Global Problem of Hospital Detention Practices

Handayani, Krisna; Sijbranda, Tyas C.; Westenberg, Maurits A.; Rossell, Nuria; Sitaresmi, Mei Neni; Kaspers, Gertjan J. L.; Mostert, Saskia

doi:10.15171/ijhpm.2020.10

Cited by 3 publications

(2 citation statements)

References 9 publications

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“…Hospitals must not detain patients for their inability to pay [21]. It reported that patients are detained for non-paying the cost of treatment in Bangladesh [37,38] and other countries [39] thus violates patients right to healthcare. The human rights framework in patient care calls for policy and legislation that ensures protection of the legal and human rights of both patients and healthcare providers [21].…”

Section: Literature On Right To Healthcarementioning

confidence: 99%

WITHDRAWN: Health and Human Rights Linkage in Bangladesh: Stakeholders’ views from the grassroots

Rahman¹,

Qattan²

2021

Preprint

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Background: Bangladesh has attained substantial progress in healthcare services and population health. This study examines the knowledge and awareness about the linkage between human rights and healthcare among patients, healthcare providers and members of civil society in Bangladesh. Methods: A questionnaire was distributed between May and August 2018 to 483 respondents among patients (health service users), providers, and other groups (includes members of civil society, politicians, social and religious elites, media personnel, and rights-based groups) in a regional area in Bangladesh. Of these participants, 58% were from urban areas and 42% from rural areas. As many as 78% were male and 22% female. A survey method and descriptive data analysis was performed to complete the study. Results: Participants in the study were aware and had knowledge about the linkage between human rights and health service provision, but they claimed the right to health has not been implemented in practice. The non-implementation of the right to healthcare is suggestive of a lack of political will, which negatively contributes to the social well-being of the larger population. It has undesirable effects on the development of the health system and the population’s health status. This reflects poor monitoring and performance of public institutions which has ramifications on the wider social parameters of social justice, equity, democratic values, transparency, and accountability. Conclusion: The development of population health is rooted in maintaining and promoting the right to healthcare. The ethical principle of human rights lies in the notions of human dignity, equity, equality, and social justice. The government should adhere to these values at societal levels and engage multiple stakeholders to promote the right to health for the benefit of a wider population.

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Section: Literature On Right To Healthcarementioning

confidence: 99%

WITHDRAWN: Health and Human Rights Linkage in Bangladesh: Stakeholders’ views from the grassroots

Rahman¹,

Qattan²

2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Though found in at least 46 nations, its broader prevalence is unknown. The few surveys of the practice that have been done rely almost exclusively on accounts of detention that appear in local news media for a select set of Western languages (Handayani et al., 2020; Mostert et al., 2015). Nonetheless, scholars concur that most detainees are obstetric patients, usually following cesarean sections (Cowgill & Ntambue, 2019, 12; Devakumar & Yates, 2016).…”

Section: Background On Hospital Detentionmentioning

confidence: 99%

Birthing hostages: Haitian women's stories of maternal medicine, debt, and hospital detention

Jordan

2024

Med Anthropol Q

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What does it mean that hospitals in Haiti have become widespread sites of “kidnapping” for mothers and babies? In at least 46 countries, including Haiti, indebted patients are extralegally held prisoner in hospitals until family members, kin, outside groups, or charities pay their outstanding bills. The majority of those detained globally are women following complicated births. This article introduces and situates the global problem of “hospital detention” as it is practiced in Haiti, tying it to transnational architectures that target Black reproduction in global health. In this piece, Senisha and Mari share their experiences of detention, revealing the practice as continuous with other forms of coercion, neglect, and violence they face in seeking safe births, and highlighting the communal care, refusals, and acts of self‐liberation that oppose these oppressions.

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Hospitalized for poverty: orthopaedic discharge delays due to financial hardship in a tertiary hospital in Northern Tanzania

Obayemi

Card

Shirima

et al. 2022

glob health res policy

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Background Musculoskeletal injury contributes significantly to the burden of disease in Tanzania and other LMICs. For hospitals to cope financially with this burden, they often mandate that patients pay their entire hospital bill before leaving the hospital. This creates a phenomenon of patients who remain hospitalized solely due to financial hardship. This study aims to characterize the impact of this policy on patients and hospital systems in resource-limited settings. Methods A mixed-methods study using retrospective medical record review and semi-structured interviews was conducted at a tertiary hospital in Moshi, Tanzania. Information regarding patient demographics, injury type, days spent in the ward after medical clearance for discharge, and hospital invoices were collected and analyzed for orthopaedic patients treated from November 2016 to June 2017. Results 346 of the 867 orthopaedic patients (39.9%) treated during this time period were found to have spent additional days in the hospital due to their inability to pay their hospital bill. Of these patients, 72 patient charts were analyzed. These 72 patients spent an average of 9 additional days in the hospital due to financial hardship (range: 1–64 days; interquartile range: 2–10.5 days). They spent an average of 112,958 Tanzanian Shillings (TSH) to pay for services received following medical clearance for discharge, representing 12.3% of the average total bill (916,840 TSH). 646 hospital bed-days were spent on these 72 patients when they no longer clinically required hospitalization. 7 (9.7%) patients eloped from the hospital without paying and 24 (33.3%) received financial assistance from the hospital’s social welfare office. Conclusions Many patients do not have the financial capacity to pay hospital fees prior to discharge. This reality has added significantly to these patients’ overall financial hardship and has taken hundreds of bed-days from other critically ill patients. This single-institution, cross-sectional study provides a deeper understanding of this phenomenon and highlights the need for changes in the healthcare payment structure in Tanzania and other comparable settings.

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Global Problem of Hospital Detention Practices

Cited by 3 publications

References 9 publications

WITHDRAWN: Health and Human Rights Linkage in Bangladesh: Stakeholders’ views from the grassroots

WITHDRAWN: Health and Human Rights Linkage in Bangladesh: Stakeholders’ views from the grassroots

Birthing hostages: Haitian women's stories of maternal medicine, debt, and hospital detention

Hospitalized for poverty: orthopaedic discharge delays due to financial hardship in a tertiary hospital in Northern Tanzania

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