Utilization cost of maternity services for childbirth amongst pregnant women with COVID-19 in Nigeria’s epicenter

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dc.contributor.authorBanke-Thomas, A
dc.contributor.authorMakwe, CC
dc.contributor.authorBalogun, M
dc.contributor.authorAfolabi, BB
dc.contributor.authorAlex-Nwangwu, TA
dc.contributor.authorAmeh, C
dc.date.accessioned2022-09-02T14:28:59Z
dc.date.available2022-09-02T14:28:59Z
dc.date.issued2020
dc.descriptionScholarly articleen_US
dc.description.abstractObjective: To estimate utilization costs of spontaneous vaginal delivery (SVD) and cesarean delivery (CD) for pregnant women with coronavirus disease 2019 (COVID-19) at the largest teaching hospital in Lagos, the pandemic's epicenter in Nigeria. Methods: We collected facility-based and household costs of all nine pregnant women with COVID-19 managed at the hospital. We compared their mean facility-based costs with those paid by pregnant women pre-COVID-19, identifying cost-drivers. We also estimated what would have been paid without subsidies, testing assumptions with a sensitivity analysis. Results: Total utilization costs ranged from US $494 for SVD with mild COVID-19 to US $4553 for emergency CD with severe COVID-19. Though 32%–66% of facility-based cost were subsidized, costs of SVD and CD during the pandemic have doubled and tripled, respectively, compared with those paid pre-COVID-19. Of the facility-based costs, cost of personal protective equipment was the major cost-driver (50%). Oxygen was the major driver for women with severe COVID-19 (48%). Excluding treatment costs for COVID-19, mean facility-based costs were US $228 (SVD) and US $948 (CD). Conclusion: Despite cost exemptions and donations, utilization costs remain prohibitive. Regulation of personal protective equipment and medical oxygen supply chains and expansion of advocacy for health insurance enrollments are needed in order to minimize catastrophic health expenditure.en_US
dc.identifier.citationBanke-Thomas A, Makwe CC, Balogun M, Afolabi BB, Alex-Nwangwu TA, Ameh C. Utilization cost of maternity services for childbirth amongst pregnant women with COVID-19 in Nigeria’s epicenter. International Journal of Gynecology and Obstetrics. 2020;00:1-7.en_US
dc.identifier.otherDOI: 10.1002/ijgo.13436
dc.identifier.urihttps://ir.unilag.edu.ng/handle/123456789/11266
dc.language.isoenen_US
dc.publisherInternational Journal of Gynecology and Obstetricsen_US
dc.subjectCoronavirus disease 2019en_US
dc.subjectmaternal healthen_US
dc.subjectout-of-pocket expenditureen_US
dc.subjectskilled birth attendanceen_US
dc.subjectResearch Subject Categories::MEDICINE::Social medicineen_US
dc.titleUtilization cost of maternity services for childbirth amongst pregnant women with COVID-19 in Nigeria’s epicenteren_US
dc.typeArticleen_US
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