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April 2022 -
Volume 20, Issue 4


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From the Editor

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Prevalence of Anxiety and Depression among postgraduate trainees in Qassim, Saudi Arabia
[Abstract]
[pdf]
Jamal Alrasheedi, Unaib Rabbani
DOI: 10.5742/MEWFM.2022.9525020

Knowledge of Amblyopia among Primary Health Care Physicians and Family Medicine Residents: A Cross-Sectional Study in the Qassim Region of Saudi Arabia
[Abstract]
[pdf]
Noha Dekhail Aldekhail, Amel Abdalrahim Sulaiman
OI: 10.5742/MEWFM.2022.9525022

Acute chest syndrome and pulmonary hypertension in sickle cell diseases
Mehmet Rami Helvaci, Engin Altintas, Atilla Yalcin, Orhan Ekrem Muftuoglu,
Abdulrazak Abyad, Lesley Pocock
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525023

Barriers Facing Primary Health Care Physicians in Jazan when Dealing with Emergency Cases
[Abstract]
[pdf]
Sameer Ahmed Ali Holal, Hassan Ali Elsayed Abdelwahid
DOI: 10.5742/MEWFM.2022.9525028

Predictors of Waterpipe Smoking among Male Students of Jazan University, Jazan, Saudi Arabia
[Abstract]
[pdf]
Mohammed Ahmed Khormi, Abdullah Ibrahim Sabai, Ali Yahya Maashi, Mohammed Abduallh Khormi,
Abdulrahman Ahmed hadadi, Abdullatif Mohammed Maashi, Mohammed Ebrahim Mojiri,
Ali Ahmed Zalah, Mohammed Abkar Shok, Ali Mohammed Shawsh
DOI: 10.5742/MEWFM.2022.9525037

Children's vision health during the COVID-19 pandemic
[Abstract]
[pdf]
Moustafa Abdalhade Timorkhan, Mouazzar yusuf Thani Ibraheem
DOI: 10.5742/MEWFM.2022.9525024

Multiple myeloma presenting as a pathological rib fracture in a primary health care center and its diagnostic challenges during the COVID 19 pandemic
[Abstract]
[pdf]
Koshy Mathew, Fathima Shezoon Mohideen, Prince Christopher Rajkumar Honest
DOI: 10.5742/MEWFM.2022.9525025

The association between sleep disturbance and coronaphobia among physicians in primary health care centers of Ministry of Health, Jazan Province
[Abstract]
[pdf]
Mohammed Atiah Ahmed Bakri, Maged El-Setouhy
DOI: 10.5742/MEWFM.2022.9525026

Population and Community Studies

What it costs to access skilled birth attendance in Pakistan
[Abstract]
[pdf]
Nida Khan, Muhammad Amir Khan, Shaheer Ellahi Khan, Muhammad Ahmar Khan, Azza Warraitch
DOI: 10.5742/MEWFM.2022.9525027

Complementary and alternative medicine practice and perceptions of Saudi subjects in Western region of Saudi Arabia
[Abstract]
[pdf]
Fathi El-Gamal, Abdulaziz Bajubair, Aljawhara Hejji, Aseel Jarwan, Jamil Numan Salah
DOI: 10.5742/MEWFM.2022.9525029

Prevalence of physical and verbal violence against physicians and nurses in primary health care centres, Buraidah, Qassim province
[Abstract]
[pdf]
Moodhi. R. Almutairi, Saulat. Jahan
DOI: 10.5742/MEWFM.2022.9525038

Assessment of Food Safety Knowledge and practice and Factors that may affect them among the General Population at Family Medicine Outpatient clinic
[Abstract]
[pdf]
Heba Galal Elnahas, Ghada M. Khafagy, Eman M. Abd el-Sattar, Radwa M. Elsayed
DOI: 10.5742/MEWFM.2022.9525039

 

 

 

 

Middle East Quality Improvement Program
(MEQUIP QI&CPD)


Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE

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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email
: lesleypocock@mediworld.com.au
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The contents of this journal are copyright. Apart from any fair dealing for purposes of private study, research, criticism or review, as permitted under the Australian Copyright Act, no part of this program may be reproduced without the permission of the publisher.

 

 

   
April 2022 - Volume 20, Issue 4

What it costs to access skilled birth attendance in Pakistan

Correspondence:
Khan, Nida,
Association for Social Development,
House No. 12, Street 48, F-7/4,
Islamabad, Pakistan
Email: nidakhan@asd.com.pk

Received: February 2022 Accepted: March 2022; Published: April 1, 2022. Citation: Nida Khan et al. What it costs to access skilled birth attendance in Pakistan. World Family Medicine. 2022; 20(4): 75-87. DOI: 10.5742/MEWFM.2022.9525027

Abstract

Background: A costing study was conducted as part of a randomized controlled trial on promoting safe birthing, among 60,000 pregnancies in Punjab. This costing study aimed to estimate the costs incurred by women for utilisation of skilled birth attendance.

Methods: 640 women were recruited from six public health clusters in two districts of Pakistan. Costs were calculated using the societal perspective where the costs incurred on enhancing birth skilled attendance by delivering birth planning intervention were calculated from both the client and health service provider perspective. Province wise projection of costs were also calculated for two years’ time duration.

Results: Health services capital cost for enhancing utilization of skilled birth attendance was Rs: 801 (US$ 8) per LHW and the recurrent per pregnant woman was Rs. 4.8 (US$ 0.05). Client cost of skilled birth utilization for normal delivery ranged from 3564(US$ 35.64) at a public facility vs 5276 (US$ 52.76) at a private facility, while for caesarean delivery it ranged from 10383 (US$ 103.83) at a public facility to 14339 (US$ 143.39) at a private facility. Cost of normal delivery was found to be correlated with category of birth attendant. Personal savings and loans were two main modes of payment for child birthing. In Punjab the incremental investment of Rs 67.7 million (US$ 677000) can achieve 675,971 additional deliveries by skilled birth attendants.

Conclusion: The birth planning intervention was found to be cost-effective in enhancing skilled birth attendance rate as compared to the control arm.

Keywords: Skilled birth attendance, health services cost, out of pocket cost, normal delivery, caesarean delivery







 


 

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