Neena Srivastava|Sanjay Awasthi|Gaurav Agarwal
Care-seeking behavior and out-of-pocket expenditure for sick newborns among urban poor in Lucknow, northern India: a prospective follow-up study
King George's Medical University|King George's Medical University|University of Lucknow
abstract background state uttar pradesh india accounts onequarter indias neonatal deaths 8 percent worldwide half 52 deaths occur due infections order achieve millennium development goal4 reducing child mortality twothirds year 2015 important study factors affect neonatal health uttar pradesh meager data spending health care general neonates particular methods study conducted urban reproductive child health rch center district hospital neonates enrolled within 48 hours birth followedup 6 weeks 15 days opd respective hospitals home study assessed 1 distribution neonatal illnesses different health providers sought 2 distribution outofpocket expenditures type illness type health provider sought 3 socioeconomic distribution neonatal illnesses careseeking behavior outofpocket expenditures perprotocol analysis performed results five hundred ten neonates enrolled 481944 followedup parents 503 242481 neonates reported least one symptom illness 223 107481 neonates illnesses least one reported integrated management neonatal childhood illnesses imnci danger sign among imnci illnesses point prevalence septicemia 62 pneumonia 52 among nonimnci illnesses point prevalence upper respiratory infection 95 diarrhea 7 community based nongovernment dispensers ngds leading health providers 376 mean monthly income families 2804 indian rupees inr range 800 14000 n 510 us 1 42 inr mean outofpocket expenditure neonatal illness 5475 inr range 1 15000 n 202 mean outofpocket expenditure hospitalization 4993 inr range 41 15000 n 17 hospitalizations imnci illnesses neonates lower income strata less likely receive medical care p lt 00001 also less likely seen government provider p 003 conclusion since half neonates morbidity outofpocket expenditure neonatal illnesses often exceeds family income lower strata low income group community need either introduce health insurance scheme subsidize health care also since ngds half could unqualified leading health providers qualified medical careseeking sick newborns promoted urban lucknow