The effect of health insurance coverage on antenatal care utilizations in Ethiopia: evidence from national survey
BackgroundAbout three-fourths of maternal near-miss events and two-fifths of the risk of neonatal mortality can be reduced by having at least one antenatal visit. Several studies have identified potential factors related to maternal health seeking behavior. However, the association between health in...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-10-01
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| Series: | Frontiers in Health Services |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/frhs.2023.1101164/full |
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| author | Bedasa Taye Merga Temam Beshir Raru Alemayehu Deressa Lemma Demissie Regassa Mulugeta Gamachu Mulugeta Gamachu Belay Negash Abdi Birhanu Ebisa Turi Galana Mamo Ayana |
| author_facet | Bedasa Taye Merga Temam Beshir Raru Alemayehu Deressa Lemma Demissie Regassa Mulugeta Gamachu Mulugeta Gamachu Belay Negash Abdi Birhanu Ebisa Turi Galana Mamo Ayana |
| author_sort | Bedasa Taye Merga |
| collection | DOAJ |
| description | BackgroundAbout three-fourths of maternal near-miss events and two-fifths of the risk of neonatal mortality can be reduced by having at least one antenatal visit. Several studies have identified potential factors related to maternal health seeking behavior. However, the association between health insurance membership and antenatal care utilization was not well investigated in Ethiopia. Therefore, this study was aimed at assessing the effect of health insurance coverage on antenatal care use in Ethiopia.MethodsThe study utilized data from the 2019 Ethiopia Mini Demographic and Health Survey (EMDHS). The analysis included a weighted sample of 3,919 women who gave birth in the last five years. A logistic regression model was employed to assess the association between antenatal care use and health insurance coverage and other covariates. The results were presented as adjusted odds ratios (AOR) at a 95% confidence interval (CI). Statistical significance was declared at a p-value <0.05 in all analyses.ResultsAntenatal care was used by 43% (95% CI: 41.46 to 44.56%) of Ethiopian women. Those with health insurance coverage had higher odds of antenatal care use than those without health insurance coverage. Women were 33% more likely to use antenatal care (ANC) if they were covered by health insurance. Age, Media access, marital status, education status, wealth index, and economic regions were also factors associated with antenatal care utilizations.ConclusionsAccording to our findings, less than half of Ethiopian women had four or more antenatal care visits. Health insurance membership, respondent age, media access, marital status, education status, wealth index, and economic region were factors associated with antenatal care utilization. Improving health insurance, women's economic empowerment, and education coverage are critical determinants of antenatal care utilization. |
| first_indexed | 2024-03-11T19:42:15Z |
| format | Article |
| id | doaj.art-318dfc4c375d46e684689bb18eed3437 |
| institution | Directory Open Access Journal |
| issn | 2813-0146 |
| language | English |
| last_indexed | 2024-03-11T19:42:15Z |
| publishDate | 2023-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Health Services |
| spelling | doaj.art-318dfc4c375d46e684689bb18eed34372023-10-06T07:48:19ZengFrontiers Media S.A.Frontiers in Health Services2813-01462023-10-01310.3389/frhs.2023.11011641101164The effect of health insurance coverage on antenatal care utilizations in Ethiopia: evidence from national surveyBedasa Taye Merga0Temam Beshir Raru1Alemayehu Deressa2Lemma Demissie Regassa3Mulugeta Gamachu4Mulugeta Gamachu5Belay Negash6Abdi Birhanu7Ebisa Turi8Galana Mamo Ayana9School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaSchool of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaSchool of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaSchool of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaSchool of Medicine, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaDepartment of Public Health, Rift Valley University, Harar, EthiopiaSchool of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaSchool of Medicine, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaDepartment of Public Health, Institute of Health Sciences, Wollega University, Nekemte, EthiopiaSchool of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaBackgroundAbout three-fourths of maternal near-miss events and two-fifths of the risk of neonatal mortality can be reduced by having at least one antenatal visit. Several studies have identified potential factors related to maternal health seeking behavior. However, the association between health insurance membership and antenatal care utilization was not well investigated in Ethiopia. Therefore, this study was aimed at assessing the effect of health insurance coverage on antenatal care use in Ethiopia.MethodsThe study utilized data from the 2019 Ethiopia Mini Demographic and Health Survey (EMDHS). The analysis included a weighted sample of 3,919 women who gave birth in the last five years. A logistic regression model was employed to assess the association between antenatal care use and health insurance coverage and other covariates. The results were presented as adjusted odds ratios (AOR) at a 95% confidence interval (CI). Statistical significance was declared at a p-value <0.05 in all analyses.ResultsAntenatal care was used by 43% (95% CI: 41.46 to 44.56%) of Ethiopian women. Those with health insurance coverage had higher odds of antenatal care use than those without health insurance coverage. Women were 33% more likely to use antenatal care (ANC) if they were covered by health insurance. Age, Media access, marital status, education status, wealth index, and economic regions were also factors associated with antenatal care utilizations.ConclusionsAccording to our findings, less than half of Ethiopian women had four or more antenatal care visits. Health insurance membership, respondent age, media access, marital status, education status, wealth index, and economic region were factors associated with antenatal care utilization. Improving health insurance, women's economic empowerment, and education coverage are critical determinants of antenatal care utilization.https://www.frontiersin.org/articles/10.3389/frhs.2023.1101164/fullhealth insuranceantenatal careprenatal careDHSwomenEthiopia |
| spellingShingle | Bedasa Taye Merga Temam Beshir Raru Alemayehu Deressa Lemma Demissie Regassa Mulugeta Gamachu Mulugeta Gamachu Belay Negash Abdi Birhanu Ebisa Turi Galana Mamo Ayana The effect of health insurance coverage on antenatal care utilizations in Ethiopia: evidence from national survey Frontiers in Health Services health insurance antenatal care prenatal care DHS women Ethiopia |
| title | The effect of health insurance coverage on antenatal care utilizations in Ethiopia: evidence from national survey |
| title_full | The effect of health insurance coverage on antenatal care utilizations in Ethiopia: evidence from national survey |
| title_fullStr | The effect of health insurance coverage on antenatal care utilizations in Ethiopia: evidence from national survey |
| title_full_unstemmed | The effect of health insurance coverage on antenatal care utilizations in Ethiopia: evidence from national survey |
| title_short | The effect of health insurance coverage on antenatal care utilizations in Ethiopia: evidence from national survey |
| title_sort | effect of health insurance coverage on antenatal care utilizations in ethiopia evidence from national survey |
| topic | health insurance antenatal care prenatal care DHS women Ethiopia |
| url | https://www.frontiersin.org/articles/10.3389/frhs.2023.1101164/full |
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