Effectivity of National Health Insurance on Maternal Health in Developing Countries: A Systematic Review

Abstract

ABSTRACT Background: Improving maternal health services is one of the main objectives in reducing maternal mortality. The national health insurance system is one of the efforts to achieve Universal Health Coverage (UHC) which aims to ensure that people can access health services without financial difficulties as stated in the third point of SDGs 2030. This system ensures that women are able to access quality maternal health services. This study aimed to review the effectiveness of national health insurance implementation on maternal health service in developing countries, systematically. Subjects and Method: This was a systematic review conducted by searching for articles through three databases, namely Cinahl, Medline, and JSTOR. The search was carried out using the Population, Intervention, Comparison, Outcome, Study Design (PICO-S method). In the identification stage, it was found 251 articles and 8 articles were selected to meet the criteria for this study. Results: The national health insurance system was an effort to ensure that women of reproductive age were able to access quality maternal health services. However, there were still gaps in the utilization of health services which are influenced by factors of education, economic status, and geographic area. Conclusion: The implementation of the national health insurance system has an impact on increasing the utilization of maternal health services, especially in developing countries. Keywords: national health insurance, women of reproductive age, maternal health services, developing country Correspondence: Eva Nur Octavia. Postgraduate of Reproductive Health, Faculty of Public Health, Universitas Indonesia. Jl. Margonda Raya, Pondok Cina, Beji, Depok 16424, East Java. Email: evanuroctavia@gmail.com. Mobile: +62 87759656772 DOI: https://doi.org/10.26911/the7thicph.04.03