The Government has stated that Caesarean deliveries in private hospitals under the NHPM will only be allowed after the patient is referred from a government hospital specifying reasons. The step has taken amid rising number of caesarean surgery in private hospitals.
The Center has fixed Rs 9,000 as base rate of C-section under the National Health Protection Mission(NHPM), which aims to provide a coverage of Rs 5 lakh per family annually benefitting more than 10 crore families belonging to vulnerable sections of the society.
Chief Executive Officer of Ayushman Bharat, Indu Bhushan said the aim is to encourage normal deliveries.
“Caesarean sections will only be allowed in private hospitals under the scheme after they are referred there from public hospitals specifying the reasons, which could be bed or human resource shortage or other issues,” Bhushan said.
A caesarean surgery is used for delivery when normal vaginal delivery poses a medical risk to the mother or the child.
“According to WHO, the ideal rate of C-section is 10-15 per cent for a country, but in India, caesarean deliveries have become rampant especially in private hospitals indicating commercialisation of deliveries,” Bhushan said.
The private hospitals carried out 40.9 per cent of caesarean sections as compared to 11.9 per cent performed in government health institutions, according to the National Family Health Survey-4 (2015-16) data released by the Union health ministry in May last year.
The Centre has included 1,354 packages in the scheme and rates for over 20 specialties, including orthopaedics, cardiology, cancer and neurosurgery are included in the package.
The rates of packages have been finalised after analysing the Rashtriya Swasthya Bima Yojana (RSBY) and CGHS rates and are on an average 15-20 per cent lower than that of CGHS, Bhushan had said.