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Out of pocket expenditure to deliver at public health facilities in India: a cross sectional analysis

Overview of attention for article published in Reproductive Health, August 2016
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (89th percentile)
  • High Attention Score compared to outputs of the same age and source (93rd percentile)

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1 news outlet
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10 X users
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1 Facebook page

Citations

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38 Dimensions

Readers on

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181 Mendeley
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Title
Out of pocket expenditure to deliver at public health facilities in India: a cross sectional analysis
Published in
Reproductive Health, August 2016
DOI 10.1186/s12978-016-0221-1
Pubmed ID
Authors

Anns Issac, Susmita Chatterjee, Aradhana Srivastava, Sanghita Bhattacharyya

Abstract

To expand access to safe deliveries, some developing countries have initiated demand-side financing schemes promoting institutional delivery. In the context of conditional cash incentive scheme and free maternity care in public health facilities in India, studies have highlighted high out of pocket expenditure (OOPE) of Indian families for delivery and maternity care. In this context the study assesses the components of OOPE that women incurred while accessing maternity care in public health facilities in Uttar Pradesh, India. It also assesses the determinants of OOPE and the level of maternal satisfaction while accessing care from these facilities. It is a cross-sectional analysis of 558 recently delivered women who have delivered at four public health facilities in Uttar Pradesh, India. All OOPE related information was collected through interviews using structured pre-tested questionnaires. Frequencies, Mann-Whitney test and categorical regression were used for data reduction. The analysis showed that the median OOPE was INR 700 (US$ 11.48) which varied between INR 680 (US$ 11.15) for normal delivery and INR 970 (US$ 15.9) for complicated cases. Tips for getting services (consisting of gifts and tips for services) with a median value of INR 320 (US$ 5.25) contributed to the major share in OOPE. Women from households with income more than INR 4000 (US$ 65.57) per month, general castes, primi-gravida, complicated delivery and those not accompanied by community health workers incurred higher OOPE. The significant predictors for high OOPE were caste (General Vs. OBC, SC/ST), type of delivery (Complicated Vs. Normal), and presence of ASHA (No Vs. Yes). OOPE while accessing care for delivery was one among the least satisfactory items and 76 % women expressed their dissatisfaction. Even though services at the public health facilities in India are supposed to be provided free of cost, it is actually not free, and the women in this study paid almost half of their mandated cash incentives to obtain delivery care.

X Demographics

X Demographics

The data shown below were collected from the profiles of 10 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 181 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
India 1 <1%
Sweden 1 <1%
Unknown 179 99%

Demographic breakdown

Readers by professional status Count As %
Researcher 26 14%
Student > Master 23 13%
Student > Ph. D. Student 19 10%
Student > Postgraduate 15 8%
Student > Doctoral Student 9 5%
Other 41 23%
Unknown 48 27%
Readers by discipline Count As %
Medicine and Dentistry 37 20%
Social Sciences 28 15%
Nursing and Health Professions 19 10%
Economics, Econometrics and Finance 17 9%
Biochemistry, Genetics and Molecular Biology 4 2%
Other 24 13%
Unknown 52 29%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 17. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 17 December 2022.
All research outputs
#1,922,783
of 23,365,820 outputs
Outputs from Reproductive Health
#181
of 1,435 outputs
Outputs of similar age
#35,674
of 343,256 outputs
Outputs of similar age from Reproductive Health
#2
of 29 outputs
Altmetric has tracked 23,365,820 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 91st percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,435 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 12.1. This one has done well, scoring higher than 87% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 343,256 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 89% of its contemporaries.
We're also able to compare this research output to 29 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 93% of its contemporaries.