About: Out of Pocket Expenditure for Sick Newborn Care in Referral Hospitals of Nepal

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Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Out of Pocket Expenditure for Sick Newborn Care in Referral Hospitals of Nepal
Creator	Gurung, Abhishek Gurung, Rejina Kc, Ashish Omkar Basnet, · Sunny, Avinash
Source	PMC
abstract	BACKGROUND: Almost all preventable neonatal deaths take place in low- and middle-income countries and affect the poorest who have the least access to high quality health services. Cost of health care is one of the factors preventing access to quality health services and universal health coverage. In Nepal, the majority of expenses related to newborn care are borne by the caregiver, regardless of socioeconomic status. We conducted a study to assess the out of pocket expenditure (OOPE) for sick newborn care in hospitals in Nepal. METHODS: This cross-sectional study of hospital care for newborns was conducted in 11 hospitals in Nepal and explored OOPE incurred by caregivers for sick newborn care. Data were collected from the caregivers of the sick newborn on the topics of cost of travel, accommodation, treatment (drugs, diagnosis) and documented on a sick newborn case record form. RESULTS: Data were collected from 814 caregivers. Cost of caregivers’ stay accounted for more than 40% of the OOPE for sick newborn care, followed by cost of travel, and the baby’s stay and treatment. The overall OOPE ranged from 13.6 to 226.1 US dollars (USD). The median OOPE was highest for preterm complications ($33.2 USD; CI 14.0–226.1), followed by hyperbilirubinemia ($31.9 USD; CI 14.0–60.7), respiratory distress syndrome ($26.9 USD; 15.3–121.5), neonatal sepsis ($ 25.8 USD; CI 13.6–139.8) and hypoxic ischemic encephalopathy ($23.4 USD; CI 13.6–97.7). DISCUSSION FOR PRACTICE: In Nepal, OOPE for sick newborn care in hospitals varied by neonatal morbidity and duration of stay. The largest proportion of OOPE were for accommodation and travel. Affordable and accessible health care will substantially reduce the OOPE for sick newborn care in hospitals.
has issue date	2020-01-24(xsd:dateTime)
bibo:doi	10.1007/s10995-020-02881-y
bibo:pmid	31981065
has license	cc-by
sha1sum (hex)	3096b8df6af780f3ba23605bbe091223fedea235
schema:url	https://doi.org/10.1007/s10995-020-02881-y
resource representing a document's title	Out of Pocket Expenditure for Sick Newborn Care in Referral Hospitals of Nepal
has PubMed Central identifier	PMC7048699
has PubMed identifier	31981065
schema:publication	Matern Child Health J
resource representing a document's body	covid:3096b8df6af780f3ba23605bbe091223fedea235#body_text
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