ArticleInternational health2023
Towards achievement of Sustainable Development Goal 3: multilevel analyses of demographic and health survey data on health insurance coverage and maternal healthcare utilisation in sub-Saharan Africa.
Article in International health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.
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16 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Utilization of maternal healthcare services in low- and middle-income countries: a systematic review and meta-analysis.Systematic reviews · 2025Pooled it
- Barriers and facilitators of messaging platforms as a means of maternal support and care in rural communities: A systematic review.PloS one · 2025Pooled it
- The Effects of Maternal Iron and Folate Supplementation on Pregnancy and Infant Outcomes in Africa: A Systematic Review.International journal of environmental research and public health · 2024Pooled it
- Barriers and facilitators to healthcare access for migrants in Morocco: A narrative review.Global epidemiology · 2026Review
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- Developing and Validating an Inclusive and Cost-Effective Prediction Algorithm for Survival and Death Among People Living With HIV in Sub-Saharan Africa: Protocol for a Meta-Analysis and Case-Control and Cost-Effectiveness Study.JMIR research protocols · 2025Article
- Quality of post-abortion care services in the greater Accra region: connecting the perspectives of service providers and experiences of clients.BMC pregnancy and childbirth · 2025Article
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- Spatial distribution and factors associated with health insurance subscription among women in Ghana.International health · 2024Article
- Maternal and child health care access to skilled delivery services among Ghanaian rural mothers.Research in health services & regions · 2024Article
- Predictors of maternal health services uptake in West African region: a multilevel multinomial regression analysis of demographic health survey reports.Reproductive health · 2024Article
- Utilization of Antenatal Care and Skilled Birth Delivery Services in Sub-Saharan Africa: A Systematic Scoping Review.International journal of environmental research and public health · 2024Article
- Determinants of health insurance coverage among women in Mauritania: a multilevel analysis.BMC public health · 2024Article
- Health insurance coverage and access to maternal healthcare services by women of reproductive age in Nigeria: a cross-sectional study.BMJ public health · 2023Article
- Increased investment in Universal Health Coverage in Sub-Saharan Africa is crucial to attain the Sustainable Development Goal 3 targets on maternal and child health.Archives of public health = Archives belges de sante publique · 2023Article
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Authors and funding
8 authors.
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Abstract
backgroundImproving maternal health and achieving universal health coverage (UHC) are important expectations in the global Sustainable Development Goals (SDGs) agenda. While health insurance has been shown as effective in the utilisation of maternal healthcare, there is a paucity of literature on this relationship in sub-Saharan Africa (SSA). We examined the relationship between health insurance coverage and maternal healthcare utilisation using demographic and health survey data.
methodsThis was a cross-sectional study of 195 651 women aged 15-49 y from 28 countries in SSA. We adopted bivariable and multivariable analyses comprising χ2 test and multilevel binary logistic regression in analysing the data.
resultsThe prevalence of maternal healthcare utilisation was 58, 70.6 and 40.7% for antenatal care (ANC), skilled birth attendance (SBA) and postnatal care (PNC), respectively. The prevalence of health insurance coverage was 6.4%. Women covered by health insurance were more likely to utilise ANC (adjusted OR [aOR]=1.48, 95% CI 1.41 to 1.54), SBA (aOR=1.37, 95% CI 1.30 to 1.45) and PNC (aOR=1.42, 95% CI 1.37 to 1.48).
conclusionHealth insurance coverage was an important predictor of maternal healthcare utilisation in our study. To accelerate progress towards the achievement of SDG 3 targets related to the reduction of maternal mortality and achievement of UHC, countries should adopt interventions to increase maternal insurance coverage, which may lead to higher maternal healthcare access and utilisation during pregnancy.
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