Out of pocket expenditure and its associated factors in neonates admitted to neonatal intensive care unit of tertiary care government hospital of Agra District, Uttar Pradesh
| Autor: | Renu Agrawal, S K Kaushal, S. K. Misra, Rudresh Negi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
0301 basic medicine Financing Personal medicine.medical_specialty Neonatal intensive care unit Referral 030106 microbiology catastrophic health expenditure India Transportation Logistic regression Odds 03 medical and health sciences 0302 clinical medicine out-of-pocket expenditure Intensive Care Units Neonatal Environmental health Humans Medicine 030212 general & internal medicine Agra Poverty biology Hospitals Public business.industry Public health lcsh:Public aspects of medicine Infant Newborn lcsh:RA1-1270 General Medicine Odds ratio Infant Low Birth Weight biology.organism_classification Cross-Sectional Studies Socioeconomic Factors Premature Birth Female Health Expenditures neonate business |
| Zdroj: | Indian Journal of Public Health, Vol 64, Iss 1, Pp 60-65 (2020) |
| Popis: | Background: Neonatal health remains a thrust area of public health, and an increased out-of-pocket expenditure (OOPE) may hamper efforts toward universal health coverage. Public spending on health remains low and insurance schemes few, thereby forcing impoverishment upon individuals already close to poverty line. Objective: To determine catastrophic health expenditure (CHE) in neonates admitted to the government neonatal intensive care unit (NICU) and factors associated with of out-of-pocket expenditure. Methods: This cross-sectional study was conducted in a governmental NICU at Agra from May 2017 to April 2018. A sample of 450 neonatal admissions was studied. Respondents were interviewed for required data. OOPE included costs at NICU, intervening health facilities, and transport as well. SPSS version (23.0 Trial) and Epi Info were used for analysis. Results: Of the 450 neonates analyzed, the median total OOPE was Rs. 3000. CHE was found among 55.8% of cases with 22% spending more than their household monthly income. On binary logistic regression, a higher total OOPE of Rs. 3000 or more was found to be significantly associated with higher odds of residing outside Agra (adjusted odds ratio [AOR] = 1.829), delay in first cry (AOR = 1.623), referral points ≥3 (AOR = 3.449), private sector as first referral (AOR = 2.476), and when treatment was accorded during transport (AOR = 1.972). Conclusions: OOPE on neonates amounts to a substantial figure and is more than the country average. This needs to be addressed sufficiently and comprehensively through government schemes, private enterprises, and public–private partnerships. |
| Databáze: | OpenAIRE |
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