Repository of Research and Investigative Information

Repository of Research and Investigative Information

Kurdistan University of Medical Sciences

Evaluating the effect of health sector evolution plan on cesarean rate and the average costs paid by mothers: A case study in kurdistan province between 2013-2015

(2016) Evaluating the effect of health sector evolution plan on cesarean rate and the average costs paid by mothers: A case study in kurdistan province between 2013-2015. HAYAT.

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Official URL: https://www.scopus.com/inward/record.uri?eid=2-s2....

Abstract

Background & Aim: Cesarean rate has had a rising trend in Iran during the last two decades. Natural childbirth promotion plan has been implemented in the form of health sector evolution plan (HSEP) in order to increase natural childbirth. Present study aimed to evaluate the effect of health sector evolution plan on cesarean rate and the average costs paid by mothers hospitalized in Kurdistan province. Methods & Materials: This descriptive study was conducted as longitudinal and retrospective study. Cesarean rate in all hospitals of Kurdistan province was assessed in 2013 and one year after the implementation of HSEP. Furthermore, data related to the percentage of out of pocket expenditures by pregnant mothers in one of the hospitals of Kurdistan University of Medical Sciences, which was randomly selected, was also studied. Data were analyzed using SPSS v.20. Results: There was a 14.02 reduction in the rate of cesarean in Kurdistan province one year after the implementation of HSEP compared to its basal rate in 2013 (P<0.001). The average out of pocket expenditures was 16.05 before the implementation of HSEP. This rate was reduced to 4.30 and 2.5 respectively after the implementation of first and third phases of HSEP. Conclusion: Natural childbirth promotion plan has reached its predetermined goal, which was a 10 decrease in cesarean rate one year after the implementation of HSEP compared to its rate in 2013. In addition, there was a significant reduction in the percentage of out of pocket expenditures. © 2016, Tehran University of Medical Sciences (TUMS). All Rights Reserved.

Item Type: Article
Keywords: controlled clinical trial; controlled study; data analysis software; hospital; human; medicine; mother; natural childbirth; pregnancy; randomized controlled trial; retrospective study; university
Page Range: pp. 245-254
Journal or Publication Title: HAYAT
Volume: 22
Number: 3
Publisher: Tehran University of Medical Sciences (TUMS)
ISSN: 17352215
Depositing User: مهندس جمال محمودپور
URI: http://eprints.muk.ac.ir/id/eprint/673

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