Modelling improved efficiency in healthcare referral systems for the urban poor using a geo-referenced health facility data: the case of Sylhet City Corporation, Bangladesh

Table 2 Estimated official cost information for facility delivery and emergency services by management entity

Cost of services	Public		NGO		Private
Cost of services	Mean^a	Median^a	Mean	Median	Mean	Median
Delivery services
C-section single	7.5	7.5	8000	8000	11,250	13,250
Normal vaginal delivery single	7.5	7.5	525	500	6660	6000
C-section package^b	–	–	11,500	12,500	19,620	21,000
Normal vaginal delivery package^b	–	–	3850	4000	6222	7000
*Approximate delivery cost*	*7.5*	*7.5*	*5637*	*4500*	*12,650*	*8100*
Emergency services
Intensive Care Unit (ICU)	10	10	–	–	1974	2000
Coronary Care Unit (CCU)	10	10	–	–	2271	1600
Newborn Intensive Care unit (NICU)	–	–	–	–	3333	3000
*Approximate emergency cost*	10	10	–	–	*2337*	*2000*

^aThese are official costs in Bangladesh taka, and do not consider informal payments charged at public facilities which can sometimes be substantial [39, 40]
^bPackage means bundled services and products together at a fixed price for conducting a medical procedure such as normal vaginal delivery or C-section. Such packages are negotiated between the facilities and patients and could include hospital stay, operation theatre charge, and other related costs along with the cost of the procedure itself [12]

ISSN: 1471-2458