European Population Conference 2012
"Percentile costs of delivery care and influence of Janani Suraksha Yojana Program on cost-to-family for delivery care in eighteen major states of India"
Hanimi Reddy Modugu and Ashok Kumar
This study provides evidence on direct costs-to-family for seeking delivery care at different institutions or attended by different attendants. In India, for half of the population in their respective cohorts: a government institution delivery costs five times more (Rs 1100) than a home delivery (Rs 200); and a private institution delivery (Rs 4300) costs four times more than the government institutional delivery and 20 times the home delivery. High costs associated with institutional care coupled with limited reach of JSY program (15%) is responsible for 52% of women opting for home delivery, even though this situation seemed to have improved in 2009 as compared to DLHS-3 survey period. A caesarean section in a private institution costs thrice what it costs in a government institution, and high costs associated with private institutional care are forcing 30–50% of families to borrow money/sell property, irrespective of JSY benefit. The results of this study are useful to policymakers for developing state-specific JSY implementation strategies, taking into account the costs incurred by families on delivery, according to place and type of delivery and the proportion of families that have borrowed money/sold property. We conclude that there is still a strong need for finding innovative methods for JSY implementation tailored to the needs and performance of the states, to achieve an 80% institutional deliveries target before 2015.
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