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    Costs of maternal health-related complications in Bangladesh.

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    Author
    Hoque, ME; Powell-Jackson, T; Dasgupta, SK; Chowdhury, ME; Koblinsky, M
    Date
    2012-06
    Source Title
    Journal of Health Population and Nutrition
    Publisher
    Springer Science and Business Media LLC
    University of Melbourne Author/s
    Hoque, Mohammad
    Affiliation
    Melbourne School of Population and Global Health
    Metadata
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    Document Type
    Journal Article
    Citations
    Hoque, M. E., Powell-Jackson, T., Dasgupta, S. K., Chowdhury, M. E. & Koblinsky, M. (2012). Costs of maternal health-related complications in Bangladesh.. J Health Popul Nutr, 30 (2), pp.205-212. https://doi.org/10.3329/jhpn.v30i2.11315.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/255834
    DOI
    10.3329/jhpn.v30i2.11315
    Open Access at PMC
    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3397331
    Abstract
    This paper assesses both out-of-pocket payments for healthcare and losses of productivity over six months postpartum among women who gave birth in Matlab, Bangladesh. The hypothesis of the study objective is that obstetric morbidity leads women to seek care at which time out-of-pocket expenditure is incurred. Second, a woman may also take time out from employment or from doing her household chores. This loss of resources places a financial burden on the household that may lead to reduced consumption of usual but less important goods and use of other services depending on the extent to which a household copes up by using savings, taking loans, and selling assets. Women were divided into three groups based on their morbidity patterns: (a) women with a severe obstetric complication (n=92); (b) women with a less-severe obstetric complication (n=127); and (c) women with a normal delivery (n=483). Data were collected from households of these women at two time-points--at six weeks and six months after delivery. The results showed that maternal morbidity led to a considerable loss of resources up to six weeks postpartum, with the greatest financial burden of cost of healthcare among the poorest households. However, families coped up with loss of resources by taking loans and selling assets, and by the end of six months postpartum, the households had paid back more than 40% of the loans.

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