Open AccessHealthcare Expenditure on Childbirth in India: Two Part Model Analysis
Author(s) -
Sumit Kumar,
Mandeep Kaur
Publication year - 2018
Publication title -
journal of multidisciplinary research in healthcare
Language(s) - English
Resource type - Journals
eISSN - 2393-8544
pISSN - 2393-8536
DOI - 10.15415/jmrh.2018.51001
Subject(s) - childbirth , health care , public health , government (linguistics) , business , caesarean section , medicine , investment (military) , health facility , environmental health , socioeconomics , economic growth , pregnancy , nursing , economics , population , political science , health services , linguistics , philosophy , genetics , politics , law , biology
The aim of the study is to estimate the extent and determinants of healthcare expenditure of inpatients on childbirth in India. The study is based on sample of 14510 women who gave birth to a child (whether live or still-birth, vaginal or caesarean). To estimate the determinants two-part models has been utilised. The results indicate that women spent on average around INR 9103 per childbirth in hospitals. There are also wide variations in the spending pattern of women on childbirth. Household size, economic status, occupation, religion, and caste impact the expenditure on childbirth in hospitals. There are also wide variations in the spending of women belonging to different geo-graphical locations of India. Surgeries/caesarean or utilisation of facilities like special room and diagnostic tests etc. also significantly increase the expenditure. Women opting for public health facilities or having insurance spend less as compared to others. Government of India should increase investment in health to strengthen its current infrastructure. There is dire need to improve the quality of public health facilities, to reduce the regional imbalances in health facilities, to improve the coverage of health insurance in India for equitable and pro-people health facilities.