School of Economics and Finance, Xi'an Jiao tong University, Xi'an Shaanxi China.
School of Public Administration, Xi'an University of Architecture and Technology, Xi'an University of Architecture and Technology, Xi'an 71000.
Afr J Reprod Health. 2022 Jun;26(6):104-115. doi: 10.29063/ajrh2022/v26i6.12.
Studies in the Benin Republic have identified contextual factors that determine health facility delivery among women of reproductive age. However, it is not certain if the same set of factors predicts facility delivery for women who enrolled in health insurance and those who did not. The study seeks to compare the determinants of health facility delivery for mothers under health insurance and those that are not in the Benin Republic. The study used data for 33,078 women of reproductive age, drawn from the most recent Benin demographic and health survey (2017-18). The characteristics of the women were described using simple proportions and frequency. Binary Logistic regression was used to examine determinants of health facility delivery for both groups of women. The result showed that only 0.7% of the women were under health insurance coverage. The prevalence of health facility delivery was high in the enrolled group but not in the unenrolled group (98.3% vs. 87.8%). The uniform determinants of health facility delivery across the two groups were household wealth, education, employment, land/house ownership, media exposure, a minimum of four antenatal contacts, and place of residence. To improve the coverage of health facility delivery, a multi-pronged approach should be used to improve household socioeconomic status, encourage media use among women, expand education opportunities for women, and specifically target rural women in Benin.
贝宁共和国的研究已经确定了决定育龄妇女选择医疗设施分娩的背景因素。然而，尚不确定相同的因素是否可以预测参加医疗保险和未参加医疗保险的妇女选择医疗设施分娩的情况。本研究旨在比较贝宁共和国参加医疗保险和未参加医疗保险的产妇选择医疗设施分娩的决定因素。本研究使用了最近一次贝宁人口与健康调查（2017-18 年）中 33078 名育龄妇女的数据。使用简单比例和频率描述了妇女的特征。使用二元逻辑回归检验了两组妇女选择医疗设施分娩的决定因素。结果显示，只有 0.7%的妇女参加了医疗保险。参加保险组的产妇选择医疗设施分娩的比例很高，但未参加保险组的比例则较低（98.3% vs. 87.8%）。两组产妇选择医疗设施分娩的决定因素相同，包括家庭财富、教育、就业、土地/房屋所有权、媒体接触、至少进行四次产前检查以及居住地点。为了提高产妇选择医疗设施分娩的比例，应该采取多管齐下的方法来改善家庭的社会经济地位，鼓励妇女使用媒体，为妇女提供更多的教育机会，并特别针对贝宁的农村妇女。
