ArticleHealth policy and planning2017
The impact of health insurance on maternal health care utilization: evidence from Ghana, Indonesia and Rwanda.
Article in Health policy and planning, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 103 papers, 7 of them syntheses that pooled it.
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Who cites it
103 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Facilitators and barriers of healthcare financing modalities for universal maternal healthcare services in East Africa: a qualitative systematic review.BMC health services research · 2025Pooled it
- The impact of health insurance on maternal and reproductive health service utilization and financial protection in low- and lower middle-income countries: a systematic review of the evidence.BMC health services research · 2024Pooled it
- Interventions to Improve the Reproductive Health of Undocumented Female Migrants and Refugees in Protracted Situations: A Systematic Review.Global health, science and practice · 2022Pooled it
- What improves access to primary healthcare services in rural communities? A systematic review.BMC primary care · 2022Pooled it
- Pooled it
- The costs of scaling up HIV and syphilis testing in low- and middle-income countries: a systematic review.Health policy and planning · 2021Pooled it
- Pro-equity legislation, health policy and utilisation of sexual and reproductive health services by vulnerable populations in sub-Saharan Africa: a systematic review.Global health promotion · 2020Pooled it
- Health insurance and the distribution of healthcare use in Rwanda's Vision Umurenge Programme: evidence from the Seventh Integrated Household Living Conditions Survey.Global health action · 2026Article
- Geospatial inequalities and determinants of caesarean section delivery in sub-Saharan Africa: a multi-country analysis.Global health action · 2026Article
- Determinants and gaps influencing zero-dose immunization and maternal Health service utilization in Nigeria: a cross-sectional household survey across six Nigerian states.Global health action · 2026Article
- Heterogeneous impact of health insurance on children's nutritional status: insights from Instrumental Variable Quantile Regression (IV-QR) approach.Health economics review · 2026Article
- Determining factors of birthplace choice among women in Ghana: evidence from the 2022 nationally representative data.BMC pregnancy and childbirth · 2026Article
- Health insurance coverage and health service utilisation in Uganda: an analysis of the 2016 Uganda Demographic and Health Survey.BMC health services research · 2026Article
- Challenges and enablers in accessing paediatric inguinal hernia surgical care in Sierra Leone: a qualitative exploratory study.BMJ open · 2026Article
- Article
- Left Behind After Birth: A Cross-Sectional Analysis of Factors Associated With Postnatal Care Use in Sub-Saharan Africa.Journal of pregnancy · 2026Article
- Effect of maternal education on the literacy-numeracy development of children: A propensity-score matched analysis.PloS one · 2026Article
- Global health data precarity: Safeguarding the Demographic and Health Survey program as a global public good.Scientific data · 2025Article
- The role of health insurance on healthcare utilisation among women in Tanzania: insights from Tanzania demographic and health survey 2022.Archives of public health = Archives belges de sante publique · 2025Article
- A qualitative study of the perception of quality of free maternal healthcare policy among primary healthcare providers in Ghana.BMC health services research · 2025Article
43 more citing papers are in PubMed but not listed here.
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
While research has assessed the impact of health insurance on health care utilization, few studies have focused on the effects of health insurance on use of maternal health care. Analyzing nationally representative data from the Demographic and Health Surveys (DHS), this study estimates the impact of health insurance status on the use of maternal health services in three countries with relatively high levels of health insurance coverage-Ghana, Indonesia and Rwanda. The analysis uses propensity score matching to adjust for selection bias in health insurance uptake and to assess the effect of health insurance on four measurements of maternal health care utilization: making at least one antenatal care visit; making four or more antenatal care visits; initiating antenatal care within the first trimester and giving birth in a health facility. Although health insurance schemes in these three countries are mostly designed to focus on the poor, coverage has been highly skewed toward the rich, especially in Ghana and Rwanda. Indonesia shows less variation in coverage by wealth status. The analysis found significant positive effects of health insurance coverage on at least two of the four measures of maternal health care utilization in each of the three countries. Indonesia stands out for the most systematic effect of health insurance across all four measures. The positive impact of health insurance appears more consistent on use of facility-based delivery than use of antenatal care. The analysis suggests that broadening health insurance to include income-sensitive premiums or exemptions for the poor and low or no copayments can increase use of maternal health care.
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