Community & Facility-based Study on Estimation of Out-of-Pocket Expenditure (OOPE): A Cross-sectional Analytical Study from Western India

Authors

  • Billav Rojasara Department of Community Medicine, Smt N. H. L. Municipal Medical College, Ahmedabad, Gujarat, India
  • Mittal Rathod Department of Community Medicine, All India Institute of Medical Sciences, Vijaypur, Jammu, India
  • Vishakha Dabhi Department of Ophthalmology, Nootan Medical College & Research Centre, Visnagar, Gujarat, India
  • Mehul Kaliya Department of General Medicine, All India Institute of Medical Sciences, Rajkot, Gujarat, India
  • Bela Patel Department of Community Medicine, GMERS Medical College & Hospital, Sola, Ahmedabad, Gujarat, India
  • Harsh Patel Department of Community Medicine, GMERS Medical College & Hospital, Sola, Ahmedabad, Gujarat, India
  • Dipesh Parmar Department of Community Medicine, Shree M. P. Shah Medical College, Jamnagar, Gujarat, India

Keywords:

JSSK, OOPE, Beneficiaries

Abstract

Introduction: Janani Shishu Suraksha Karyakram (JSSK) is a key program for increasing the institutional delivery. This program is a boon for pregnant women who still deliver at home as well as for sick neonates who die on account of poor access to health facilities. Thus, current cross sectional analytical study was conducted to assess any Out-of-pocket expenditure (OOPE) by beneficiaries of JSSK.


Methodology: 400 rural & urban beneficiaries of JSSK were enrolled from western part of India. Informed consent was sought & data about demographic profile, JSSK utilization & OOPE was collected in pre tested semi structured proforma.


Results: Mean age of the beneficiaries was 24.87 years. 29.25% had to pay money availing the services. Most of the OOPE was for drugs & consumables. Age, age at marriage, religion, place of delivery, family size, having RSBY card, type of delivery, parity were predictors of OOPE among JSSK beneficiaries.


Conclusions: Approximately 70% of beneficiaries received support through JSSK, yet around 30% still incurred expenses for healthcare services, highlighting the financial challenges faced.

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Published

2023-10-07

How to Cite

Rojasara, B. ., Rathod, M., Dabhi, V. ., Kaliya, M., Patel, B. ., Patel , H. ., & Parmar, D. . (2023). Community & Facility-based Study on Estimation of Out-of-Pocket Expenditure (OOPE): A Cross-sectional Analytical Study from Western India. GAIMS Journal of Medical Sciences, 4(1 (Jan-Jun), 31–36. Retrieved from https://gjms.gaims.ac.in/index.php/gjms/article/view/97