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Expenditures Of Institutional Delivery For Bpl Households Burden Of Out Of Pocket (Direct And Indirect) Expenditures Of Institutional Delivery For Bpl Households In Selected Village Of Varanasi District

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  • Anjali Gupta

Abstract

"High rate of maternal mortality has become one of the most serious public health issues in India. Although the estimates shows decline in maternal since 1992 (437 per 10, 000 live births) to 201012 (178). Even Sample Registration System Reports highlight that Maternal Mortality rate (MMR) has reduced by the 6.15% as compared to previous survey 2014-2016 (https://www.jagranjosh.com/current-affairs/sample-registration-system-report-finds-decline-inmaternal- mortality-rate-in-india-1573456912-1), but the reduction rate is sluggish. The causality of slow decline of MMRs in India is multiple axes of inequalities- regional, caste and class. Evidence shows an association between MMR and these socio-economic inequalities. Therefore Government of India has launched programmes and schemes viz. conditional, unconditional and voucher based for population below poverty line. Though government has adopted these schemes as a tool for improving the access to health services and decline of MMR still a large number of child births are home based with very low medical facilities available. Cost barrier, both direct and indirect is one of the main obstacles leading to low institutional delivery.The objective comprised to study the effectiveness of government (central and state) schemes financing institutional child birth for BPL households.This qualitative study included both secondary (government records, published articles, journals and micro level studies) and primary data. Primary data was collected through in-depth interview. It has been found in the study, though government gives incentives to poor sections for direct expenditures but indirect (tips, transportation cost, loss of wages etc.) expenditures are also largely accountable for inaccessibility to health services." Key Words: Maternal Mortality rate (MMR), Out of pocket expenditure (OOP), Direct cost, Indirect cost, Cash assistance programmes Policy

Suggested Citation

  • Anjali Gupta, 2019. "Expenditures Of Institutional Delivery For Bpl Households Burden Of Out Of Pocket (Direct And Indirect) Expenditures Of Institutional Delivery For Bpl Households In Selected Village Of Varanasi Distri," Working papers 2019-32-04, Voice of Research.
    • Handle: RePEc:vor:issues:2019-32-04
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    References listed on IDEAS

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    1. Rama Pal, 2010. "Analysing Catastrophic OOP Health Expenditure in India : Concepts, Determinants and Policy Implications," Microeconomics Working Papers 22775, East Asian Bureau of Economic Research.
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