PMID- 30980630 OWN - NLM STAT- MEDLINE DCOM- 20190913 LR - 20200309 IS - 2322-5939 (Electronic) IS - 2322-5939 (Linking) VI - 8 IP - 3 DP - 2019 Mar 1 TI - Has the Public Health System Provided Adequate Financial Risk Protection for Child Birth Conditions - Evidences From an Eastern Indian State. PG - 145-149 LID - 10.15171/ijhpm.2018.111 [doi] AB - Over the years, national and sub-national governments have introduced several initiatives to improve access to maternal and child health services in India. However, financial barriers have posed major constraints. Based upon the data of National Family Health Survey (NFHS) round 4 for Odisha state, our paper examines the out-of-pocket expenditure (OOPE) borne by households for accessing maternal and child healthcare services in a low resource setting of India. We have interpreted results of NFHS-4 by drawing inferences from literature for understanding the rising OOPE in the public health system. Findings suggests that OOPE is considerably high for maternal and child health conditions in Odisha and ranks fifth, despite the coverage of 72% women under Janani Suraksha Yojana (JSY), a condition cash transfer scheme with majority utilizing the public health system. The high OOPE on child delivery raises numerous pertinent questions about the effectiveness of the public health delivery system, and thus requires financial protection in the interest of the population that accesses public health systems in the state. CI - (c) 2019 The Author(s); Published by Kerman University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. FAU - Rout, Sarit Kumar AU - Rout SK AD - Indian Institute of Public Health Bhubaneswar (IIPHB), Bhubaneswar, India. FAU - Mahapatra, Sandeep AU - Mahapatra S AD - Indian Institute of Public Health Bhubaneswar (IIPHB), Bhubaneswar, India. LA - eng PT - Journal Article DEP - 20190301 PL - Iran TA - Int J Health Policy Manag JT - International journal of health policy and management JID - 101619905 SB - IM MH - Child MH - Delivery, Obstetric/*economics MH - Family Characteristics MH - Federal Government MH - Female MH - *Financing, Personal MH - Gift Giving MH - *Health Expenditures MH - Health Resources MH - Health Services Accessibility/*economics/statistics & numerical data MH - Health Surveys MH - *Healthcare Financing MH - Humans MH - India MH - Male MH - Maternal-Child Health Services/economics MH - Parturition MH - *Poverty MH - Pregnancy MH - Public Health/*economics PMC - PMC6462194 OTO - NOTNLM OT - Child Birth OT - Health Financing OT - Maternal Health OT - Odisha EDAT- 2019/04/14 06:00 MHDA- 2019/09/14 06:00 PMCR- 2018/11/24 CRDT- 2019/04/14 06:00 PHST- 2018/02/08 00:00 [received] PHST- 2018/11/11 00:00 [accepted] PHST- 2019/04/14 06:00 [entrez] PHST- 2019/04/14 06:00 [pubmed] PHST- 2019/09/14 06:00 [medline] PHST- 2018/11/24 00:00 [pmc-release] AID - 10.15171/ijhpm.2018.111 [doi] PST - epublish SO - Int J Health Policy Manag. 2019 Mar 1;8(3):145-149. doi: 10.15171/ijhpm.2018.111.