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

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

    Research output: Contribution to journalArticle

    29 Citations (Scopus)

    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.
    Original languageEnglish
    Pages (from-to)446-455
    Number of pages9
    JournalThe Journal of Health, Population and Nutrition
    Volume24
    Issue number4
    Publication statusPublished - Dec 2006

    Fingerprint

    health care costs
    Bangladesh
    postpartum period
    funding
    Health Care Costs
    Postpartum Period
    households
    Obstetrics
    pregnancy
    case studies
    Costs and Cost Analysis
    Pregnancy
    household surveys
    rural areas
    Postnatal Care
    Private Hospitals
    Prenatal Care
    Health Facilities
    Referral and Consultation
    cost estimates

    Keywords

    • health care costs
    • health expenditure
    • pregnancy
    • childbirth
    • health equity
    • retrospective studies
    • Bangladesh

    Cite this

    Household costs of healthcare during pregnancy, delivery, and the postpartum period : a case study from Matlab, Bangladesh. / Borghi, Josephine ; Nazme, Sabina ; Blum, Lauren S ; Hoque, Mohammad Enamul ; Ronsmans, Carine .

    In: The Journal of Health, Population and Nutrition, Vol. 24, No. 4, 12.2006, p. 446-455.

    Research output: Contribution to journalArticle

    Borghi, Josephine ; Nazme, Sabina ; Blum, Lauren S ; Hoque, Mohammad Enamul ; Ronsmans, Carine . / Household costs of healthcare during pregnancy, delivery, and the postpartum period : a case study from Matlab, Bangladesh. In: The Journal of Health, Population and Nutrition. 2006 ; Vol. 24, No. 4. pp. 446-455.
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