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Costs of publicly provided maternity services in Rosario, Argentina
Borghi, Josephine; Bastus, Silvia; Belizan, María; Carroli, Guillermo; Hutton, Guy; Fox-Rushby, Julia.
  • Borghi, Josephine; London School of Hygiene and Tropical Medicine. London. GB
  • Bastus, Silvia; Secretaría de Salud Pública. Centro Unico de Facturación. Rosario. AR
  • Belizan, María; Centro Rosarino de Estudios Perinatales. Rosario. AR
  • Carroli, Guillermo; Centro Rosarino de Estudios Perinatales. Rosario. AR
  • Hutton, Guy; Swiss Tropical Institute. Basel. CH
  • Fox-Rushby, Julia; London School of Hygiene and Tropical Medicine. London. GB
Salud pública Méx ; 45(1): 27-34, ene.-feb. 2003. tab, graf
Article in English | LILACS | ID: lil-333566
ABSTRACT

OBJECTIVE:

This study estimates the costs of maternal health services in Rosario, Argentina. MATERIAL AND

METHODS:

The provider costs (US$ 1999) of antenatal care, a normal vaginal delivery and a caesarean section, were evaluated retrospectively in two municipal hospitals. The cost of an antenatal visit was evaluated in two health centres and the patient costs associated with the visit were evaluated in a hospital and a health centre.

RESULTS:

The average cost per hospital day is $114.62. The average cost of a caesarean section ($525.57) is five times greater than that of a normal vaginal delivery ($105.61). A normal delivery costs less at the general hospital and a c-section less at the maternity hospital. The average cost of an antenatal visit is $31.10. The provider cost is lower at the health centre than at the hospital. Personnel accounted for 72-94 percent of the total cost and drugs and medical supplies between 4-26 percent. On average, an antenatal visit costs women $4.70. Direct costs are minimal compared to indirect costs of travel and waiting time.

CONCLUSIONS:

These results suggest the potential for increasing the efficiency of resource use by promoting antenatal care visits at the primary level. Women could also benefit from reduced travel and waiting time. Similar benefits could accrue to the provider by encouraging normal delivery at general hospitals, and complicated deliveries at specialised maternity hospitals
Subject(s)
Full text: Available Index: LILACS (Americas) Main subject: Public Assistance / Health Care Costs / Community Health Centers / Hospitals, Municipal / Maternal Health Services Type of study: Health economic evaluation Limits: Female / Humans / Pregnancy Country/Region as subject: South America / Argentina Language: English Journal: Salud pública Méx Journal subject: Public Health Year: 2003 Type: Article Affiliation country: Argentina / Switzerland / United kingdom Institution/Affiliation country: Centro Rosarino de Estudios Perinatales/AR / London School of Hygiene and Tropical Medicine/GB / Secretaría de Salud Pública/AR / Swiss Tropical Institute/CH

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Full text: Available Index: LILACS (Americas) Main subject: Public Assistance / Health Care Costs / Community Health Centers / Hospitals, Municipal / Maternal Health Services Type of study: Health economic evaluation Limits: Female / Humans / Pregnancy Country/Region as subject: South America / Argentina Language: English Journal: Salud pública Méx Journal subject: Public Health Year: 2003 Type: Article Affiliation country: Argentina / Switzerland / United kingdom Institution/Affiliation country: Centro Rosarino de Estudios Perinatales/AR / London School of Hygiene and Tropical Medicine/GB / Secretaría de Salud Pública/AR / Swiss Tropical Institute/CH