Out of pocket Expenditure on Health Service Delivery at a Tertiary Care Women’s Hospital: A Descriptive Cross-sectional Study

Introduction: Institutional delivery in Nepal is increasing in the past decades and has been the priority program of the government of Nepal. However, due to the hidden costs related to institutional deliveries, the financial burden remains unacceptably high for poor households. The study aimed to f...
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Autor*in:	Puja Gartaula [verfasserIn] Shristi Neupane [verfasserIn] Dip Narayan Thakur [verfasserIn] Raj Kumar Sangroula [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2020

Schlagwörter:	expenditures, direct; expenditures, health; expenditures, indirect; institutional delivery.

Übergeordnetes Werk:	In: Journal of Nepal Medical Association - Nepal Medical Association, 2017, 58(2020), 232
Übergeordnetes Werk:	volume:58 ; year:2020 ; number:232

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.31729/jnma.5433

Katalog-ID:	DOAJ066770297

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520			\|a Introduction: Institutional delivery in Nepal is increasing in the past decades and has been the priority program of the government of Nepal. However, due to the hidden costs related to institutional deliveries, the financial burden remains unacceptably high for poor households. The study aimed to find out the major out of pocket expenditure on health service delivery at a tertiary care hospital in Kathmandu, Nepal. Methods: A descriptive cross-sectional study was carried out at a tertiary care hospital from December 2018 to May 2019. Ethical approval was taken from Nepal Health Research Council (ref. no. 2087) and permission was taken from the hospital. Informed consent was taken from the participants. Convenient sampling was done. A semi-structured questionnaire was used as a tool for the interview. Data was entered into Epidata and analyzed using the Statistical Package of the Social Sciences version 23. Descriptive analysis was done using mean, median, standard deviation, inter-quartile range, frequency, and percentage. Results: The median out of pocket expenditure of the participants to maternal delivery was NRs. 11720 (7610–20263). The median expenditure was found highest for food and drinking NRs. 2500 (1500–5550) and transportation NRs. 2150 (1400–4543) respectively. Conclusions: Indirect expenditures were found to be higher than direct medical expenditures. Accessibility of the birthing centers and health insurance may reduce the costs related to maternal deliveries.
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spelling	10.31729/jnma.5433 doi (DE-627)DOAJ066770297 (DE-599)DOAJ168b70618f5e450086db1cb975f597d2 DE-627 ger DE-627 rakwb eng R5-920 Puja Gartaula verfasserin aut Out of pocket Expenditure on Health Service Delivery at a Tertiary Care Women’s Hospital: A Descriptive Cross-sectional Study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: Institutional delivery in Nepal is increasing in the past decades and has been the priority program of the government of Nepal. However, due to the hidden costs related to institutional deliveries, the financial burden remains unacceptably high for poor households. The study aimed to find out the major out of pocket expenditure on health service delivery at a tertiary care hospital in Kathmandu, Nepal. Methods: A descriptive cross-sectional study was carried out at a tertiary care hospital from December 2018 to May 2019. Ethical approval was taken from Nepal Health Research Council (ref. no. 2087) and permission was taken from the hospital. Informed consent was taken from the participants. Convenient sampling was done. A semi-structured questionnaire was used as a tool for the interview. Data was entered into Epidata and analyzed using the Statistical Package of the Social Sciences version 23. Descriptive analysis was done using mean, median, standard deviation, inter-quartile range, frequency, and percentage. Results: The median out of pocket expenditure of the participants to maternal delivery was NRs. 11720 (7610–20263). The median expenditure was found highest for food and drinking NRs. 2500 (1500–5550) and transportation NRs. 2150 (1400–4543) respectively. Conclusions: Indirect expenditures were found to be higher than direct medical expenditures. Accessibility of the birthing centers and health insurance may reduce the costs related to maternal deliveries. expenditures, direct; expenditures, health; expenditures, indirect; institutional delivery. Medicine (General) Shristi Neupane verfasserin aut Dip Narayan Thakur verfasserin aut Raj Kumar Sangroula verfasserin aut In Journal of Nepal Medical Association Nepal Medical Association, 2017 58(2020), 232 (DE-627)502926767 (DE-600)2209910-4 1815672X nnns volume:58 year:2020 number:232 https://doi.org/10.31729/jnma.5433 kostenfrei https://doaj.org/article/168b70618f5e450086db1cb975f597d2 kostenfrei http://jnma.com.np/jnma/index.php/jnma/article/view/5433 kostenfrei https://doaj.org/toc/0028-2715 Journal toc kostenfrei https://doaj.org/toc/1815-672X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 58 2020 232
allfields_unstemmed	10.31729/jnma.5433 doi (DE-627)DOAJ066770297 (DE-599)DOAJ168b70618f5e450086db1cb975f597d2 DE-627 ger DE-627 rakwb eng R5-920 Puja Gartaula verfasserin aut Out of pocket Expenditure on Health Service Delivery at a Tertiary Care Women’s Hospital: A Descriptive Cross-sectional Study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: Institutional delivery in Nepal is increasing in the past decades and has been the priority program of the government of Nepal. However, due to the hidden costs related to institutional deliveries, the financial burden remains unacceptably high for poor households. The study aimed to find out the major out of pocket expenditure on health service delivery at a tertiary care hospital in Kathmandu, Nepal. Methods: A descriptive cross-sectional study was carried out at a tertiary care hospital from December 2018 to May 2019. Ethical approval was taken from Nepal Health Research Council (ref. no. 2087) and permission was taken from the hospital. Informed consent was taken from the participants. Convenient sampling was done. A semi-structured questionnaire was used as a tool for the interview. Data was entered into Epidata and analyzed using the Statistical Package of the Social Sciences version 23. Descriptive analysis was done using mean, median, standard deviation, inter-quartile range, frequency, and percentage. Results: The median out of pocket expenditure of the participants to maternal delivery was NRs. 11720 (7610–20263). The median expenditure was found highest for food and drinking NRs. 2500 (1500–5550) and transportation NRs. 2150 (1400–4543) respectively. Conclusions: Indirect expenditures were found to be higher than direct medical expenditures. Accessibility of the birthing centers and health insurance may reduce the costs related to maternal deliveries. expenditures, direct; expenditures, health; expenditures, indirect; institutional delivery. Medicine (General) Shristi Neupane verfasserin aut Dip Narayan Thakur verfasserin aut Raj Kumar Sangroula verfasserin aut In Journal of Nepal Medical Association Nepal Medical Association, 2017 58(2020), 232 (DE-627)502926767 (DE-600)2209910-4 1815672X nnns volume:58 year:2020 number:232 https://doi.org/10.31729/jnma.5433 kostenfrei https://doaj.org/article/168b70618f5e450086db1cb975f597d2 kostenfrei http://jnma.com.np/jnma/index.php/jnma/article/view/5433 kostenfrei https://doaj.org/toc/0028-2715 Journal toc kostenfrei https://doaj.org/toc/1815-672X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 58 2020 232
allfieldsGer	10.31729/jnma.5433 doi (DE-627)DOAJ066770297 (DE-599)DOAJ168b70618f5e450086db1cb975f597d2 DE-627 ger DE-627 rakwb eng R5-920 Puja Gartaula verfasserin aut Out of pocket Expenditure on Health Service Delivery at a Tertiary Care Women’s Hospital: A Descriptive Cross-sectional Study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: Institutional delivery in Nepal is increasing in the past decades and has been the priority program of the government of Nepal. However, due to the hidden costs related to institutional deliveries, the financial burden remains unacceptably high for poor households. The study aimed to find out the major out of pocket expenditure on health service delivery at a tertiary care hospital in Kathmandu, Nepal. Methods: A descriptive cross-sectional study was carried out at a tertiary care hospital from December 2018 to May 2019. Ethical approval was taken from Nepal Health Research Council (ref. no. 2087) and permission was taken from the hospital. Informed consent was taken from the participants. Convenient sampling was done. A semi-structured questionnaire was used as a tool for the interview. Data was entered into Epidata and analyzed using the Statistical Package of the Social Sciences version 23. Descriptive analysis was done using mean, median, standard deviation, inter-quartile range, frequency, and percentage. Results: The median out of pocket expenditure of the participants to maternal delivery was NRs. 11720 (7610–20263). The median expenditure was found highest for food and drinking NRs. 2500 (1500–5550) and transportation NRs. 2150 (1400–4543) respectively. Conclusions: Indirect expenditures were found to be higher than direct medical expenditures. Accessibility of the birthing centers and health insurance may reduce the costs related to maternal deliveries. expenditures, direct; expenditures, health; expenditures, indirect; institutional delivery. Medicine (General) Shristi Neupane verfasserin aut Dip Narayan Thakur verfasserin aut Raj Kumar Sangroula verfasserin aut In Journal of Nepal Medical Association Nepal Medical Association, 2017 58(2020), 232 (DE-627)502926767 (DE-600)2209910-4 1815672X nnns volume:58 year:2020 number:232 https://doi.org/10.31729/jnma.5433 kostenfrei https://doaj.org/article/168b70618f5e450086db1cb975f597d2 kostenfrei http://jnma.com.np/jnma/index.php/jnma/article/view/5433 kostenfrei https://doaj.org/toc/0028-2715 Journal toc kostenfrei https://doaj.org/toc/1815-672X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 58 2020 232
allfieldsSound	10.31729/jnma.5433 doi (DE-627)DOAJ066770297 (DE-599)DOAJ168b70618f5e450086db1cb975f597d2 DE-627 ger DE-627 rakwb eng R5-920 Puja Gartaula verfasserin aut Out of pocket Expenditure on Health Service Delivery at a Tertiary Care Women’s Hospital: A Descriptive Cross-sectional Study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: Institutional delivery in Nepal is increasing in the past decades and has been the priority program of the government of Nepal. However, due to the hidden costs related to institutional deliveries, the financial burden remains unacceptably high for poor households. The study aimed to find out the major out of pocket expenditure on health service delivery at a tertiary care hospital in Kathmandu, Nepal. Methods: A descriptive cross-sectional study was carried out at a tertiary care hospital from December 2018 to May 2019. Ethical approval was taken from Nepal Health Research Council (ref. no. 2087) and permission was taken from the hospital. Informed consent was taken from the participants. Convenient sampling was done. A semi-structured questionnaire was used as a tool for the interview. Data was entered into Epidata and analyzed using the Statistical Package of the Social Sciences version 23. Descriptive analysis was done using mean, median, standard deviation, inter-quartile range, frequency, and percentage. Results: The median out of pocket expenditure of the participants to maternal delivery was NRs. 11720 (7610–20263). The median expenditure was found highest for food and drinking NRs. 2500 (1500–5550) and transportation NRs. 2150 (1400–4543) respectively. Conclusions: Indirect expenditures were found to be higher than direct medical expenditures. Accessibility of the birthing centers and health insurance may reduce the costs related to maternal deliveries. expenditures, direct; expenditures, health; expenditures, indirect; institutional delivery. Medicine (General) Shristi Neupane verfasserin aut Dip Narayan Thakur verfasserin aut Raj Kumar Sangroula verfasserin aut In Journal of Nepal Medical Association Nepal Medical Association, 2017 58(2020), 232 (DE-627)502926767 (DE-600)2209910-4 1815672X nnns volume:58 year:2020 number:232 https://doi.org/10.31729/jnma.5433 kostenfrei https://doaj.org/article/168b70618f5e450086db1cb975f597d2 kostenfrei http://jnma.com.np/jnma/index.php/jnma/article/view/5433 kostenfrei https://doaj.org/toc/0028-2715 Journal toc kostenfrei https://doaj.org/toc/1815-672X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 58 2020 232
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topic_title	R5-920 Out of pocket Expenditure on Health Service Delivery at a Tertiary Care Women’s Hospital: A Descriptive Cross-sectional Study expenditures, direct; expenditures, health; expenditures, indirect; institutional delivery
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title	Out of pocket Expenditure on Health Service Delivery at a Tertiary Care Women’s Hospital: A Descriptive Cross-sectional Study
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title_sort	out of pocket expenditure on health service delivery at a tertiary care women’s hospital: a descriptive cross-sectional study
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title_auth	Out of pocket Expenditure on Health Service Delivery at a Tertiary Care Women’s Hospital: A Descriptive Cross-sectional Study
abstract	Introduction: Institutional delivery in Nepal is increasing in the past decades and has been the priority program of the government of Nepal. However, due to the hidden costs related to institutional deliveries, the financial burden remains unacceptably high for poor households. The study aimed to find out the major out of pocket expenditure on health service delivery at a tertiary care hospital in Kathmandu, Nepal. Methods: A descriptive cross-sectional study was carried out at a tertiary care hospital from December 2018 to May 2019. Ethical approval was taken from Nepal Health Research Council (ref. no. 2087) and permission was taken from the hospital. Informed consent was taken from the participants. Convenient sampling was done. A semi-structured questionnaire was used as a tool for the interview. Data was entered into Epidata and analyzed using the Statistical Package of the Social Sciences version 23. Descriptive analysis was done using mean, median, standard deviation, inter-quartile range, frequency, and percentage. Results: The median out of pocket expenditure of the participants to maternal delivery was NRs. 11720 (7610–20263). The median expenditure was found highest for food and drinking NRs. 2500 (1500–5550) and transportation NRs. 2150 (1400–4543) respectively. Conclusions: Indirect expenditures were found to be higher than direct medical expenditures. Accessibility of the birthing centers and health insurance may reduce the costs related to maternal deliveries.
abstractGer	Introduction: Institutional delivery in Nepal is increasing in the past decades and has been the priority program of the government of Nepal. However, due to the hidden costs related to institutional deliveries, the financial burden remains unacceptably high for poor households. The study aimed to find out the major out of pocket expenditure on health service delivery at a tertiary care hospital in Kathmandu, Nepal. Methods: A descriptive cross-sectional study was carried out at a tertiary care hospital from December 2018 to May 2019. Ethical approval was taken from Nepal Health Research Council (ref. no. 2087) and permission was taken from the hospital. Informed consent was taken from the participants. Convenient sampling was done. A semi-structured questionnaire was used as a tool for the interview. Data was entered into Epidata and analyzed using the Statistical Package of the Social Sciences version 23. Descriptive analysis was done using mean, median, standard deviation, inter-quartile range, frequency, and percentage. Results: The median out of pocket expenditure of the participants to maternal delivery was NRs. 11720 (7610–20263). The median expenditure was found highest for food and drinking NRs. 2500 (1500–5550) and transportation NRs. 2150 (1400–4543) respectively. Conclusions: Indirect expenditures were found to be higher than direct medical expenditures. Accessibility of the birthing centers and health insurance may reduce the costs related to maternal deliveries.
abstract_unstemmed	Introduction: Institutional delivery in Nepal is increasing in the past decades and has been the priority program of the government of Nepal. However, due to the hidden costs related to institutional deliveries, the financial burden remains unacceptably high for poor households. The study aimed to find out the major out of pocket expenditure on health service delivery at a tertiary care hospital in Kathmandu, Nepal. Methods: A descriptive cross-sectional study was carried out at a tertiary care hospital from December 2018 to May 2019. Ethical approval was taken from Nepal Health Research Council (ref. no. 2087) and permission was taken from the hospital. Informed consent was taken from the participants. Convenient sampling was done. A semi-structured questionnaire was used as a tool for the interview. Data was entered into Epidata and analyzed using the Statistical Package of the Social Sciences version 23. Descriptive analysis was done using mean, median, standard deviation, inter-quartile range, frequency, and percentage. Results: The median out of pocket expenditure of the participants to maternal delivery was NRs. 11720 (7610–20263). The median expenditure was found highest for food and drinking NRs. 2500 (1500–5550) and transportation NRs. 2150 (1400–4543) respectively. Conclusions: Indirect expenditures were found to be higher than direct medical expenditures. Accessibility of the birthing centers and health insurance may reduce the costs related to maternal deliveries.
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title_short	Out of pocket Expenditure on Health Service Delivery at a Tertiary Care Women’s Hospital: A Descriptive Cross-sectional Study
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