Evidence map›Paper›PMID 37701860›Full record

ArticleClinicoEconomics and outcomes research : CEOR2023

The Cost of Maternal Complications and Its Associated Factors Among Mothers Attending Public Hospitals in Harari Region and Dire Dawa City Administration, Eastern Ethiopia: An Institution-Based Cross-Sectional Study.

Samrawit Shawel, Behailu Hawulte Ayele, Yadeta Dessie, Abera Kenay Tura, Gimaye Dinsa, Abainash Tekola, Miheret Mandefro, Awoke Masrie, Aklilu Tamire, Obsan Kassa Tefasa

Open access · goldAbstract read
In one paragraph

Article in ClinicoEconomics and outcomes research : CEOR, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 2 countries.

Samrawit ShawelSchool of Public Health, Haramaya University, Harar, Ethiopia.ORCID 0000-0003-1220-7685
Behailu Hawulte AyeleSchool of Public Health, Haramaya University, Harar, Ethiopia.ORCID 0000-0001-6023-7542
Yadeta DessieSchool of Public Health, Haramaya University, Harar, Ethiopia.
Abera Kenay TuraSchool of Nursing and Midwifery, Haramaya University, Harar, Ethiopia.ORCID 0000-0002-2735-7523
Gimaye DinsaSchool of Public Health, Haramaya University, Harar, Ethiopia.
Abainash TekolaSchool of Public Health, Haramaya University, Harar, Ethiopia.
Miheret MandefroSchool of Public Health, Haramaya University, Harar, Ethiopia.ORCID 0009-0006-0374-7179
Awoke MasrieSchool of Public Health, Haramaya University, Harar, Ethiopia.ORCID 0009-0002-6648-5787
Aklilu TamireSchool of Public Health, Haramaya University, Harar, Ethiopia.ORCID 0000-0002-8797-390X
Obsan Kassa TefasaSchool of Public Health, Haramaya University, Harar, Ethiopia.ORCID 0009-0004-9699-8027
Haramaya University · ETUniversity of British Columbia · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pregnant women face high costs for health-care services despite being advertised as free. These costs include non-medical expenses, lost productivity, difficulties caring for family members, and long-term financial impact from complications. Limited research has been done on the cost burden of maternal services and complications, despite numerous studies on maternal health service provision. This is notable considering the government's claim of providing free maternal health-care services. Methods: A cross-sectional study was conducted in July (1-30) 2022 among 425 randomly selected mothers in Harari and Dire Dawa City, Eastern Ethiopia. Data were collected through structured questionnaires and medical record reviews. The collected data was entered into Epi-Data version 3.02 and analyzed using STATA version 14.0 after data cleaning. Descriptive statistics and linear regression analysis were used to examine the data, ensuring assumptions of linearity, independence, homoscedasticity, and normality were met. The correlation coefficient was used to assess the strength of the association. Results: The median cost of maternal complications was around 4250 ETB (81.3 USD; IQR = 2900-5833.3), factors that predicted cost were monthly family income of ≥3001 birr (β=1.13; 95% CI: 1.00, 1.26), distance from hospital (β=0.73; 95% CI = 0.64-0.83), being admitted for less than 4 days (β=0.60; 95% CI = 0.53-0.69), accompanied by relatives besides their husbands (β=1.93; 95% CI = 1.52-2.46), caesarian sections delivery (β=1.17; 95% CI = 1.04-1.31), and giving birth to a normal baby (β=0.86; 95% CI = 0.77-0.97). Conclusion: Maternal complications incur significant costs, with factors such as family income, travel time, hospital stay, caregiver presence, mode of delivery, and neonatal outcome predicting these costs. The Ethiopian health system should address the additional expenses faced by mothers with complications and their caregivers.

Indexed as

direct costEastern Ethiopiaindirect costmaternal complicationmedical-cost

Identifiers

PMID37701860
PMCPMC10494998
OpenAlexW4386513946

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.