The DHS Program User Forum
Discussions regarding The DHS Program data and results
Home » Topics » Reproductive Health » Out of pocket expenditure per delivery calculation
Re: Out of pocket expenditure per delivery calculation [message #25945 is a reply to message #25868] Fri, 13 January 2023 10:42 Go to previous messageGo to previous message
Janet-DHS is currently offline  Janet-DHS
Messages: 779
Registered: April 2022
Senior Member
Following is a response from DHS staff member Tom Pullum:

Sorry for the delay with this response. Table 8.20 in the NFHS-5 report is a difficult table to match. I have prepared a Stata program that matches the n's and comes close to the means. I have found some typos in the data. There are probably more typos and other data quality issues. We cannot put any more time into this table.

* do e:\DHS\India\table_8pt20_do_KR_12Jan2023.txt


Program to replicate Table 8.20 in the NFHS-5 report

The average out-of-pocket cost paid for delivery for the most recent live birth
among women age 15-49 who had a live birth in the 5 years preceding the survey
that was delivered in a health facility.

Out-of-pocket cost paid for the delivery includes the cost of transportation,
the hospital stay, tests, medicines, and other costs.

The components are these five variables: s451 and s452a, b, c, d.

This program works off the KR file rather than the IR file. Select one child per woman
and then the analysis is equivalent to using women as units.

Rule 1: Calculate the total as the sum of the 5 components if they are all <99998

Rule 2: If any of the components are 99998, and s454 is NOT 99998, use s454 as the total

Rule 3: If all the components are 99998 and s454 is 99998, ignore the case

Numbers in the table to match, bottom row

public 3,245 Rs
private 24,663 Rs
any 10,035 Rs
cases 157,552

Row for Jain (v130==6, only 272 weighted cases), can use for testing

public 7,601 Rs
private 32,133 Rs
any 26,955 Rs


************************************************************ *************

program define make_data

use "C:\Users\26216\ICF\Analysis - Shared Resources\Data\DHSdata\IAKR7DFL.DTA", clear

* Save the variables needed
keep v0* v130 v201 b* m15* s116 s45*

gen mo_age=1
replace mo_age=2 if b3-v011>=20*12
replace mo_age=3 if b3-v011>=35*12
label variable mo_age "Mother's age at birth"
label define mo_age 1 "<20" 2 "20-34" 3 "35+"
label values mo_age mo_age
*tab mo_age

gen birth_order=bord
replace birth_order=2 if bord>=2
replace birth_order=3 if bord>=4
label variable birth_order "Birth order"
label define birth_order 1 "1" 2 "2-3" 3 "4+"
label values birth_order birth_order
*tab birth_order

gen religion=v130
replace religion=7 if v130>=7
label variable religion "Religion"
label define religion 1 "Hindu" 2 "Muslim" 3 "Christian" 4 "Sikh" 5 "Buddhist/Neo-Buddhist" 6 "Jain" 7 "Other"
label values religion religion
*tab religion

gen caste=s116
replace caste=4 if caste==.
label variable caste "Caste/tribe"
label define caste 1 "Scheduled caste" 2 "Scheduled tribe" 3 "Other backward class" 4 "Other" 8 "Don't know"
label values caste caste
*tab caste

* Construct recodes for facility type and cost for the births in the past 5 years
gen factype=1
replace factype=2 if m15>=20
replace factype=3 if m15>=30
replace factype=9 if m15>=40
replace factype=. if m15==.
label define factype 1 "Home" 2 "Public" 3 "Private" 9 "Other"
label values factype factype

gen factype2or3=0
replace factype2or3=1 if factype==2 | factype==3

* Change the five components to more convenient variable names
gen cost1=s451
gen cost2=s452a
gen cost3=s452b
gen cost4=s452c
gen cost5=s452d

tab factype bidx [iweight=v005/1000000],m

* Find the most recent birth with factype2or3 equal to 1

* Reduce to births with factype2or3=1
keep if factype2or3==1

* To match the n's in the table, select if bidx=1
* This is not necessarily following the title of the table. However, it matches the n's.

keep if bidx==1

save IAtemp.dta, replace


************************************************************ *************

program define make_frequencies

* This routine gives the n's

use IAtemp.dta, clear

tab1 factype mo_age birth_order v025 religion caste [iweight=v005/1000000]

* The distribution of birth_order does not match the table; don't know why

* I have not included the education covariate


************************************************************ *************

program define make_table

use IAtemp.dta, clear

* calculate the sum of the components
gen total=0
forvalues lc=1/5 {
replace total=total+cost`lc' if cost`lc'<99998
replace total=99998 if cost1==99998 | cost2==99998 | cost3==99998 | cost4==99998 | cost5==99998

* Rule: use s454 as a default if it is coded with a valid value
* Otherwise use the sum of the components IF no components are 99998
gen cost=s454 if factype2or3==1
replace cost=total if factype2or3==1 & (s454==. | s454==99998) & (total ~=. & total~=99998)

* Optional: find and correct typos that should be 99998
* tab cost
replace cost=99998 if cost==99990
replace cost=99998 if cost==99988
replace cost=99998 if cost==99995

* Drop if cost=99998
replace cost=. if cost==99998

gen pub_cost=.
replace pub_cost=cost if factype==2

gen priv_cost=.
replace priv_cost=cost if factype==3

gen pubpriv_cost=.
replace pubpriv_cost=cost if factype2or3==1

local lcovars mo_age birth_order v025 religion caste
foreach lc of local lcovars {
tabstat *_cost [fweight=v005], statistics(mean) by(`lc')

* Can save the data file


************************************************************ *************
************************************************************ *************
************************************************************ *************
************************************************************ *************
************************************************************ *************
* Execution begins here

* Specify a workspace
cd e:\DHS\DHS_data\scratch

* Do not need to rerun "make_data" after the data file has been constructed
Read Message
Read Message
Read Message
Read Message
Read Message
Read Message
Read Message
Previous Topic: Reproductive health indicators
Next Topic: Postnatal care for mother
Goto Forum:

Current Time: Thu Jul 25 12:37:45 Coordinated Universal Time 2024