Informal patient payments in maternity hospitals in Kiev, Ukraine
Article first published online: 13 DEC 2012
Copyright © 2012 John Wiley & Sons, Ltd.
The International Journal of Health Planning and Management
Volume 28, Issue 2, pages e169–e187, April/June 2013
How to Cite
Stepurko, T., Pavlova, M., Levenets, O., Gryga, I. and Groot, W. (2013), Informal patient payments in maternity hospitals in Kiev, Ukraine. Int. J. Health Plann. Mgmt., 28: e169–e187. doi: 10.1002/hpm.2155
- Issue published online: 4 JUN 2013
- Article first published online: 13 DEC 2012
- Manuscript Revised: 7 NOV 2012
- Manuscript Accepted: 7 NOV 2012
- Manuscript Received: 15 FEB 2012
- maternity care;
- informal payments;
- health care services;
Maternity care in Ukraine is a government priority. However, it has not undergone substantial changes since the collapse of the Soviet Union. Similar to the entire health care sector in Ukraine, maternity care suffers from inefficient funding, which results in low quality and poor access to services. The objective of this paper is to explore the practice of informal payments for maternity care in Ukraine, specifically in cases of childbirth in Kiev maternity hospitals. The paper provides an ethnographic study on the consumers' and providers' experiences with informal payments. The results suggest that informal payments for childbirth are an established practice in Kiev maternity hospitals. The bargaining process between the pregnant woman (incl. her partner) and the obstetrician is an important part of the predelivery arrangement, including the informal payment. To deal with informal payments in Kiev maternity hospitals, there is a need for the following: (i) regulation of the “quasi-official” patient payments at the health care facility level; and (ii) improvement of professional ethics through staff training. These strategies should be coupled with improved governance of the health care sector in general, and maternity care in particular in order to attain international quality standards and adequate access to facilities. Copyright © 2012 John Wiley & Sons, Ltd.