Saturday, June 22, 2024

Expanding Health Insurance: A Catalyst for Better Maternal and Reproductive Health in Low-Income Countries

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In an era where universal health coverage remains a pivotal goal for many nations, particularly those classified as low- and lower-middle-income, the importance of health insurance as a tool to realize this objective cannot be overstated. A recent systematic review delves into the effectiveness of health coverage in enhancing maternal and reproductive health service usage and providing financial protection against health-related expenses in these countries. This comprehensive examination sheds light on the tangible benefits and areas needing further exploration in the context of health financing reforms aimed at achieving universal health coverage.

Adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, this review meticulously combed through six databases, identifying studies that evaluate the direct effects of health coverage on maternal and reproductive health outcomes. The stringent selection process, supported by the use of Covidence software and the ROBINS-I tool for quality assessment, ensured that only the most relevant and high-quality studies published since 2010 were considered. This methodological rigor provides a solid foundation for the review’s conclusions.

The review’s findings are promising, indicating a significant positive correlation between health insurance coverage and the utilization of essential maternal and reproductive health services, such as antenatal care and skilled delivery assistance. However, it also highlights critical gaps in postnatal care, contraceptive access, and financial protection, suggesting areas where further research and policy intervention are necessary. The evidence, while moderate in quality, underscores the potential of health coverage as a mechanism to improve health outcomes and advance toward universal health coverage.

Health Insurance

Health Insurance Boosts Maternal Care but Falls Short on Postnatal Services and Financial Protection

Health insurance significantly boosts the number of women receiving at least four antenatal care visits. Delivery at health facilities and assistance by skilled birth attendants are positively impacted by health insurance coverage. No noticeable improvement in postnatal care and contraceptive access through health coverage. Financial protection against health-related expenses remains an area where health insurance impact is not evident. The study emphasizes the need for more targeted research on the effects of health insurance concerning socioeconomic disparities.

The review’s conclusion posits health insurance expansion as a viable strategy to enhance antenatal and delivery care in less affluent nations, potentially contributing to global efforts to reduce maternal mortality and achieve universal health coverage. Nonetheless, it also calls for more methodologically sound research to explore the nuances of health insurance’s impact across different dimensions of maternal and reproductive health. By identifying both the achievements and shortcomings, this systemic review lays a foundation for future endeavors in health policy and research.


Original Article: BMC Health Serv Res. 2024 Apr 5;24(1):432. doi: 10.1186/s12913-024-10815-5.

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