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
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-bas...
Gespeichert in:
| Hauptverfasser: | , , , , , , |
|---|---|
| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
22 April 2022
|
| In: |
BMJ open
Year: 2022, Jahrgang: 12, Heft: 4, Pages: 1-8 |
| ISSN: | 2044-6055 |
| DOI: | 10.1136/bmjopen-2021-053823 |
| Online-Zugang: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1136/bmjopen-2021-053823 Verlag, lizenzpflichtig, Volltext: https://bmjopen.bmj.com/content/12/4/e053823 
|
| Verfasserangaben: | Mara Anna Franke, Rinja Mitolotra Ranaivoson, Mahery Rebaliha, Sahondra Rasoarimanana, Till Bärnighausen, Samuel Knauss, Julius Valentin Emmrich |
MARC
| LEADER | 00000caa a2200000 c 4500 | ||
|---|---|---|---|
| 001 | 1805157205 | ||
| 003 | DE-627 | ||
| 005 | 20220820192426.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 220530s2022 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1136/bmjopen-2021-053823 |2 doi | |
| 035 | |a (DE-627)1805157205 | ||
| 035 | |a (DE-599)KXP1805157205 | ||
| 035 | |a (OCoLC)1341460642 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a 33 |2 sdnb | ||
| 100 | 1 | |a Franke, Mara Anna |e VerfasserIn |0 (DE-588)1258729423 |0 (DE-627)1805159283 |4 aut | |
| 245 | 1 | 0 | |a Direct patient costs of maternal care and birth-related complications at faith-based hospitals in Madagascar |b a secondary analysis of programme data using patient invoices |c Mara Anna Franke, Rinja Mitolotra Ranaivoson, Mahery Rebaliha, Sahondra Rasoarimanana, Till Bärnighausen, Samuel Knauss, Julius Valentin Emmrich |
| 264 | 1 | |c 22 April 2022 | |
| 300 | |a 8 | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Gesehen am 30.05.2022 | ||
| 520 | |a 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 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, 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. | ||
| 650 | 4 | |a catastrophic health expenditure | |
| 650 | 4 | |a Madagascar | |
| 650 | 4 | |a maternal healthcare | |
| 650 | 4 | |a out of pocket payment | |
| 650 | 4 | |a Sub-Saharan Africa | |
| 700 | 1 | |a Ranaivoson, Rinja Mitolotra |e VerfasserIn |4 aut | |
| 700 | 1 | |a Rebaliha, Mahery |e VerfasserIn |4 aut | |
| 700 | 1 | |a Rasoarimanana, Sahondra |e VerfasserIn |4 aut | |
| 700 | 1 | |a Bärnighausen, Till |d 1969- |e VerfasserIn |0 (DE-588)120262029 |0 (DE-627)080560512 |0 (DE-576)178470848 |4 aut | |
| 700 | 1 | |a Knauss, Samuel |d 1990- |e VerfasserIn |0 (DE-588)1134983557 |0 (DE-627)889900124 |0 (DE-576)489606911 |4 aut | |
| 700 | 1 | |a Emmrich, Julius |e VerfasserIn |0 (DE-588)1030164541 |0 (DE-627)734877099 |0 (DE-576)377971324 |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t BMJ open |d London : BMJ Publishing Group, 2011 |g 12(2022), 4, Artikel-ID e053823, Seite 1-8 |h Online-Ressource |w (DE-627)654747075 |w (DE-600)2599832-8 |w (DE-576)339269340 |x 2044-6055 |7 nnas |a 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 |
| 773 | 1 | 8 | |g volume:12 |g year:2022 |g number:4 |g elocationid:e053823 |g pages:1-8 |g extent:8 |a 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 |
| 856 | 4 | 0 | |u https://doi.org/10.1136/bmjopen-2021-053823 |x Verlag |x Resolving-System |z lizenzpflichtig |3 Volltext |
| 856 | 4 | 0 | |u https://bmjopen.bmj.com/content/12/4/e053823 |x Verlag |z lizenzpflichtig |3 Volltext |
| 951 | |a AR | ||
| 992 | |a 20220530 | ||
| 993 | |a Article | ||
| 994 | |a 2022 | ||
| 998 | |g 1030164541 |a Emmrich, Julius |m 1030164541:Emmrich, Julius |d 910000 |d 912800 |e 910000PE1030164541 |e 912800PE1030164541 |k 0/910000/ |k 1/910000/912800/ |p 7 |y j | ||
| 998 | |g 1134983557 |a Knauss, Samuel |m 1134983557:Knauss, Samuel |d 910000 |d 912800 |e 910000PK1134983557 |e 912800PK1134983557 |k 0/910000/ |k 1/910000/912800/ |p 6 | ||
| 998 | |g 120262029 |a Bärnighausen, Till |m 120262029:Bärnighausen, Till |d 910000 |d 912800 |e 910000PB120262029 |e 912800PB120262029 |k 0/910000/ |k 1/910000/912800/ |p 5 | ||
| 999 | |a KXP-PPN1805157205 |e 4141348813 | ||
| BIB | |a Y | ||
| SER | |a journal | ||
| JSO | |a {"person":[{"role":"aut","family":"Franke","display":"Franke, Mara Anna","given":"Mara Anna"},{"role":"aut","family":"Ranaivoson","given":"Rinja Mitolotra","display":"Ranaivoson, Rinja Mitolotra"},{"role":"aut","family":"Rebaliha","given":"Mahery","display":"Rebaliha, Mahery"},{"role":"aut","given":"Sahondra","display":"Rasoarimanana, Sahondra","family":"Rasoarimanana"},{"role":"aut","given":"Till","display":"Bärnighausen, Till","family":"Bärnighausen"},{"display":"Knauss, Samuel","given":"Samuel","family":"Knauss","role":"aut"},{"role":"aut","family":"Emmrich","display":"Emmrich, Julius","given":"Julius"}],"name":{"displayForm":["Mara Anna Franke, Rinja Mitolotra Ranaivoson, Mahery Rebaliha, Sahondra Rasoarimanana, Till Bärnighausen, Samuel Knauss, Julius Valentin Emmrich"]},"origin":[{"dateIssuedKey":"2022","dateIssuedDisp":"22 April 2022"}],"recId":"1805157205","title":[{"subtitle":"a secondary analysis of programme data using patient invoices","title_sort":"Direct patient costs of maternal care and birth-related complications at faith-based hospitals in Madagascar","title":"Direct patient costs of maternal care and birth-related complications at faith-based hospitals in Madagascar"}],"language":["eng"],"physDesc":[{"extent":"8 S."}],"id":{"doi":["10.1136/bmjopen-2021-053823"],"eki":["1805157205"]},"type":{"bibl":"article-journal","media":"Online-Ressource"},"note":["Gesehen am 30.05.2022"],"relHost":[{"language":["eng"],"recId":"654747075","disp":"Direct patient costs of maternal care and birth-related complications at faith-based hospitals in Madagascar a secondary analysis of programme data using patient invoicesBMJ open","pubHistory":["2011 -"],"type":{"bibl":"periodical","media":"Online-Ressource"},"title":[{"title_sort":"BMJ open","title":"BMJ open"}],"origin":[{"publisher":"BMJ Publishing Group","dateIssuedDisp":"2011-","dateIssuedKey":"2011","publisherPlace":"London"}],"note":["Gesehen am 02.10.20"],"id":{"eki":["654747075"],"zdb":["2599832-8"],"issn":["2044-6055"]},"part":{"extent":"8","issue":"4","year":"2022","pages":"1-8","volume":"12","text":"12(2022), 4, Artikel-ID e053823, Seite 1-8"},"physDesc":[{"extent":"Online-Ressource"}]}]} | ||
| SRT | |a FRANKEMARADIRECTPATI2220 | ||