January - March 2021

“Hidden costs” of delivery in Government Maternity Hospitals at tertiary health care level in Telangana state

S.Nagamani M.D.DGO1*, D Kiranmai M.D. DGO2

1Associate Professor, 2Assistant Professor of Obstetrics and Gynaecology, Osmania Medical College, Hyderabad, Telangana



BACKGROUND: In 2013, about 50,000 women in India died due to pregnancy-related complications. The current MMR of Telangana is 92 with Hyderabad having an MMR of 71 per 1 lakh population. Even though the government has launched JSSK for providing free services for all MCH services, there are some hidden costs. so the present study was done to study on the economics and hidden costs at a tertiary care maternity health facility of the government. MATERIALS AND METHODS: The current study was conducted using a semi structured questionnaire survey and in -depth interview among 100 post -partum mothers and their attenders over a period of 3 months. Mothers with serious complications were excluded. Information was collected on the cost of maternity care, household income etc. RESULTS: The mean hidden cost for the patient for normal delivery was Rs. 2000 and for Caesarean Section was Rs.3500. The major hidden costs were spent on blood, blood products, on food of the visitors/relatives and for the bribes to be given to the other hospital staff performing cleaning services. CONCLUSION: Information gained from this study can be used to identify areas where costs could be reduced and where output or productivity could be increased. It may be used as a resource tool for financial management in hospitals and for suggesting measures in making maternal healthcare more affordable for below poverty line families.


Key words: Hidden costs, maternal health, Tertiary Government health facilities, India


Keywords: tertiary health care level in Telangana state

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