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Towards achievement of Sustainable Development Goal 3: multilevel analyses of demographic and health survey data on health insurance coverage and maternal healthcare utilisation in sub-Saharan Africa.
Amu, Hubert; Aboagye, Richard Gyan; Dowou, Robert Kokou; Kongnyuy, Eugene Justine; Adoma, Prince Owusu; Memiah, Peter; Tarkang, Elvis Enowbeyang; Bain, Luchuo Engelbert.
Afiliación
  • Amu H; Department of Population and Behavioural Sciences, School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.
  • Aboagye RG; Department of Family and Community Health, School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.
  • Dowou RK; Department of Epidemiology and Biostatistics, School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.
  • Kongnyuy EJ; United Nation's Population Fund, UNFPA, Bamako, Mali.
  • Adoma PO; Department of Health Administration and Education, Faculty of Science Education, University of Education, Winneba, Ghana.
  • Memiah P; Division of Epidemiology and Prevention: Institute of Human Virology, University of Maryland School of Medicine, Baltimore, Maryland, USA.
  • Tarkang EE; Department of Population and Behavioural Sciences, School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.
  • Bain LE; Lincoln International Institute for Rural Health (LIIRH), College of Social Science, University of Lincoln, Lincoln, UK.
Int Health ; 15(2): 134-149, 2023 03 01.
Article en En | MEDLINE | ID: mdl-35439814
BACKGROUND: Improving maternal health and achieving universal health coverage (UHC) are important expectations in the global Sustainable Development Goals (SDGs) agenda. While health insurance has been shown as effective in the utilisation of maternal healthcare, there is a paucity of literature on this relationship in sub-Saharan Africa (SSA). We examined the relationship between health insurance coverage and maternal healthcare utilisation using demographic and health survey data. METHODS: This was a cross-sectional study of 195 651 women aged 15-49 y from 28 countries in SSA. We adopted bivariable and multivariable analyses comprising χ2 test and multilevel binary logistic regression in analysing the data. RESULTS: The prevalence of maternal healthcare utilisation was 58, 70.6 and 40.7% for antenatal care (ANC), skilled birth attendance (SBA) and postnatal care (PNC), respectively. The prevalence of health insurance coverage was 6.4%. Women covered by health insurance were more likely to utilise ANC (adjusted OR [aOR]=1.48, 95% CI 1.41 to 1.54), SBA (aOR=1.37, 95% CI 1.30 to 1.45) and PNC (aOR=1.42, 95% CI 1.37 to 1.48). CONCLUSION: Health insurance coverage was an important predictor of maternal healthcare utilisation in our study. To accelerate progress towards the achievement of SDG 3 targets related to the reduction of maternal mortality and achievement of UHC, countries should adopt interventions to increase maternal insurance coverage, which may lead to higher maternal healthcare access and utilisation during pregnancy.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Desarrollo Sostenible / Servicios de Salud Materna Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Female / Humans / Pregnancy País/Región como asunto: Africa Idioma: En Revista: Int Health Año: 2023 Tipo del documento: Article País de afiliación: Ghana Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Desarrollo Sostenible / Servicios de Salud Materna Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Female / Humans / Pregnancy País/Región como asunto: Africa Idioma: En Revista: Int Health Año: 2023 Tipo del documento: Article País de afiliación: Ghana Pais de publicación: Reino Unido