2026-04-05T00:13:55.827378321Zhttps://dspace.library.uu.nl/server/oai/request

oai:dspace.library.uu.nl:1874/3402702026-03-26T16:48:59Zcom_1874_298213col_1874_298214

info:eu-repo/semantics/OpenAccess Health insurance determines antenatal, delivery and postnatal care utilisation:evidence from the Ghana Demographic and Health Surveillance data Browne, Joyce L Kayode, Gbenga A Arhinful,Daniel Fidder,Samuel A J Grobbee, Diederick E Klipstein-Grobusch, Kerstin Journal Article Research Support, Non-U.S. Gov't OBJECTIVE: This study aims to evaluate the effect of maternal health insurance status on the utilisation of antenatal, skilled delivery and postnatal care. DESIGN: A population-based cross-sectional study. SETTING AND PARTICIPANTS: We utilised the 2008 Demographic and Health Survey data of Ghana, which included 2987 women who provided information on maternal health insurance status. PRIMARY OUTCOMES: Utilisation of antenatal, skilled delivery and postnatal care. STATISTICAL ANALYSES: Multivariable logistic regression was applied to determine the independent association between maternal health insurance and utilisation of antenatal, skilled delivery and postnatal care. RESULTS: After adjusting for socioeconomic, demographic and obstetric factors, we observed that among insured women the likelihood of having antenatal care increased by 96% (OR 1.96; 95% CI 1.52 to 2.52; p value<0.001) and of skilled delivery by 129% (OR 2.29; 95% CI 1.92 to 2.74; p value<0.001), while postnatal care among insured women increased by 61% (OR 1.61; 95% CI 1.17 to 2.21; p value<0.01). CONCLUSIONS: This study demonstrated that maternal health insurance status plays a significant role in the uptake of the maternal, neonatal and child health continuum of care service. Global Health Circulatory Health JC onderzoeksprogramma Cardiovascular Health Cardiovasculaire Epi Team 9 2016 Article application/pdf https://dspace.library.uu.nl/handle/1874/340270 BMJ open [E] 6(3), - (2016) en 2044-6055