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Health insurance support on maternal health care: evidence from survey data in India

Health insurance support on maternal health care: evidence from survey data in India
Health insurance support on maternal health care: evidence from survey data in India

Background: maternal health care financing is key to the smooth functioning of health systems in a country. In India, maternal health care still persists as a major public health issue. Adequate health insurance could transform the utilization of maternal health care services. Therefore, we aim to examine the health insurance policies that cover maternal health and their performance in India. 

Methods: the unit-level data of social consumption on health by the National Sample Survey Organizations, conducted in India (2017-18), are used. Bivariate analysis, logistic regression and propensity scoring matching are applied. Results: About 14.1% women are covered by health insurance support at the national level. Uninsured women are less likely to receive full antenatal care (ANC) services and institutional delivery. Socio-economic characteristics play a significant role in utilizing maternal health care benefits through health insurance support.

Conclusions: our study concludes that the health insurance coverage is the most significant contributor to the better utilization of full ANC and institutional delivery at the national level and hindrances in accessing them. There is a need for proactive and inclusive policy development by the Government of India to incentivize public financing through health insurance, which can shrink the challenges of public health burden and reduce the health risk.

ANC, health insurance, India, institutional delivery, maternal health, PNC
1741-3842
368-378
Ali, Imtiyaz
c6192774-4d21-4523-a11d-5182fe8bcda3
Akhtar, Saddaf Naaz
aa7e6bda-4317-4905-bbde-1582a6a7bf58
Chauhan, Bal Govind
ba794e1b-5650-455c-8ca3-7fcf4a4a7165
Malik, Manzoor Ahmad
7e434c8d-a7e5-4177-a955-d27511ef8a3e
Singh, Kapil Dev
5f86971d-3faf-4e8a-a2d2-1fcf0284d589
Ali, Imtiyaz
c6192774-4d21-4523-a11d-5182fe8bcda3
Akhtar, Saddaf Naaz
aa7e6bda-4317-4905-bbde-1582a6a7bf58
Chauhan, Bal Govind
ba794e1b-5650-455c-8ca3-7fcf4a4a7165
Malik, Manzoor Ahmad
7e434c8d-a7e5-4177-a955-d27511ef8a3e
Singh, Kapil Dev
5f86971d-3faf-4e8a-a2d2-1fcf0284d589

Ali, Imtiyaz, Akhtar, Saddaf Naaz, Chauhan, Bal Govind, Malik, Manzoor Ahmad and Singh, Kapil Dev (2023) Health insurance support on maternal health care: evidence from survey data in India. Journal of Public Health (United Kingdom), 45 (2), 368-378. (doi:10.1093/pubmed/fdac025).

Record type: Article

Abstract

Background: maternal health care financing is key to the smooth functioning of health systems in a country. In India, maternal health care still persists as a major public health issue. Adequate health insurance could transform the utilization of maternal health care services. Therefore, we aim to examine the health insurance policies that cover maternal health and their performance in India. 

Methods: the unit-level data of social consumption on health by the National Sample Survey Organizations, conducted in India (2017-18), are used. Bivariate analysis, logistic regression and propensity scoring matching are applied. Results: About 14.1% women are covered by health insurance support at the national level. Uninsured women are less likely to receive full antenatal care (ANC) services and institutional delivery. Socio-economic characteristics play a significant role in utilizing maternal health care benefits through health insurance support.

Conclusions: our study concludes that the health insurance coverage is the most significant contributor to the better utilization of full ANC and institutional delivery at the national level and hindrances in accessing them. There is a need for proactive and inclusive policy development by the Government of India to incentivize public financing through health insurance, which can shrink the challenges of public health burden and reduce the health risk.

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e-pub ahead of print date: 14 March 2022
Published date: 1 June 2023
Additional Information: Publisher Copyright: © 2022 The Author(s). Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved.
Keywords: ANC, health insurance, India, institutional delivery, maternal health, PNC

Identifiers

Local EPrints ID: 492108
URI: http://eprints.soton.ac.uk/id/eprint/492108
ISSN: 1741-3842
PURE UUID: 2603425a-6eaf-4ee2-9095-5e8057bd7db2
ORCID for Saddaf Naaz Akhtar: ORCID iD orcid.org/0000-0002-0346-5220

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Date deposited: 16 Jul 2024 17:07
Last modified: 17 Jul 2024 02:08

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Contributors

Author: Imtiyaz Ali
Author: Saddaf Naaz Akhtar ORCID iD
Author: Bal Govind Chauhan
Author: Manzoor Ahmad Malik
Author: Kapil Dev Singh

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