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Out-of-pocket expenditure and correlates of caesarean births in public and private health centres in India

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  • Mohanty, Sanjay K.
  • Panda, Basant Kumar
  • Khan, Pijush Kanti
  • Behera, Priyamadhaba

Abstract

Increasing caesarean births is a global trend and of recent origin in India. Besides its utility and disutility, increasing caesarean births exert higher economic burden on households and the nation. Using 148,746 births from the National Family Health Survey, 2015–16, this paper examines the correlates and provides comparable estimates of out of pocket expenditure (OOPE) on caesarean births in public and private health centres in India. The monthly state specific rural-urban consumer price index and the OOPE on births over seven years are used to derive comparable OOPE estimate at 2016 prices. A composite variable combining type of birth and place of delivery is computed and classified as private and caesarean, public and caesarean, private and non-caesarean, public and non-caesarean. Descriptive statistics, logistic and tobit regression model were used to understand the differentials and determinants of OOPE on caesarean births.

Suggested Citation

  • Mohanty, Sanjay K. & Panda, Basant Kumar & Khan, Pijush Kanti & Behera, Priyamadhaba, 2019. "Out-of-pocket expenditure and correlates of caesarean births in public and private health centres in India," Social Science & Medicine, Elsevier, vol. 224(C), pages 45-57.
    • Handle: RePEc:eee:socmed:v:224:y:2019:i:c:p:45-57
    DOI: 10.1016/j.socscimed.2019.01.048
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    1. Leone, Tiziana & Padmadas, Sabu S. & Matthews, Zoë, 2008. "Community factors affecting rising caesarean section rates in developing countries: An analysis of six countries," Social Science & Medicine, Elsevier, vol. 67(8), pages 1236-1246, October.
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    3. Sanjay K. Mohanty & Anshul Kastor, 2017. "Out-of-pocket expenditure and catastrophic health spending on maternal care in public and private health centres in India: a comparative study of pre and post national health mission period," Health Economics Review, Springer, vol. 7(1), pages 1-15, December.
    4. Navaneetham, K. & Dharmalingam, A., 2002. "Utilization of maternal health care services in Southern India," Social Science & Medicine, Elsevier, vol. 55(10), pages 1849-1869, November.
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    1. Sanjay K. Mohanty & Suraj Maiti & Santosh Kumar Sharma & Laxmi Kant Dwivedi & Niranjan Saggurti, 2023. "Assessing the impact of measurement error in household consumption on estimates of catastrophic health expenditure in India," Palgrave Communications, Palgrave Macmillan, vol. 10(1), pages 1-12, December.
    2. Rajesh Kamath & Helmut Brand & Nisha Nayak & Vani Lakshmi & Reena Verma & Prajwal Salins, 2023. "District-Level Patterns of Health Insurance Coverage and Out-of-Pocket Expenditure on Caesarean Section Deliveries in Public Health Facilities in India," Sustainability, MDPI, vol. 15(5), pages 1-17, March.
    3. Bhatia, M. & Dwivedi, L.K. & Banerjee, K. & Dixit, P., 2020. "An epidemic of avoidable caesarean deliveries in the private sector in India: Is physician-induced demand at play?," Social Science & Medicine, Elsevier, vol. 265(C).
    4. Bhattacharyya, Bhaskar & Mandal, Biswajit & Sengupta, Sarbajit, 2022. "Correlates of Distress Financing In Case of Institutional Delivery In India: Evidence From The National Family Health Survey," MPRA Paper 116652, University Library of Munich, Germany.

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