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Pattern and correlates of out-of-pocket payment (OOP) on female sterilization in India, 1990–2014

BACKGROUND: Large scale public investment in family welfare programme has made female sterilization a free service in public health centers in India. Besides, it also provides financial compensation to acceptors. Despite these interventions, the use of contraception from private health centers has i...

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Autores principales: Mohanty, Sanjay K., Mishra, Suyash, Chatterjee, Sayantani, Saggurti, Niranjan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6977276/
https://www.ncbi.nlm.nih.gov/pubmed/31969139
http://dx.doi.org/10.1186/s12905-020-0884-1
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author Mohanty, Sanjay K.
Mishra, Suyash
Chatterjee, Sayantani
Saggurti, Niranjan
author_facet Mohanty, Sanjay K.
Mishra, Suyash
Chatterjee, Sayantani
Saggurti, Niranjan
author_sort Mohanty, Sanjay K.
collection PubMed
description BACKGROUND: Large scale public investment in family welfare programme has made female sterilization a free service in public health centers in India. Besides, it also provides financial compensation to acceptors. Despite these interventions, the use of contraception from private health centers has increased over time, across states and socio-economic groups in India. Though many studies have examined trends, patterns, and determinants of female sterilization services, studies on out-of-pocket payment (OOP) and compensations on sterilisation are limited in India. This paper examines the trends and variations in out-of-pocket payment (OOP) and compensations associated with female sterilization in India. METHODS: Data from the National Family Health Survey - 4, 2015–16 was used for the analyses. A composite variable based on compensation received and amount paid by users was computed and categorized into four distinct groups. Multivariate analyses were used to understand the significant predictors of OOP of female sterilization. RESULTS: Public health centers continued to be the major providers of female sterilization services; nearly 77.8% had availed themselves of free sterilization and 61.6% had received compensation for female sterilization. About two-fifths of the women in the economically well-off state like Kerala and one-third of the women in a poor state like Bihar had paid but did not receive any compensation for female sterilization. The OOP on female sterilization varies from 70 to 79% across India. The OOP on female sterilization was significantly higher among the educated and women belonging to the higher wealth quintile linking OOP to ability to pay for better quality of care. CONCLUSION: Public sector investment in family planning is required to provide free or subsidized provision of family welfare services, especially to women from a poor household. Improving the quality of female sterilization services in public health centers and rationalizing the compensation may extend the reach of family planning services in India.
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spelling pubmed-69772762020-01-28 Pattern and correlates of out-of-pocket payment (OOP) on female sterilization in India, 1990–2014 Mohanty, Sanjay K. Mishra, Suyash Chatterjee, Sayantani Saggurti, Niranjan BMC Womens Health Research Article BACKGROUND: Large scale public investment in family welfare programme has made female sterilization a free service in public health centers in India. Besides, it also provides financial compensation to acceptors. Despite these interventions, the use of contraception from private health centers has increased over time, across states and socio-economic groups in India. Though many studies have examined trends, patterns, and determinants of female sterilization services, studies on out-of-pocket payment (OOP) and compensations on sterilisation are limited in India. This paper examines the trends and variations in out-of-pocket payment (OOP) and compensations associated with female sterilization in India. METHODS: Data from the National Family Health Survey - 4, 2015–16 was used for the analyses. A composite variable based on compensation received and amount paid by users was computed and categorized into four distinct groups. Multivariate analyses were used to understand the significant predictors of OOP of female sterilization. RESULTS: Public health centers continued to be the major providers of female sterilization services; nearly 77.8% had availed themselves of free sterilization and 61.6% had received compensation for female sterilization. About two-fifths of the women in the economically well-off state like Kerala and one-third of the women in a poor state like Bihar had paid but did not receive any compensation for female sterilization. The OOP on female sterilization varies from 70 to 79% across India. The OOP on female sterilization was significantly higher among the educated and women belonging to the higher wealth quintile linking OOP to ability to pay for better quality of care. CONCLUSION: Public sector investment in family planning is required to provide free or subsidized provision of family welfare services, especially to women from a poor household. Improving the quality of female sterilization services in public health centers and rationalizing the compensation may extend the reach of family planning services in India. BioMed Central 2020-01-22 /pmc/articles/PMC6977276/ /pubmed/31969139 http://dx.doi.org/10.1186/s12905-020-0884-1 Text en © The Author(s). 2020 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Mohanty, Sanjay K.
Mishra, Suyash
Chatterjee, Sayantani
Saggurti, Niranjan
Pattern and correlates of out-of-pocket payment (OOP) on female sterilization in India, 1990–2014
title Pattern and correlates of out-of-pocket payment (OOP) on female sterilization in India, 1990–2014
title_full Pattern and correlates of out-of-pocket payment (OOP) on female sterilization in India, 1990–2014
title_fullStr Pattern and correlates of out-of-pocket payment (OOP) on female sterilization in India, 1990–2014
title_full_unstemmed Pattern and correlates of out-of-pocket payment (OOP) on female sterilization in India, 1990–2014
title_short Pattern and correlates of out-of-pocket payment (OOP) on female sterilization in India, 1990–2014
title_sort pattern and correlates of out-of-pocket payment (oop) on female sterilization in india, 1990–2014
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6977276/
https://www.ncbi.nlm.nih.gov/pubmed/31969139
http://dx.doi.org/10.1186/s12905-020-0884-1
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