A household survey was undertaken in Matlab, a rural area of Bangladesh,
to estimate the costs incurred during pregnancy, delivery, and the
postpartum period for women delivering at home and in a health facility.
Those interviewed included 121 women who delivered at home, 120 who
delivered in an ICDDR,B basic obstetric care (BEOC) facility, 27 who
delivered in a public comprehensive obstetric care (CEOC) hospital, and
58 who delivered in private hospitals. There was no significant
difference in total costs incurred by those delivering at home and those
delivering in a BEOC facility. Costs for those delivering in CEOC
facilities were over nine times greater than for those delivering in
BEOC facilities. Costs of care during delivery were predominant.
Antenatal and postnatal care added between 7% and 30% to the total cost.
Services were more equitable at home and in a BEOC facility compared to
services provided at CEOC facilities. The study highlights the
regressive nature of the financing of CEOC services and the need for a
financing strategy that covers both the costs of referral and BEOC care
for those in need.
Household costs of health care during pregnancy, delivery and the postpartum: a case study from Matlab, Bangladesh. Journal of Health, Population and Nutrition, 24 (4), 446-455
Household costs of health care during pregnancy, delivery and the postpartum: a case study from Matlab, Bangladesh.