Cost comparison and determinants of out‐of‐pocket payments on child delivery care in Bangladesh

Abstract

The study showed that there was a huge variation of OOP, which was dependent on the facility and socioeconomic demographic status of the households. As such, policy efforts need to focus on lowest wealth quintiles to avoid economic burdens during child delivery-related activities, and therefore, financial risk protection should be provided. Social health insurance might be an option for financing during child delivery, which is in line with the core objective of the Healthcare Financing Strategy of Bangladesh, which is to achieve universal health coverage.

A Time-Driven Activity-Based Costing Approach for Identifying Variability in Costs of Childbirth Between and within Types of Delivery

“…Women over twenty-ve years were shown to need more time at the rst phase of labour than younger women, leading to a higher cost. These results could be explained by an increased weakness of muscles with aging, resulting in less effective and more extended contractions, which are consistent with prior studies (6,17,19,24). Similarly, women giving birth to their rst child and women delivering after more gestation weeks were also associated with a longer rst phase.…”

“…A higher birth weight associated with a slower labour explains the longer rst phase for women delivering after more gestational weeks (14). Finally, a higher education attainment was found to lead to higher cost of birth because of overall prolonged time estimations over the complete clinical pathway, which also con rms prior documented research (6). Health awareness can lead to more care-seeking behaviour for maternal health services, explaining more clinical time needed for higher educated women (20).…”

“…Meanwhile, prior studies have reported wide variability in the provision of maternal care, leading to uctuations in overall childbirth costs (3)(4)(5). This phenomenon has generated substantial interest, with researchers particularly focusing on facility-related characteristics and their impact on cost variability (6)(7)(8). However, the available literature offers less information about the factors driving cost variation within hospitals.…”

“…Based on medical literature review, four patient characteristics that were found to in uence the clinical pathway are included in the analysis. In particular, age, parity, gestation weeks and education attainment were put forward as they were associated with various obstetric complications and additional patient care (6,(11)(12)(13)(14)(15)(16)(17)(18)(19)(20).…”

Costs incurred and determinants of out‐of‐pocket payments for child delivery care in India: Evidence from a nationally representative household survey

“…This shows that the cost of delivery services has increased over the past decade. But the OOP cost of delivery care in our country is lesser than neighboring countries like Bangladesh and Myanmar . Coping mechanism employed by the majority of women to deal with OOP expenditure was borrowing of money from friends.…”