not included in essential drug during the hospital stay and at the discharge time. Similarly, arrange for liquid food and hot water as well as clothes for mothers and newly born baby by the hospital to enhance the hospital attendance. Universiti Kebangsaan Malaysia 2016-04-18 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/9695/1/vol_6_no_1_2016_85_%281%29_%281%29.pdf Jeevan Acharya, (2016) Out-of-pocket expenditures of Maternity Services at a Tertiary Level Hospitals in Western, Nepal. International Journal of Public Health Research, 6 (1). pp. 654-660. ISSN 2232-0245 www.ijphr.ukm.my |
| repository_type |
Digital Repository |
| institution_category |
Local University |
| institution |
Universiti Kebangasaan Malaysia |
| building |
UKM Institutional Repository |
| collection |
Online Access |
| language |
English |
| description |
Introduction: Government of Nepal revised free maternity health services “Aama Surakshya Karyakram” since the start of Fiscal Year 2012/13 with specifies the services to be funded, the tariffs for reimbursement and the system for
claiming and reporting on free deliveries each month. This study was designed to investigate the amount of money expenditure incurred by families in using apparently free maternity services.
Methods: It was a hospital based cross-sectional study conducted at Manipal Teaching Hospital and Western Regional Hospital. Nepalese women’s were not involved in the family finance and had very little knowledge of income or expenditure. That’s why face to face interviewed among 384 post-partum mothers with their husband or house head of family were conducted at the time of discharge by using a pre-tested semi-structural questionnaire.
Results: The average monthly family income was 19272.4 NRs (189.01 US$). The median duration of hospital was 4 days (2-19 days). The median patient’s expenditure was equivalent to 13% of annual family income. The average
total visible costs was 3887.07 NRs (38.1 US $). When the average total hidden cost 27288.5 NRs (267.6US $) was added then the average total maternity care expenditures was 31175.6 NRs (305.76 US $). Average-costper-day was 7167.5 NRs (70.29 US$). The mean patient's expenditure on the
food and drinking, clothes, transport and medicine were equivalent to 53.07%, 9.8%. 7.3% and 5.6% of mean total maternity care expenditure respectively. 5963.7 NRs (58.4 US$), 7429.3 NRs (72.9 US$) and 6175.9 NRs (60.6 US$) were lost earning of women, husband and House head respondents respectively.
Conclusion: A free maternity service in Nepal has high out-of-pocket expenditures and it was more than average monthly income for most families. Therefore, arrange
of medicine by the hospital in the free of cost which were not included in essential drug during the hospital stay and at the discharge time. Similarly, arrange for liquid food and hot water as well as clothes for mothers and newly born baby by the hospital to enhance the hospital attendance. |
| format |
Article |
| author |
Jeevan Acharya, |
| spellingShingle |
Jeevan Acharya, Out-of-pocket expenditures of Maternity Services at a Tertiary Level Hospitals in Western, Nepal |
| author_facet |
Jeevan Acharya, |
| author_sort |
Jeevan Acharya, |
| title |
Out-of-pocket expenditures of Maternity Services at a Tertiary
Level Hospitals in Western, Nepal |
| title_short |
Out-of-pocket expenditures of Maternity Services at a Tertiary
Level Hospitals in Western, Nepal |
| title_full |
Out-of-pocket expenditures of Maternity Services at a Tertiary
Level Hospitals in Western, Nepal |
| title_fullStr |
Out-of-pocket expenditures of Maternity Services at a Tertiary
Level Hospitals in Western, Nepal |
| title_full_unstemmed |
Out-of-pocket expenditures of Maternity Services at a Tertiary
Level Hospitals in Western, Nepal |
| title_sort |
out-of-pocket expenditures of maternity services at a tertiary
level hospitals in western, nepal |
| publisher |
Universiti Kebangsaan Malaysia |
| publishDate |
2016 |
| url |
http://journalarticle.ukm.my/9695/ http://journalarticle.ukm.my/9695/ http://journalarticle.ukm.my/9695/1/vol_6_no_1_2016_85_%281%29_%281%29.pdf |
| first_indexed |
2023-09-18T19:55:25Z |
| last_indexed |
2023-09-18T19:55:25Z |
| _version_ |
1777406496792903680 |