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Out-of-pocket payment for assisted reproductive techniques in the public health sector in South Africa - how do households cope?
Includes bibliographical references.
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| Main Author: | |
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| Other Authors: | |
| Format: | Thesis |
| Language: | English |
| Published: |
Department of Obstetrics and Gynaecology
2015
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| _version_ | 1867613151932973056 |
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| access_status_str | Open Access |
| author | Sherwood, Kerry Anne |
| author2 | Dyer, Silke |
| author_browse | Dyer, Silke Sherwood, Kerry Anne |
| author_facet | Dyer, Silke Sherwood, Kerry Anne |
| author_sort | Sherwood, Kerry Anne |
| collection | Thesis |
| description | Includes bibliographical references. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/11154 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:31:35.974Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2015 |
| publishDateRange | 2015 |
| publishDateSort | 2015 |
| publisher | Department of Obstetrics and Gynaecology |
| publisherStr | Department of Obstetrics and Gynaecology |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/11154 Out-of-pocket payment for assisted reproductive techniques in the public health sector in South Africa - how do households cope? Sherwood, Kerry Anne Dyer, Silke Obstetrics and Gynaecology Includes bibliographical references. 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. 2015-01-03T18:08:00Z 2015-01-03T18:08:00Z 2011 Master Thesis Masters MMed http://hdl.handle.net/11427/11154 eng application/pdf Department of Obstetrics and Gynaecology Faculty of Health Sciences University of Cape Town |
| spellingShingle | Obstetrics and Gynaecology Sherwood, Kerry Anne Out-of-pocket payment for assisted reproductive techniques in the public health sector in South Africa - how do households cope? |
| thesis_degree_str | Master's |
| title | Out-of-pocket payment for assisted reproductive techniques in the public health sector in South Africa - how do households cope? |
| title_full | Out-of-pocket payment for assisted reproductive techniques in the public health sector in South Africa - how do households cope? |
| title_fullStr | Out-of-pocket payment for assisted reproductive techniques in the public health sector in South Africa - how do households cope? |
| title_full_unstemmed | Out-of-pocket payment for assisted reproductive techniques in the public health sector in South Africa - how do households cope? |
| title_short | Out-of-pocket payment for assisted reproductive techniques in the public health sector in South Africa - how do households cope? |
| title_sort | out of pocket payment for assisted reproductive techniques in the public health sector in south africa how do households cope |
| topic | Obstetrics and Gynaecology |
| url | http://hdl.handle.net/11427/11154 |
| work_keys_str_mv | AT sherwoodkerryanne outofpocketpaymentforassistedreproductivetechniquesinthepublichealthsectorinsouthafricahowdohouseholdscope |