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The free delivery and caesarean policy in Morocco: how much do households still pay?

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dc.contributor.author Boukhalfa, C.
dc.contributor.author Abouchadi, S.
dc.contributor.author Cunden, N.
dc.contributor.author Witter, S.
dc.date.accessioned 2016-05-19T12:01:56Z
dc.date.available 2016-05-19T12:01:56Z
dc.date.issued 2016
dc.identifier.issn 1360-2276
dc.identifier.doi http://dx.doi.org/10.1111/tmi.12638
dc.identifier.other ITG-H2A
dc.identifier.other DPH
dc.identifier.other U-MRH
dc.identifier.other JIF
dc.identifier.other DOI
dc.identifier.other Abstract
dc.identifier.other UPD61
dc.identifier.uri http://hdl.handle.net/10390/8816
dc.description.abstract BACKGROUND: The Free Deliveries and Caesarean Policy (FDCP) entitles all women in Morocco to deliver free of charge within public hospitals. This study assesses the policy's effectiveness by analysing household expenditures related to childbirth, by delivery type and quintile. METHODS: Structured exit survey of 973 women in six provinces at five provincial hospitals, two regional hospitals, two university hospitals and three primary health centres with maternity units. RESULTS: Households reported spending a median of US$ 59 in total for costs inside and outside of hospitals. Women requiring caesareans payed more than women with uncomplicated deliveries (P < 0.0001). The median cost was US$45 for a uncomplicated delivery, US$50 for a complicated delivery and US$65 for a caesarean section. The prescription given upon exiting the hospital comprised 62% of the total costs. Eighty-eight per cent of women from the poorest quintiles faced catastrophic expenditures. The women's perception of their hospital stay and the FDCP policy was overwhelmingly positive, but differences were noted at the various sites. CONCLUSION: The policy has been largely but not fully effective in removing financial barriers for delivery care in Morocco. More progress should also be made on increasing awareness of the policy and on easing the financial burden, which is still borne by households with lower incomes. en_US
dc.language English en_US
dc.subject National health en_US
dc.subject National policies en_US
dc.subject Maternal health en_US
dc.subject Reproductive health en_US
dc.subject Health systems en_US
dc.subject Birth en_US
dc.subject Cesarean sections en_US
dc.subject Emergency obstetric care en_US
dc.subject Cost en_US
dc.subject Household expenditures en_US
dc.subject Morocco en_US
dc.subject Africa, North en_US
dc.title The free delivery and caesarean policy in Morocco: how much do households still pay? en_US
dc.type Article en_US
dc.citation.issue 2 en_US
dc.citation.jtitle Tropical Medicine and International Health en_US
dc.citation.volume 21 en_US
dc.citation.pages 245-252 en_US
dc.identifier.pmid http://www.ncbi.nlm.nih.gov/pubmed/26584606
dc.citation.jabbreviation Trop Med Int Health en_US


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