Skip to main content
. 2018 Mar 30;44(8):524–530. doi: 10.1136/medethics-2017-104438

Table 2.

Benefits and burdens of limiting treatment to protect against financial risk

Benefits Burden
The ill newborn No direct benefit The chance of survival decreases, and the newborn is likely to die
The parents Avoid 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 children More resources for other children: improved nourishment, opportunity to go to school, improved health Emotional and productive burden of losing a sibling
The health worker Protecting the family against high costs and financial risk Moral distress of not providing treatment to the ill newborn
Professional stress when not following medical guidelines
Other ill newborns Indirect: More physcial room and public resources for other ill newborns in the hospital Indirect: Shape perceptions and practices of (not) seeking treatment for ill newborns
Community members Friends and neighbours have to lend money to family with ill newborn Loss of a new child
Fear that high costs of treatment might delay care-seeking for others
Society Avoid further poverty Loss of one citizen
Policy-makers Less families experiencing high OOP payments
Success in financial risk protection outcomes
Higher newborn mortality rate
Lack of success in newborn mortality
International stakeholders Less 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.