Cost of Ante-natal Care among Health Insurance (HI) Enrollees and Out-of-Pocket (OOP) Payers accessing Maternal Healthcare Services in a Tertiary Health Institution in Southwest Nigeria

Sanni, Taofeek Adedayo

doi:10.21522/tijph.2013.09.02.art002

Cited by 1 publication

(1 citation statement)

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“…The mean direct cost of accessing ANC services at a tertiary health facility in Southwest Nigeria by women with health insurance coverage was statistically and significantly lower when compared with the cost incurred by women who paid out of pocket. 14 Countries with poor financing mechanisms for health service utilisation rely heavily on out-of-pocket payments and then suffer from catastrophic health expenditures, which leads to a vicious cycle that makes the poor poorer and in need of more critical health services. According to the 2018 NDHS, only ~3% of women had a health insurance coverage.…”

Section: What This Study Addsmentioning

confidence: 99%

Health insurance coverage and access to maternal healthcare services by women of reproductive age in Nigeria: a cross-sectional study

Esan,

Adeomi,

Afolabi

2023

bmjph

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BackgroundInequitable financial access to maternal healthcare services (MHS) has contributed to maternal deaths, especially in low and middle-income countries. Evidence in the literature on women’s health insurance status and access to MHS in Nigeria is sparse. This study aimed to determine the association between health insurance coverage and access to MHS among Nigerian women of reproductive age.MethodsThis is a cross-sectional study that used the 2018 Nigeria Demographic and Health Survey (NDHS). A total of 12 935 women who had their last delivery within 2 years before the NDHS were included in the study. Access to MHS was assessed by using the number of antenatal care (ANC) visits and health facility delivery. Adjusted logistic regression models were fit to control for individual, household and community-level factors.ResultsOnly 18.5% and 40.6% of the women in the study attended ≥8 ANC visits and delivered in a health facility, respectively. About 39.5% of women who had ≥8 ANC visits and 71.8% of those who delivered in health facilities had health insurance coverage. There were statistically significant associations between having health insurance and attendance of ≥8 ANC visits (adjusted OR (AOR) 1.9; 95% CI 1.26–2.95) and women delivering at a health facility (AOR 2.0; 95% CI 1.39–2.82). There were also lower significant odds of accessing ≥8 ANC visits and delivering in health facilities among the rural dwellers, unemployed, those with lower educational status and those in the lower social economic quintiles.ConclusionThere was a low uptake of health insurance programmes among the Nigerian women in this study. Having health insurance coverage was significantly associated with ≥8 ANC visits and women delivering in health facilities. Thus, providing health insurance may be an important way to improve women’s access to MHS in Nigeria.

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Section: What This Study Addsmentioning

confidence: 99%