Table 2

Benefits and burdens of limiting treatment to protect against financial risk

BenefitsBurden
The ill newbornNo direct benefitThe chance of survival decreases, and the newborn is likely to die
The parentsAvoid selling their harvest/seeds
Avoid risk of catastrophic health expenditures
More resources for food and other necessities
Emotional burden of losing a baby
Future productive loss of losing a child
Immediate funeral costs, etc.
Long-term lost income if the child lived
The other childrenMore resources for other children: improved nourishment, opportunity to go to school, improved healthEmotional and productive burden of losing a sibling
The health workerProtecting the family against high costs and financial riskMoral distress of not providing treatment to the ill newborn
Professional stress when not following medical guidelines
Other ill newbornsIndirect: More physcial room and public resources for other ill newborns in the hospitalIndirect: Shape perceptions and practices of (not) seeking treatment for ill newborns
Community membersFriends and neighbours have to lend money to family with ill newbornLoss of a new child
Fear that high costs of treatment might delay care-seeking for others
SocietyAvoid further povertyLoss of one citizen
Policy-makersLess families experiencing high OOP payments
Success in financial risk protection outcomes
Higher newborn mortality rate
Lack of success in newborn mortality
International stakeholdersLess poverty cases due to high OOP payments
Success in financial risk protection outcomes
Higher newborn mortality rate
Lack of success of newborn health programmes or funding
  • OOP, out of pocket.