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Sources of Funding for Caesarean Section in Two Hospitals in Jakarta

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Background: The prevalence of Caesarean section (c-section) has increased each year. This study aimed to identify the major source of funding related to c-section in government and private hospitals in Jakarta.

Methods: The cross sectional study was conducted in a provincial general hospital in Jakarta and a private maternity hospital in Jakarta. The data were collected from all medical records of patients giving birth in those hospitals in the period of January 1st through December 31st, 2011. Analysis was performed using Cox regression with a time constant.

Results: The proportion of c-section deliveries in the government hospital (922/1351 = 68.2%) was relatively higher than the private hospital (1036/1645 = 63.0%). The highest incidence of c-section was in the age group 21-35 years (76.9%). Most subjects had middle level education (74.5%). Most c-section funding source was derived from out of pocket or personal expenses (51.2%), while the lowest funding source came from the company (0.3%). Compared with those who paid out of pocket, those who had Jamkesda, Jamsostek, and Jampersal schemes had more c-section deliveries. Subjects with Jampersal had the highest incidence of c-section (35%) [adjusted relative risk (RRa) = 1.35; P = 0.000].

Conclusion: In addition to out of pocket, most of subjects who had c-section used Jamsostek and Jampersal as funding sources. (Health Science Indones 2013;2:93-7)

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Series Title

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Call Number

Health Sciences Journal of Indonesia, 4(2):93-97

Publisher

Jakarta : Sekretariat Badan Litbang Kesehatan., 2013

Collation

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Language

English

ISBN/ISSN

2087-7021

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Edition

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Subject(s)

hospitals
cesarean section
COSTS AND COST ANALYSIS

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