Parental costs for in-patient neonatal services for perinatal asphyxia and low birth weight in Ghana.

摘要: The major causes of newborn deaths in sub-Saharan Africa are well-known and countries gradually implementing evidence-based interventions strategies to reduce these deaths. Facility-based care provides the best outcome for sick or small babies; however, little is known about cost burden hospital-based neonatal services on parents West Africa, sub-region with highest global death burden. To estimate actual costs borne by newborns hospitalised birth-associated brain injury (perinatal asphyxia) preterm/low birth weight, this study examined economic using micro-costing bottom-up approach two referral hospitals operating under nationwide social health insurance scheme an urban setting Ghana. We prospectively assessed process parental 25 out 159 cases perinatal asphyxia 33 337 weight admitted hospital day over a 3 month period. Results showed that medical-related accounted 66.1% (IQR 49% - 81%) out-of-pocket payments irrespective status. On average, families spent 8.1% 9.1% their annual income acute preterm/LBW respectively. mean expenditure was $147.6 (median $101.8) $132.3 $124). revealed important gaps financing organization service delivery may impact quality newborns. It also information reviewing complementary options further evaluations.