Out-of-pocket payment for assisted reproductive techniques in the public health sector in South Africa - how do households cope?

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dc.contributor.advisorDyer, Silkeen_ZA
dc.contributor.authorSherwood, Kerry Anneen_ZA
dc.date.accessioned2015-01-03T18:08:00Z
dc.date.available2015-01-03T18:08:00Z
dc.date.issued2011en_ZA
dc.descriptionIncludes bibliographical references.en_ZA
dc.description.abstractIn South Africa assisted reproductive techniques (ART) are poorly covered by health insurances or government funding thereby often inflicting out-of-pocket payment (OPP) on patients. This can create treatment barriers or high financial burdens for households, with unknown consequences of the latter. This is the first study from South and sub-saharan Africa which explores the impact of ART-related OPP on households. The study was undertaken at Groote Schuur Hospital, Cape Town, where ART is subsidized but patients have to contribute to the cost of treatment. Eighty six consecutive IVF/ICS/ cycles were prospectively analysed through patient interviews. Data included socio-demographic, economic, and infertility information, emotional and financial stress among participants, as well as coping and financial strategies adopted by households. In keeping with international recommendations, catastrophic expenditure was defined as a direct cost of all ART cycles in the last 12 months equal to or exceeding 40% of the annual non-food households expenditure.en_ZA
dc.identifier.apacitationSherwood, K. A. (2011). <i>Out-of-pocket payment for assisted reproductive techniques in the public health sector in South Africa - how do households cope?</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Department of Obstetrics and Gynaecology. Retrieved from http://hdl.handle.net/11427/11154en_ZA
dc.identifier.chicagocitationSherwood, Kerry Anne. <i>"Out-of-pocket payment for assisted reproductive techniques in the public health sector in South Africa - how do households cope?."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Department of Obstetrics and Gynaecology, 2011. http://hdl.handle.net/11427/11154en_ZA
dc.identifier.citationSherwood, K. 2011. Out-of-pocket payment for assisted reproductive techniques in the public health sector in South Africa - how do households cope?. University of Cape Town.en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Sherwood, Kerry Anne AB - In South Africa assisted reproductive techniques (ART) are poorly covered by health insurances or government funding thereby often inflicting out-of-pocket payment (OPP) on patients. This can create treatment barriers or high financial burdens for households, with unknown consequences of the latter. This is the first study from South and sub-saharan Africa which explores the impact of ART-related OPP on households. The study was undertaken at Groote Schuur Hospital, Cape Town, where ART is subsidized but patients have to contribute to the cost of treatment. Eighty six consecutive IVF/ICS/ cycles were prospectively analysed through patient interviews. Data included socio-demographic, economic, and infertility information, emotional and financial stress among participants, as well as coping and financial strategies adopted by households. In keeping with international recommendations, catastrophic expenditure was defined as a direct cost of all ART cycles in the last 12 months equal to or exceeding 40% of the annual non-food households expenditure. DA - 2011 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2011 T1 - Out-of-pocket payment for assisted reproductive techniques in the public health sector in South Africa - how do households cope? TI - Out-of-pocket payment for assisted reproductive techniques in the public health sector in South Africa - how do households cope? UR - http://hdl.handle.net/11427/11154 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/11154
dc.identifier.vancouvercitationSherwood KA. Out-of-pocket payment for assisted reproductive techniques in the public health sector in South Africa - how do households cope?. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Department of Obstetrics and Gynaecology, 2011 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/11154en_ZA
dc.language.isoengen_ZA
dc.publisher.departmentDepartment of Obstetrics and Gynaecologyen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherObstetrics and Gynaecologyen_ZA
dc.titleOut-of-pocket payment for assisted reproductive techniques in the public health sector in South Africa - how do households cope?en_ZA
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMMeden_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceThesisen_ZA
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