Madhvi Dhamania
Sawai Man Singh (SMS) Medical College, IndiaTitle: Cost Analysis of Intranatal Care Services at a Tertiary Care Public Sector Hospital in Rajasthan, India
Abstract
Introduction
India is responsible for the second-highest maternal deaths and the greatest
burden of stillbirths worldwide. The cost of intranatal services is an important
determining factor, especially in developing
countries like India. Most studies report the cost of delivery from the
patient’s perspective, but there is a
lack of studies from the health system’s perspective. This present study aimed to bridge this gap by
estimating the overall and unit costs of various types of deliveries at a tertiary-level hospital
in Rajasthan, India.
Methods
The cost estimation of intranatal services
was conducted in a tertiary-level teaching hospital in Jaipur,
Rajasthan. This cost analysis undertook the health system's perspective, using
bottom- up costing methodology.
Data on all the resources (capital/recurrent) used for the delivery of intranatal care from April 2020 to March 2021 were collected. Sensitivity analysis was done to account for any
variability in cost components on overall
intranatal service cost.
Results
The annual cost of intranatal care services at the tertiary care
hospital was INR 149,011,957 (USD
1,988,152). The unit cost per vaginal delivery was INR 8,244.4 (USD 109.9) and
the unit cost per cesarean section
was INR 10,696.2 (USD 142.7). Among various heads of expenditure, 'human resource'
costs were predominant, accounting for 47.7%
of the total costs, followed
by 'building/space' and 'overhead' costs, accounting for 30.59% and 11.1%, respectively.
Conclusion
The results may help plan and manage intra-natal care services in
Rajasthan. Apart from the judicious
utilization of resources, the findings of the study may also serve as a basis
for future health economic
studies.
Biography
Madhvi Dhamania is a medical doctor by profession and specializes in the field of public health and epidemiology. She has received many awards and gold medals throughout her academic journey. During under-graduation (MBBS), she received gold medals in the subjects of Biochemistry, Microbiology, and Community Medicine. At the age of 28 years, she completed her post-graduation (MD) in Community Medicine from Sawai Man Singh (SMS) Medical College, India. She has participated in various research projects, delivered numerous presentations and published many papers. Although her predominant research domain is Health Economics, she has interests and many publications in Applied Epidemiology, Pediatric Health, Maternal Health, Occupational Health, Spiritual Health and Infectious Diseases. She has experience in clinical research trials and practical field experience in rural areas. She has also aced certificate examinations in health economics, biomedical research, scientific writing, GCP, BLS, and ACLS. Determined to achieve her ultimate goal of giving back to the community in every possible way, she firmly believes that learning is a lifetime activity and that curiosity breeds creativity.
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