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LATEST NEWS UPDATES | Financial burden of child births is rising in India -- even in free public health facilities -Prem Shankar Mishra and TS Syamala

Financial burden of child births is rising in India -- even in free public health facilities -Prem Shankar Mishra and TS Syamala

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published Published on Aug 10, 2021   modified Modified on Aug 12, 2021

-ThePrint.in

ISEC Bangalore researchers studied NFHS data to find that out-of-pocket expenditure for a normal delivery at a public facility is higher for rural households (Rs 5,368) than urban (Rs 4,330).

Maternal and child healthcare services in India – including antenatal care, natal care (institutional delivery, or births delivered in a medical facility), postnatal care, and childcare – are meant to be free of cost in public health facilities. Several policies and programmes have been designed to promote and support the provision of these services. For example, Janani Suraksha Yojana (JSY) and Janani Shishu Suraksha Karyakram (JSSK) encourage institutional delivery with the objective of reducing maternal and infant deaths. Due to the implementation of these programmes, institutional delivery in India has increased many folds (International Institute for Population Sciences (IIPS) and ICF International, 2017). However, the 2019-20 NFHS (National Family Health Survey)-5 report shows that in several states the proportion of institutional deliveries continues to be below the national average, out-of-pocket (OOP) expenditure for institutional deliveries in public facilities is high, and the rate of c-section (caesarean) deliveries is much greater than the national average (IIPS, 2020) and as compared to the ideal international rate (World Health Organization (WHO), 2015).

In this post, we analyse data from two rounds of the NFHS (NFHS-5 in 2019-20, and NFHS-4 in 2015-16), to understand the trends in institutional deliveries, related OOP expenditures, and c-section deliveries – across rural and urban areas of the major Indian states and union territories (UTs).

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ThePrint.in, 10 August, 2021, https://theprint.in/opinion/financial-burden-of-child-births-is-rising-in-india-even-in-free-public-health-facilities/711582/


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