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Less out-of-pocket expenditure for births in public facilities in rural areas, NFHS-5 finds -Anvi Maria Joy, Megha PK, Akhil PM and Gaurav Suresh Gunnal

-Down to Earth

The latest figures suggest that Manipur spends more OOPE in both rural and urban areas, whereas Gujarat spends less among states and Dadra and Nagar Haveli among Union territories

There has been a substantial increase in out of pocket expenditure (OOPE) in various states and Union territories of India despite various maternal schemes having been implemented by the Union and state governments, according to the National Family Health Survey-5.

Dependency on private health facilities, pharmaceuticals and an increase in caesarian births are the factors responsible for the rise in OOPE in India. OOPE is defined as the payments made by an individual in exchange for the health services they received.

It includes consultation charges, pharmaceutical and laboratory charges, dressing charges and injections. The World Health Summit 2011 reported that India had the 42nd highest average OOPE, with 74.4 per cent of private expenditure being paid as OOPE.

Considering all this, the National Health Policy 2017 set a goal to reduce out-of-pocket expenditure and decrease the proportion of households experiencing health-related financial issues by one-fourth by 2025.

The government launched schemes like Janani Shishu Suraksha Karyakram that offered incentives of Rs 1,400 to women delivering in public or accredited private facilities and ensuring free delivery. Despite this, OOPE kept on rising substantially in the health system.

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