Direct patient costs of maternal care and birth-related complications at faith-based hospitals in Madagascar: a secondary analysis of programme data using patient invoices
Direct patient costs of maternal care and birth-related complications at faith-based hospitals in Madagascar: a secondary analysis of programme data using patient invoices
Blog Article
Objectives We aimed to determine the rate of catastrophic health expenditure incurred by women using maternal healthcare services at faith-based hospitals in Madagascar.Design This was a secondary analysis of programmatic data obtained from a non-governmental organisation.Setting Two faith-based, secondary-level hospitals located in rural communities in Seroepidemiology of arbovirus in communities living under the influence of the lake of a hydroelectric dam in Brazil southern Madagascar.Participants All women using maternal healthcare services at the study hospitals between 1 March 2019 and 7 September 2020 were included (n=957 women).
Measures We collected patient invoices and medical records of all participants.We then calculated the rate of catastrophic health expenditure relative to 10% and 25% of average annual household consumption in the study region.Results Overall, we found a high rate of catastrophic health expenditure (10% threshold: 486/890, 54.6%; 25% threshold: 366/890, 41.
1%).Almost all women who required surgical care, What can Analysis of the Organizations’ Web Sites tell us about AI? Comparative Study of the Online Resources operated at Google, Yandex, and Baidu most commonly a caesarean section, incurred catastrophic health expenditure (10% threshold: 279/280, 99.6%; 25% threshold: 279/280, 99.6%).
The rate of catastrophic health expenditure among women delivering spontaneously was 5.7% (14/247; 10% threshold).Conclusions Our findings suggest that direct patient costs of managing pregnancy and birth-related complications at faith-based hospitals are likely to cause catastrophic health expenditure.Financial risk protection strategies for reducing out-of-pocket payments for maternal healthcare should include faith-based hospitals to improve health-seeking behaviour and ultimately achieve universal health coverage in Madagascar.