The Association of Health Insurance with institutional delivery and access to skilled birth attendants: evidence from the Kenya Demographic and health survey 2008–09
| العنوان: | The Association of Health Insurance with institutional delivery and access to skilled birth attendants: evidence from the Kenya Demographic and health survey 2008–09 |
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| المؤلفون: | Richard G. Wamai, Edwin Were, Joseph W. Hogan, Lawrence P. O. Were, Omar Galárraga |
| المصدر: | BMC Health Services Research, Vol 17, Iss 1, Pp 1-10 (2017) BMC Health Services Research |
| بيانات النشر: | BMC, 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | Adult, medicine.medical_specialty, Adolescent, Socio-economic status, Skilled birth attendants, Midwifery, Health informatics, Health Services Accessibility, Healthcare financing, Health administration, Young Adult, 03 medical and health sciences, Insurance, 0302 clinical medicine, Pregnancy, Universal Health Insurance, Environmental health, Health care, Humans, Medicine, Maternal Health Services, 030212 general & internal medicine, Institutional delivery, Health policy, Demography, Insurance, Health, business.industry, 030503 health policy & services, Health Policy, Nursing research, Public health, lcsh:Public aspects of medicine, 1. No poverty, lcsh:RA1-1270, Middle Aged, Delivery, Obstetric, Health Surveys, Kenya, 3. Good health, Dispensary, Logistic Models, Female, Health education, Health Facilities, 0305 other medical science, business, Research Article |
| الوصف: | Background Healthcare financing through health insurance is gaining traction as developing countries strive to achieve universal health coverage and address the limited access to critical health services for specific populations including pregnant women and their children. However, these reforms are taking place despite limited evaluation of impact of health insurance on maternal health in developing countries including Kenya. In this study we evaluate the association of health insurance with access and utilization of obstetric delivery health services for pregnant women in Kenya. Methods Nationally representative data from the Kenya Demographic and Health Survey 2008–09 was used in this study. 4082 pregnant women with outcomes of interest - Institutional delivery (Yes/No – delivery at hospital, dispensary, maternity home, and clinic) and access to skilled birth attendants (help by a nurse, doctor, or trained midwife at delivery) were selected from 8444 women ages 15–49 years. Linear and logistic regression, and propensity score adjustment are used to estimate the causal association of enrollment in insurance on obstetric health outcomes. Results Mothers with insurance are 23 percentage points (p |
| اللغة: | English |
| تدمد: | 1472-6963 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d278182720c2176cc32ab69bf81c1471Test http://link.springer.com/article/10.1186/s12913-017-2397-7Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....d278182720c2176cc32ab69bf81c1471 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14726963 |
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