Abstract
BackgroundHealth insurance was considered as the third global health transition which can increase access to health care services by eliminating monetary obstacles to maternal health care use, particularly in emerging nations. Hence, this study aimed to assess the association between health insurance enrolment and maternal health care service utilization among women in Ethiopia.MethodsA cross-sectional study was conducted using the 2016 Ethiopia Demographic and Health Survey (EDHS) data set. About 4278 mothers who had delivered at least one child in the last five years of the survey were selected in the study. Multivariate logistic regression analysis was performed to measure the relationship between health insurance enrolment and maternal health care service utilization by controlling confounders An adjusted odds ratio with a 95% confidence interval and p-values < 0.05 were well-thought-out to state the imperative association.ResultsThe overall health insurance coverage among the women was 4.7%. About, 18.1% of women from households in the poorest wealth quantile had no health insurance coverage for maternal health care services. Moreover, 84% of women lived in a rural area did not enclose by health insurance. According to multivariate logistic regression, the likelihoods of ANC utilization were 1.54 times (AOR: 1.54; 95% CI: 1.06–2.25) higher among mothers who were enrolled in health insurance compared to their counterparts. In the same vein, the likelihoods of been attended by a skilled birth attendant were 1.84 times (AOR: 1.84; 95% CI: 1.1–3.08) higher among mothers who were enrolled in health insurance.ConclusionsThis study has shown that women enrolled in health insurance were associated with skilled delivery and recommended ANC utilization than women who did not enroll in health insurance. Health insurance enrolment enterprises must be available to all pregnant women, particularly those of poorer socioeconomic rank.
Highlights
Health insurance was considered as the third global health transition which can increase access to health care services by eliminating monetary obstacles to maternal health care use, in emerging nations
Out-of-pocket expenses leftovers a chief supply of health financing for the Ethiopian population and it is a substantial obstacle for gain access to and using maternal health care services [17, 18]
Maternal health insurance and related characteristics About 4278 samples of women who delivered in the past 5 years preceding the survey were included in the study and analyzed
Summary
Health insurance was considered as the third global health transition which can increase access to health care services by eliminating monetary obstacles to maternal health care use, in emerging nations. This study aimed to assess the association between health insurance enrolment and maternal health care service utilization among women in Ethiopia. To escalate access to maternal health care services in developing countries, health insurance has paramount importance through tackling financial barriers [1,2,3]. Out-of-pocket expenses leftovers a chief supply of health financing for the Ethiopian population and it is a substantial obstacle for gain access to and using maternal health care services [17, 18]
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