Our findings regarding the costs of maternal health care have several policy implications despite the limitations. Patient cost for caring low-birth weight babies ranges between USD 38–489 while the health system cost was estimated to be USD 514. Can mothers afford maternal health care costs? Why was this so expensive? This is the most expensive option.
Even if you join a group health insurance plan after you already are pregnant, prenatal care still will be covered; according to the U.S. Department of Labor, For patients with insurance, out-of-pocket costs for prenatal care, which usually consist of copays or coinsurance for office visits and laboratory work, can range from less than. You should never delay seeking medical advice, disregard medical advice, or discontinue medical treatment because of information on this website. Secondly, costs are very context-specific especially for non-traded goods and services such as wages and salaries, which are usually one of the main cost drivers. Neal S, Matthews Z, Frost M, Fogstad H, Camacho AV, Laski L. Childbearing in adolescents aged 12-15 years in low resource countries: a neglected issue. Ntambue AM, Malonga FK, Dramaix-Wilmet M, Ilunga TM, Musau AN, Matungulu CM, Cowgill KD, Donnen P. Commercialization of obstetric and neonatal care in the Democratic Republic of the Congo: a study of the variability in user fees in Lubumbashi, 2014. Globally, about 17 million girls aged less than 19 years give births every year, and about 4 million undergo unsafe abortions to terminate unwanted pregnancies, and these adolescent pregnancies are associated with elevated risks of complications [1,2,3]. The health system cost of post-abortion care in Rwanda.
Health Econ Rev 10, 26 (2020). Policies that can delay teen pregnancies, therefore, have the potential not only to reduce maternal morbidity and mortality but also to save patients and health systems a significant amount of healthcare resources. 2009;6(7):e1000097. Wagstaff A, van Doorslaer E. Catastrophe and impoverishment in paying for health care: with applications to Vietnam 1993–1998.
The quality scores were categorized as ‘low’ if ≤33%, ‘moderate’ if the score was between 33 and 66%, and ‘high’ if > 66%. Dalaba MA, Akweongo P, Savadogo G, Saronga H, Williams J, Sauerborn R, Dong H, Loukanova S. Cost of maternal health services in selected primary care centres in Ghana: a step down allocation approach. The March of Dimes offers an overview of routine prenatal tests. Health Policy Plan. Privacy The health system cost (n = 9) for C-section ranges from USD 79.7–561.8 but only seven of the nine studies reported both recurrent and capital health system costs.
Figure 2 shows the distribution of the studies in the sub-Saharan African region. The study protocol was registered with PROSPERO-the International Prospective Register of Systematic Reviews with registration No. Asante F, Chikwama C, Daniels A, Armar-Klemesu M. Evaluating the economic outcomes of the policy of fee exemption for maternal delivery care in Ghana. Review papers and reports were excluded because we were only interested in primary cost data, but they were instead used to identify other relevant studies. Health Policy Plan. PLoS One. Huynh L, McCoy M, Law A, Tran KN, Knuth S, Lefebvre P, Sullivan S, Duh MS.
Complications associated with adolescent childbearing in sub-Saharan Africa: a systematic literature review and meta-analysis. Also, there could be a lot of variations in the structure and complexity of the healthcare system and services available for managing pregnancy and birth-related complications between countries, hence resource requirements and costs could infinitely vary from one place to another. Distribution of studies in sub-Saharan Africa.
Meda IB, Baguiya A, Ridde V, Ouedraogo HG, Dumont A, Kouanda S. Out-of-pocket payments in the context of a free maternal health care policy in Burkina Faso: a national cross-sectional survey. Morbidity and mortality due to pregnancy and childbearing are high in developing countries. Health Policy Plan. We list the latest offerings and deals. Int J Gynecol Obstet. PubMed Int J MCH AIDS. For the management of maternal hemorrhage, patient cost (n = 4) ranges between USD 65.1–196.2, and half of the studies reported both direct and indirect costs. You might require osteopathy or physiotherapy to keep everything in working order (most health funds cover these so make the most of them). Parental costs for in-patient neonatal services for perinatal asphyxia and low birth weight in Ghana. Cookies policy. [12], and the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) [13]. These moms “pay” by handing over their own childhood/teen years. Loaiza E, Liang M. Adolescence pregnancy: a review of evidence.
Deboutte D, O'Dempsey T, Mann G, Faragher B. 2017;6(1):110. Int Perspect Sex Reprod Health. Mean OOP payments were either very close to or exceeded 10 % of an average national per capita income for some countries, thus most likely exposing patients and their families to substantial financial burden. Our study enhances the understanding of the financial implications of these complications both for patients, families, and health systems.
Costs of postabortion care in public sector health facilities in Malawi: a cross-sectional survey. New innovative strategies are urgently needed to protect women and their families from impoverishing OOP, otherwise, the real impact of abolishing user fees for maternal services will be hard to be realized. volume 10, Article number: 26 (2020) Mori, A.T., Binyaruka, P., Hangoma, P. et al. 2018;26(52):1522195.
2009;35(3):114–21. Costs were categorized as health system costs if they were borne by the healthcare facility and patient costs if they were borne by the patient or caregiver. Patient costs included both direct costs and indirect costs. Glob Health Sci Pract. International Monetary Fund: Washington D.C.; 2019.
This study aims to assess patient and health system costs associated with the management of pregnancy and birth-related complications in sub-Saharan Africa. Global burden of diseases, injuries, and risk factors for young people's health during 1990-2013: a systematic analysis for the global burden of disease study 2013. World J Surg.
Pregnancy and childbirth outcomes among adolescent mothers: a World Health Organization multicountry study. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. Ilboudo PG, Greco G, Sundby J, Torsvik G. Estimating the costs for the treatment of abortion complications in two public referral hospitals: a cross-sectional study in Ouagadougou, Burkina Faso. Int Fam Plan Perspect. Pharmacoeconomics. Just know that the birthing center may not be considered in-network, so you could end up paying more out of pocket than you would at an in-network hospital. There’s anxiety, too, but it’s mostly around what kind of parent we’ll be. Costs and patterns of financing maternal health Care Services in Rural Communities in northern Nigeria: evidence for designing National fee Exemption Policy. Table 2 shows the summary characteristics of the included studies. All costs were converted to 2018 US dollars using relevant Consumer Price Indices. The study was registered in PROSPERO with registration No. The Daily Telegraph reported earlier this year that it could cost up to $20,000 to give birth in a private hospital. Lancet.
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