Cost Estimates of Postnatal Care in Negeri Sembilan, Malaysia
Journal name: The Malaysian Journal of Medical Sciences
Original article title: Cost Estimates of Postnatal Care in Public Primary Care Facilities in Negeri Sembilan, Malaysia
The Malaysian Journal of Medical Sciences (MJMS) is a peer-reviewed, open-access journal published online at least six times a year. It covers all aspects of medical sciences and prioritizes high-quality research.
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Farhana Aminuddin, Mohd Shahri Bahari, Mohd Shaiful Jefri Mohd Nor Sham Kunusagaran, Nur Amalina Zaimi, Mohd Ridzwan Shahari, Nor Zam Azihan Mohd Hassan
The Malaysian Journal of Medical Sciences:
(A peer-reviewed, open-access journal)
Full text available for: Cost Estimates of Postnatal Care in Public Primary Care Facilities in Negeri Sembilan, Malaysia
Year: 2022 | Doi: 10.21315/mjms2022.29.5.10
Copyright (license): CC BY 4.0
Download the PDF file of the original publication
Summary of article contents:
Introduction
This pilot study focuses on the costs associated with postnatal care (PNC) provided in public primary care facilities in Negeri Sembilan, Malaysia. As PNC is a critical intervention aimed at reducing maternal and child mortality, understanding its financial implications is vital for resource allocation and healthcare planning. The study employed a cross-sectional design, involving six public primary care facilities, and analyzed cost data from 2016 to estimate PNC costs from the perspective of healthcare providers.
Key Concept: Personnel Costs as the Primary Cost Driver
One of the significant findings of the study is that personnel costs represent the dominant component of PNC expenditures, accounting for 94.2% of the total costs. The mean cost of PNC per patient was estimated at RM165.65 (approximately USD 40), highlighting the substantial financial burden placed heavily on healthcare providers due to requiring skilled professionals for PNC services. This finding aligns with trends observed in other healthcare settings, where personnel costs consistently form the majority of healthcare expenses. Moreover, factors such as education level and the type of health facilities significantly influenced the total PNC costs, indicating that maternal education and facility characteristics can impact healthcare service utilization and costs.
Conclusion
The results of this pilot study underline the crucial role of pertinent cost information in enhancing future healthcare planning and decision-making concerning postnatal services in Malaysia. While the insights gathered from this research provide a valuable evidence base for policymakers to better allocate healthcare resources, it also emphasizes the need for ongoing studies to further explore PNC costs across different regions. As the study is limited in scope, it calls for the expansion of future research to enhance the understanding of postnatal care costs, ultimately supporting improvements in healthcare delivery systems for mothers and infants in the country.
FAQ section (important questions/answers):
What was the purpose of the pilot study in Negeri Sembilan?
The pilot study aimed to estimate the cost of postnatal care (PNC) in public primary care facilities in Negeri Sembilan, Malaysia, focusing on the perspectives of healthcare providers and its contribution to reducing maternal and child mortality.
What was the average cost of postnatal care reported?
The mean cost of postnatal care per patient was RM165.65, with personnel costs being the primary driver, accounting for 94.2% of the total cost incurred during the PNC received at public health facilities.
What factors were associated with higher PNC costs?
The study found that education level, type of health facilities, and the number of postnatal visits were positively associated with the total cost of postnatal care in the selected primary care settings.
How was the data for the study collected?
Data was collected using a cross-sectional design involving 287 eligible mothers between May and July 2017, focusing on the PNC-related costs from healthcare providers' perspective and using mixed cost calculation methodologies.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Cost Estimates of Postnatal Care in Negeri Sembilan, Malaysia”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Table:
A table is a systematic arrangement of data, usually organized in rows and columns, making it easier to read and compare values. Tables are essential in presenting statistical results, supporting analysis, and summarizing key data points, which aids in understanding complex information effectively. They are especially vital in research studies to display findings clearly.
2) Study (Studying):
A study refers to systematic research on a particular subject aimed at discovering new knowledge or validating existing knowledge through empirical methods. In health research, studies often assess the effectiveness of healthcare interventions, analyze costs, or evaluate health outcomes, contributing significantly to evidence-based practices and informed decision-making.
3) Visit:
In the context of healthcare, a visit typically denotes an appointment where patients meet healthcare providers for medical services. Regular visits are crucial for monitoring health, providing necessary treatments and preventive care, and allowing for ongoing assessment of patient conditions, particularly in maternal and child health like postnatal care.
4) Education:
Education plays a pivotal role in empowering individuals with knowledge. It significantly influences health-seeking behaviors and decision-making, especially in maternal healthcare. Educated women are more likely to utilize health services, understand health information, and make informed choices regarding their health and that of their children, ultimately improving health outcomes.
5) Rules:
Rules govern the procedures and protocols in studies or regulatory frameworks, ensuring consistency, reliability, and ethical compliance. In healthcare systems, rules guide the administration of care, patient interactions, and health policies, ensuring that healthcare practices are standardized and accountable, thereby enhancing population health outcomes and maintaining quality standards.
6) Drug:
Drugs are pharmaceutical substances used to diagnose, treat, or prevent diseases. In the context of maternal health, the appropriate use of drugs is critical in managing complications during pregnancy and postnatal periods. Understanding drug costs and their availability is vital for effective healthcare delivery and planning in public health systems.
7) Pregnant:
The term pregnant refers to the state of carrying a developing fetus in the womb. Understanding the needs of pregnant women is essential in maternal healthcare, as they require specialized care to monitor health, manage complications, and ensure the well-being of both the mother and child throughout the pregnancy.
8) India:
India represents a large, diverse country with significant socio-economic challenges and varying healthcare needs. Studies conducted in India can be reflective of broader trends in developing nations, particularly concerning maternal and child health. Insights gained can inform policymakers and healthcare practitioners on effective interventions to improve healthcare delivery.
9) Developing:
The term developing refers to countries or regions that are in the process of economic growth and improvement of living standards. Understanding the healthcare challenges in developing regions is crucial for designing interventions that address issues like maternal and child health, resource allocation, and access to quality healthcare services.
10) Medicine:
Medicine encompasses the science and practice of diagnosing, treating, and preventing illnesses. It is a critical component of healthcare systems, guiding practitioners in providing appropriate care. Understanding the roles of different medicines in maternal healthcare is essential, as it directly impacts health outcomes for mothers and their newborns.
11) Activity:
Activity involves the tasks or actions carried out to achieve specific health-related goals. In healthcare, the analysis of various activities can help in understanding patient flow, evaluating service efficiency, and determining costs associated with health services. Properly identifying and categorizing activities is crucial for resource allocation and care improvements.
12) Birth:
Birth is the process of delivering a newborn child. It is a vital event requiring appropriate medical care to ensure the safety of both the mother and child. Understanding birth practices and accompanying healthcare services is central to enhancing maternal and child health outcomes, particularly in postnatal care settings.
13) Bahuguna (Bahu-guna):
Bahuguna is likely a reference to a researcher or author linked to healthcare studies. The inclusion of specific researchers in publications highlights the collaborative efforts in studying maternal health and aids in the dissemination of knowledge. Research by specific individuals can contribute to advancing understanding in this critical field.
14) Mangani:
Mangani refers to an individual associated with research or data regarding healthcare. Individuals like Mangani contribute to the broader academic community, providing valuable insights that help define healthcare policies and practices, especially in areas like maternal and newborn health, improving service delivery and patient outcomes.
15) Quality:
Quality in healthcare refers to the standard of services provided, encompassing factors like safety, effectiveness, and patient-centeredness. Maintaining high-quality care is essential, particularly in maternal health, where it directly influences outcomes for mothers and newborns, leading to higher satisfaction rates and better health results.
16) Citizen:
Citizen denotes a legally recognized subject or national of a state. In healthcare contexts, understanding the role of citizens informs the development of public health policies. Citizens' engagement and awareness about health services can significantly impact the utilization and acceptance of healthcare initiatives, particularly in maternal health programs.
17) Family:
Family plays a crucial role in healthcare dynamics, especially regarding maternal and child health. They provide support, influence health-seeking behaviors, and affect the acceptance of healthcare decisions. Understanding family dynamics is vital for designing effective health interventions that address the needs of mothers and their children.
18) Indian:
Indian denotes individuals or aspects relating to India, a country with diverse cultures and healthcare challenges. Understanding the unique healthcare needs and barriers faced by Indian women, particularly regarding maternal health, can inform tailored approaches and initiatives aimed at improving maternal and child health outcomes within this context.
19) Gupta:
Gupta is likely a reference to a researcher or a contributor in the field of health studies. The involvement of researchers like Gupta underscores the collaboration within academic circles and emphasizes the importance of their work in furthering understanding and addressing maternal health issues through evidence-based research.
20) Kumar:
Kumar refers to an individual involved in health research. By contributing to maternal and child health initiatives, figures like Kumar help formulate policies based on academic findings, making strides toward improving healthcare systems and addressing the specific needs of populations, particularly in developing regions.
21) Ghana:
Ghana is a West African country with its unique healthcare dynamics, particularly in maternal health. Research and findings from Ghana can significantly contribute to broader discussions on healthcare challenges in sub-Saharan Africa, providing insights that can inform policies on maternal health and service delivery within similar contexts.
22) Kalu:
Kalu refers to an individual likely involved in healthcare research or policy formulation. The contributions of researchers like Kalu are crucial for gathering data and insights on maternal and healthcare issues, thus influencing practices and interventions aimed at improving healthcare services and outcomes in the field of maternal health.
23) Wall:
Wall in this context may refer to an individual associated with public health or maternal health studies. Researchers named Wall play a vital role in elucidating factors affecting health and wellness, thereby making valuable contributions to the literature and practices surrounding maternal and postpartum care.
24) Pir:
Peer denotes individuals or groups engaged in similar fields or studies. In healthcare research, peer collaboration is essential for producing reliable findings and policies. Peer reviews of research studies contribute to quality assurance in academic work, ensuring that important insights are validated and disseminated effectively.
25) New Delhi:
New Delhi is the capital city of India and a significant location for health policy discussions and research. As a center for various health initiatives, New Delhi often hosts conferences and workshops focusing on maternal health, making it a focal point for advancing healthcare practices and reforms in India.
26) Calculation:
Calculation involves numerical operations to derive specific metrics or results. In healthcare research, accurate calculations are vital for assessing costs, evaluating health outcomes, and conducting economic evaluations. The ability to calculate healthcare costs and resource utilization informs budget allocations and healthcare planning effectively.
27) Measurement:
Measurement refers to the process of obtaining quantitative data that can be analyzed for research purposes. In healthcare, precise measurements of patient outcomes, costs, and service utilization are critical for evaluating the effectiveness of interventions and improving care quality, particularly in maternal and child health domains.
28) Discussion:
Discussion in research involves the interpretation and analysis of study findings. It provides a platform for researchers to communicate the implications of their work, contextualize their results within existing literature, and suggest future research directions. Effective discussions enhance understanding and promote knowledge sharing in the field.
29) Knowledge:
Knowledge encompasses the understanding, awareness, or familiarity gained through experience or education. In healthcare, knowledge impacts the quality of care, health literacy, and decision-making. Enhancing knowledge among practitioners and patients is essential for improving health outcomes and navigating the complexities of healthcare systems.
30) Gathering:
Gathering refers to the act of collecting data or information. In research, the gathering of relevant data is fundamental for informed analysis and conclusions. Effective gathering methods facilitate comprehensive understanding and contribute to enhancing the validity and reliability of research findings within the healthcare sector.
31) Account:
Account may refer to the recorded information pertaining to healthcare services, interventions, or patient data. Keeping accurate accounts of healthcare processes is crucial for transparency, evaluation of service delivery, and effective healthcare management, aiding in resource allocation and policy formulation.
32) Science (Scientific):
Science entails systematic study and application of knowledge in various fields, including health. Scientific methodologies in healthcare research support evidence-based practices, ensuring interventions are founded on proven principles. The scientific approach is essential for advancing healthcare delivery and improving overall population health outcomes.
33) Medium:
Medium can refer to the means or method through which health messages are conveyed or interventions are delivered. Identifying the appropriate medium is vital for effective communication in healthcare, influencing patient engagement, health education, and ensuring access to maternal health services.
34) Labour (Labor):
Labour refers to the process associated with childbirth and the broader context of maternal health. Understanding aspects of labour is critical for healthcare providers as it directly impacts maternal and newborn health outcomes. Education around labour practices helps ensure safe delivery and supports mothers during this critical time.
35) Cotton:
Cotton may refer to materials utilized in medical settings or traditional practices. In maternal healthcare, using hygienic materials for treatments and deliveries is crucial for preventing infections and ensuring safe care. Awareness of material safety and hygiene practices is vital in promoting effective maternal healthcare.
36) Delhi:
Delhi is a significant urban center in India, known for its diverse population and healthcare challenges. Studies conducted in Delhi can provide insights into urban maternal health dynamics, highlighting the need for tailored healthcare solutions addressing the unique challenges faced by urban populations in India.
37) Water:
Water is essential for quality healthcare and hygiene. In maternal care, access to clean and safe water is critical for infection prevention and safe birthing practices. Understanding the role of water in healthcare delivery underscores the need for adequate resources to ensure maternal and neonatal health.
38) Death:
Death in healthcare contexts often pertains to mortality rates, which are critical metrics for evaluating health outcomes. Understanding causes of maternal and child mortality paves the way for developing effective interventions aimed at reducing these rates, thereby enhancing the overall health of populations.
39) Raja:
Raja likely refers to an individual involved in health research or policymaking. The contributions from researchers, like Raja, provide valuable insights into maternal health initiatives and help drive improvements in public health policies aimed at addressing maternal and child health challenges effectively.
40) Hand:
Hand may refer to a physical action or assistance provided during maternal healthcare. In a broader context, it could symbolize the support systems essential for women during pregnancy and childbirth, highlighting the importance of collaborative care practices and support networks in improving maternal health outcomes.
41) Post:
Post generally refers to the period following childbirth, known as the postpartum or postnatal period. This phase is crucial for monitoring mother and baby’s health. Understanding postnatal care practices is essential for ensuring both receive appropriate care and support during recovery after childbirth.
42) Life:
Life signifies the biological process where birth leads to growth and development. In healthcare, understanding the lifespan approach underscores the importance of prenatal, perinatal, and postnatal care in promoting healthy lives for mothers and newborns. Comprehensive care throughout all life stages enhances overall health.
Other Science Concepts:
Discover the significance of concepts within the article: ‘Cost Estimates of Postnatal Care in Negeri Sembilan, Malaysia’. Further sources in the context of Science might help you critically compare this page with similair documents:
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