Cost and outcome of caesarean section in a public and private hospital in Dhaka city

Sabnom, Roskana; Islam, Md. Ziaul

doi:10.3329/bjms.v12i3.15424

Cited by 5 publications

(10 citation statements)

References 5 publications

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“…3 There was some discrepancy between these findings because the compared study was carried out in Saudi Arabia in the year of 2014, but the present study was carried out in Dhaka in the year 2018. 4 It can be seen that average indirect cost in both type of hospital is reduced in present study. The average total cost was Tk.…”

Section: Table-9: Comparison Of Total Cost By Preference Of Cs Between Hospitalssupporting

confidence: 46%

“…30001-50000 in public and private hospital respectively. 4 Difference of women by educational qualification, monthly personal income and family income between hospitals were statistically significant (p<0.01). The variation of occupation and monthly family income by total cost in public and private hospital respectively were statistically significant (p<0.05).…”

Section: Figure-1: Comparison Of Women By Source Of Fund Between Hospitalsmentioning

confidence: 94%

“…21 (42%) preferred private hospital for available doctors. 4 Among total 152 women majority i.e. 108 (71.1%) had provider preference of CS and the rest 44 (28.9%) had self-preference.…”

Section: Table-9: Comparison Of Total Cost By Preference Of Cs Between Hospitalsmentioning

confidence: 94%

“…70 (87.5%) and 31 (62%) of women in public and private hospital were housewives. 4 Most i.e. 143 (94.03%) of women were Muslims and the rest i.e.…”

Section: Figure-1: Comparison Of Women By Source Of Fund Between Hospitalsmentioning

confidence: 99%

“…In private hospital specialists do operation on contractual basis so direct cost become about double said by Sabnom in a study. 4 Indirect cost is some cost incurred by patient and patient's family that are not directly related to treatment purposes. It may include cost of work day loss of the patient and family members, informal payment like tips etc.…”

Section: Introductionmentioning

confidence: 99%

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Preference, Outcome and Cost of Caesarean Sections: Comparison Between Public and Private Tertiary Hospitals

Sabnam¹,

Islam

2021

JOPSOM

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Background: To compare preference, outcome and cost of caesarean sections between public and private tertiary hospitals. Methods: This comparative cross sectional study was conducted among 152 conveniently selected women who underwent CS. Data were collected by face to face interview and record reviewing by using semi-structured questionnaire and check list, ethical issues were maintained. Total cost was estimated by direct and indirect cost related to CS, analysis done by SPSS software. The study was conducted in Obstetrics and Gynaecology department of Dhaka Medical College & Hospital and Holy Family Red Crescent Medical College Hospital from January to December, 2018. Results: Mean monthly family income of women was Tk.19668.75 (±14115.02) in public and Tk. 55472.22 (±25044.17) in private hospital. Provider preference was higher in public (78.8%) while self-preference was higher in private (37.5%) hospital (p<0.05). Majority i.e. 70% and 72.2% of women in public and private hospital respectively were healthy. But majority i.e. 58.3% had complications of new born in private compared to public (31.3%) hospital (p<0.05). In private hospital, mean total cost (Tk.52776.07±15841.93), direct cost (Tk.50826±15321.92) and indirect cost (Tk. 2890.91±3752.38) of CS was significantly higher compared to mean total cost (Tk.10149.2±4298.46), direct cost (Tk.8320.45±4028.74) and indirect cost (Tk.1844.87±1154.80) in public hospital (t-test, p<0.01). By selfpreference, majority i.e. 17(63%) of women had highest cost (Tk. >5000) in private hospital (p<0.05) while majority i.e. 10 (58.8%) of women had lowest cost (Tk.4000-10000) in public hospital. Conclusion: In private hospital total cost was about five times higher compared to public hospital though maternal outcome was almost same and neonatal outcome was better in public hospital. Appropriate regulations need to reduce preference of CS and difference of total cost. JOPSOM 2020; 39(2): 59-69

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Section: Table-9: Comparison Of Total Cost By Preference Of Cs Between Hospitalssupporting

confidence: 46%

Section: Figure-1: Comparison Of Women By Source Of Fund Between Hospitalsmentioning

confidence: 94%

“…21 (42%) preferred private hospital for available doctors. 4 Among total 152 women majority i.e. 108 (71.1%) had provider preference of CS and the rest 44 (28.9%) had self-preference.…”

Section: Table-9: Comparison Of Total Cost By Preference Of Cs Between Hospitalsmentioning

confidence: 94%

“…70 (87.5%) and 31 (62%) of women in public and private hospital were housewives. 4 Most i.e. 143 (94.03%) of women were Muslims and the rest i.e.…”

Section: Figure-1: Comparison Of Women By Source Of Fund Between Hospitalsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Preference, Outcome and Cost of Caesarean Sections: Comparison Between Public and Private Tertiary Hospitals

Sabnam¹,

Islam

2021

JOPSOM

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Choosing caesareans? The perceptions and experiences of childbirth among mothers from higher socio-economic households in Dhaka

Akhter

Schech

2018

Health Care for Women International

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In this paper, we examine the perceptions and experiences of childbirth among a group of wealthier women in Dhaka through in-depth interviews. We find that a number of factors including preference for Caesarean Section (CS), socio-economic position, family structure, and perceptions of modern childbirth contributed to the women's overuse of medical childbirth services. Furthermore, women's capacity to purchase modern maternal health care in the private sector did not necessarily ensure high quality care in a health system which approaches maternal healthcare as a profit-making enterprise rather than as an essential human right.

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Prevalence of Low Birth Weight in Urban Dhaka and its Association with Maternal Age and Socioeconomic Status

Shaheen¹,

Roy²,

Anny³

et al. 2020

DSAHMJ

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Low Birth Weight (LBW) is a major risk factor for neonatal and infant mortality worldwide. In 2015, the LBW rate was 22.6% in Bangladesh. The present study was conducted to estimate the rate of LBW in urban Dhaka and to observe its association with maternal age and socioeconomic status. This retrospective study was carried out at selected hospitals in Dhaka City. Birth weight, type of facility, mode of delivery and age of mothers of 736 babies born from 2014 to 2016 were collected from the recorded database of these facilities. Frequency analysis, bivariate analysis, with Chi-square test (χ 2 ) and Pearson's correlation were conducted as test of significance. The prevalence of LBW was 30.2% in Dhaka City, and the mean birth weight of neonates was 2.65 kg. The results of the study indicated that at least three children in every 10 live births are born with LBW in urban Dhaka. Younger maternal age (≤19 years) was significantly associated with LBW (p = 0.020). Pearson's correlation found a weak positive linear relationship between mother's age and birth weight of babies (r = 0.108; p = 0.01). Neonates from government facilities, representing the lower socioeconomic group, had a significantly higher LBW rate. The findings of the study will help to initiate preventive programs and to develop public health nutrition interventions to reduce LBW in Bangladesh.

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Cost and outcome of caesarean section in a public and private hospital in Dhaka city

Cited by 5 publications

References 5 publications

Preference, Outcome and Cost of Caesarean Sections: Comparison Between Public and Private Tertiary Hospitals

Preference, Outcome and Cost of Caesarean Sections: Comparison Between Public and Private Tertiary Hospitals

Choosing caesareans? The perceptions and experiences of childbirth among mothers from higher socio-economic households in Dhaka

Prevalence of Low Birth Weight in Urban Dhaka and its Association with Maternal Age and Socioeconomic Status

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