ArticleBMC health services research2022
Health insurance coverage and timely antenatal care attendance in sub-Saharan Africa.
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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25 citing papers in PubMed, 37 citations in OpenAlex.
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- Maternal and child healthcare-seeking among victims of violence in armed conflict: a quasi-experimental study in Northeast Nigeria.BMJ global health · 2025Observational
- Health-Seeking Behaviours Among Adolescent Girls and Young Women With Sexually Transmitted Infections: Evidence From Sub-Saharan Africa.Public health challenges · 2025Article
- Health insurance enrollment and maternal health service utilization using Ghana Demographic and Health Survey, 2022.PloS one · 2025Article
- Continuum of maternal health care utilisation in Sub-Saharan African countries: A positive deviance approach.PloS one · 2025Article
- Health insurance non-enrollment among women in Sierra Leone: A cross-sectional analysis of the 2019 Demographic and Health Survey.PloS one · 2025Article
- Spatial distribution and factors associated with health insurance subscription among women in Ghana.International health · 2024Article
- Health insurance, social safety net and maternal health service utilisation in Pakistan: a population based cross-sectional study.BMJ open · 2024Article
- Individual and community-level determinants of quality antenatal care in six South Asian countries.Scientific reports · 2024Article
- WHO antenatal care policy and prevention of malaria in pregnancy in sub-Saharan Africa.Malaria journal · 2024Article
- Association between knowledge and use of contraceptive among women of reproductive age in sub-Saharan Africa.Health science reports · 2024Article
- Determinants of health insurance coverage among women in Mauritania: a multilevel analysis.BMC public health · 2024Article
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- The effect of health insurance coverage on antenatal care utilization in Cambodia: A secondary analysis of Cambodia Demographic and Health Survey 2021-2022.PLOS global public health · 2024Article
- Mean difference in timing of first antenatal checks across regions and associated factors among pregnant women attending health facilities in Ethiopia: evidence from Ethiopian demographic health survey, 2019.BMC public health · 2023Article
- Exploring health insurance and knowledge of the ovulatory cycle: evidence from Demographic and Health Surveys of 29 countries in Sub-Saharan Africa.Reproductive health · 2023Article
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- Association between women's household decision-making autonomy and health insurance enrollment in sub-saharan Africa.BMC public health · 2023Article
- Article
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Authors and funding
7 authors at 5 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionOut-of-pocket payments for healthcare remain a significant health financing challenge in sub-Saharan Africa (SSA), preventing women from using maternal health services. There is a paucity of empirical literature on the influence of health insurance coverage on the timeliness of antenatal care (ANC) attendance in low- and middle-income countries. In this study, we examined the association between health insurance coverage and timely ANC attendance among pregnant women in SSA.
methodsSecondary data from Demographic and Health Surveys conducted between 2015 and 2020 in sixteen (16) sub-Saharan African countries with 113,918 women aged 15-49 years were included in the analysis. The outcome variable was the timing of antenatal care (ANC). A multilevel binary logistic regression analysis was carried out to determine the association between health insurance coverage and timely ANC.
resultsThe overall coverage of health insurance and timely antenatal attendance among pregnant women in SSA were 4.4% and 39.0% respectively. At the country level, the highest coverage of health insurance was found in Burundi (24.3%) and the lowest was in Benin (0.9%). For timely ANC attendance, the highest prevalence was in Liberia (72.4%) and the lowest was in Nigeria (24.2%). The results in the model showed that women who were covered by health insurance were more likely to have timely ANC attendance compared to those who were not covered by health insurance (aOR = 1.21, 95% CI = 1.11-1.31).
conclusionOur findings show that that being covered under health insurance is associated with higher likelihood of seeking timely ANC attendance. To accelerate progress towards achievement of the Sustainable Development Goal targets by the year 2030, we recommend that governments and health insurance authorities across the sub-Saharan African countries actively implement health insurance policies as well as roll out health educational programmes that facilitate and ensure increased coverage of health insurance.
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