ArticlePloS one2016
High Spending on Maternity Care in India: What Are the Factors Explaining It?
Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.
- Understanding out-of-pocket expenditure in India: a systematic review.Frontiers in public health · 2025Pooled it
- Household Catastrophic Health Expenditures in Maternal Care: A Cross-Sectional Study From Semnan, Iran.Health science reports · 2025Article
- An assessment of adequate quality antenatal care and its determinants in India.BMC pregnancy and childbirth · 2024Article
- Trends in out-of-pocket expenditure on facility-based delivery and financial protection of health insurance: findings from Vietnam's Household Living Standard Survey 2006-2018.International journal of health economics and management · 2023Article
- Article
- Assessment of utilisation of government programmes and services by pregnant women in India.PloS one · 2023Article
- Financial risk protection from out-of-pocket health spending in low- and middle-income countries: a scoping review of the literature.Health research policy and systems · 2022Article
- Distress financing in coping with out-of-pocket expenditure for maternity care in India.BMC health services research · 2022Article
- Public health insurance and maternal health care utilization in india: evidence from the 2005-2012 mothers' cohort data.BMC pregnancy and childbirth · 2022Article
- Estimates and correlates of district-level maternal mortality ratio in India.PLOS global public health · 2022Article
- Social and Regional Disparities in Utilization of Maternal and Child Healthcare Services in India: A Study of the Post-National Health Mission Period.Frontiers in pediatrics · 2022Article
- Addressing data and methodological limitations in estimating catastrophic health spending and impoverishment in India, 2004-18.International journal for equity in health · 2021Article
- Analysing the expenditure on childbearing: a community-based cross-sectional study in rural areas of Punjab (India).BMC health services research · 2021Article
- Burden and determinants of multimorbidity among women in reproductive age group: a cross-sectional study based in India.Wellcome open research · 2020Article
- Participation in microfinance based Self Help Groups in India: Who becomes a member and for how long?PloS one · 2020Article
- The influence of Jaminan Kesehatan Nasional (JKN) on the cost of delivery services in Indonesia.PloS one · 2020Article
- Universalisation versus targeting in maternal and child health care provisioning: Evidence from India.SSM - population health · 2019Article
- Enablers and Barriers to the Utilization of Antenatal Care Services in India.International journal of environmental research and public health · 2019Article
- Article
- Out-of-pocket expenditure on maternity care for hospital births in Uttar Pradesh, India.Health economics review · 2018Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesHigh maternity-related health care spending is often cited as an important barrier in utilizing quality health care during pregnancy and childbirth. This study has two objectives: (i) to measure the levels of expenditure on total maternity care in disaggregated components such as ANCs, PNCs, and Natal care expenditure; (ii) to quantify the extent of catastrophic maternity expenditure (CME) incurred by households and identify the factors responsible for it. METHODS AND
findingsData from the 71st round of the National Sample Survey (2014) was used to estimate maternity expenditure and its predictors. CME was measured as a share of consumption expenditure by different cut-offs. The two-part model was used to identify the factors associated with maternity spending and CME. The findings show that household spending on maternity care (US$ 149 in constant price) is much higher than previous estimates (US$ 50 in constant price). A significant proportion of households in India (51%) are incurring CME. Along with economic and educational status, type of health care and place of residence emerged as significant factors in explaining CME.
conclusionFindings from this study assume importance in the context of an emerging demand for higher maternity entitlements and government spending on public health care in India. To reduce CME, India needs to improve the availability and accessibility of better-quality public health services and increase maternity entitlements in line with maternity expenditure identified in this study.
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