دورية أكاديمية
أعرض في EDS

Hidden cost of hospital-based delivery and associated factors among postpartum women attending public hospitals in Gamo zone, southern Ethiopia.

التفاصيل البيبلوغرافية
العنوان: Hidden cost of hospital-based delivery and associated factors among postpartum women attending public hospitals in Gamo zone, southern Ethiopia.
المؤلفون: Chewaka MT; Department of Midwifery, College of Health Sciences, Mizan Tepi University, Mizan Tepi, Ethiopia. menentilahun53@gmail.com., Ayele G; Department of Midwifery, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia., Tessema GY; Department of Midwifery, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia., Dinagde DD; Departments of Midwifery, College of Health Sciences, Mattu University, Mettu, Ethiopia. dagnederesa8@gmail.com., Afework HT; Department of Midwifery, College of Health Sciences, Mizan Tepi University, Mizan Tepi, Ethiopia., Biwota BM; Department of Midwifery, College of Health Sciences, Mizan Tepi University, Mizan Tepi, Ethiopia., Wada HW; Department of Midwifery, Arba Minch Health Sciences College, Arba Minch, Ethiopia.
المصدر: BMC health services research [BMC Health Serv Res] 2024 Apr 22; Vol. 24 (1), pp. 495. Date of Electronic Publication: 2024 Apr 22.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Hospitals, Public*/economics , Delivery, Obstetric*/economics , Delivery, Obstetric*/statistics & numerical data, Humans ; Female ; Ethiopia ; Cross-Sectional Studies ; Adult ; Pregnancy ; Maternal Health Services/economics ; Maternal Health Services/statistics & numerical data ; Young Adult ; Postpartum Period ; Adolescent ; Health Services Accessibility/economics
مستخلص: Background: Since 2005, the healthcare system in Ethiopia has implemented policies to promote the provision of free maternal healthcare services. The primary goal of these policies is to enhance the accessibility of maternity care for women from various socioeconomic backgrounds. Additionally, the aim is to increase the utilization of maternity services, such as institutional deliveries, by removing financial obstacles that pregnant women may face. Even though maternity services are free of charge. The hidden cost has unquestionably been a key obstacle in seeking and utilizing health care services. Significant payments due to delivery services could create a heavy economic burden on households.
Objectives: To determine the hidden cost of hospital-based delivery and associated factors among postpartum women attending public hospitals in Gamo zone, southern Ethiopia 2023.
Methods: A facility-based cross-sectional study was conducted on 411 postpartum women in Gamo Zone Public Health Hospitals from December 1, 2022, to January 30, 2023. The systematic sampling technique was applied to reach study units. Data was collected using the Kobo Toolbox Data Collection Tool and exported to SPSS statistical software version 27 for analysis. Simple linear regression and multiple linear regression were done to see the association of variables. The significance level was declared at a P-value < 0.05 in the final model.
Result: The median hidden cost of hospital-based delivery was 1142 Ethiopian birr (ETB), with a range (Q) of 2262 (504-2766) ETB. Monthly income of the family (β = 0.019), obstetrics complications (β = 0.033), distance from the health facility (β = 0.003), and mode of delivery (β = 0.072), were positively associated with the hidden cost of hospital-based delivery. While, rural residence (β = -0.041) was negatively associated with the outcome variable.
Conclusion: This study showed the hidden cost of hospital based delivery was relatively high. Residence, monthly income of the family, obstetric complications, mode of delivery, and distance from the health facility were statistically significant. It is important to take these factors into account when designing health intervention programs and hospitals should prioritize the availability of essential drugs and medical supplies within their facilities to address direct medical costs in hospitals.
(© 2024. The Author(s).)
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فهرسة مساهمة: Keywords: Ethiopia; Hidden costs; Hospital -based delivery; Hospital costs
تواريخ الأحداث: Date Created: 20240422 Date Completed: 20240424 Latest Revision: 20240426
رمز التحديث: 20240426
مُعرف محوري في PubMed: PMC11034158
DOI: 10.1186/s12913-024-10927-y
PMID: 38649915
قاعدة البيانات: MEDLINE
الوصف
تدمد:1472-6963
DOI:10.1186/s12913-024-10927-y