Merga Bedasa Taye, Raru Temam Beshir, Deressa Alemayehu, Regassa Lemma Demissie, Gamachu Mulugeta, Negash Belay, Birhanu Abdi, Turi Ebisa, Ayana Galana Mamo
School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
School of Medicine, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Front Health Serv. 2023 Oct 6;3:1101164. doi: 10.3389/frhs.2023.1101164. eCollection 2023.
About three-fourths of maternal near-miss events and two-fifths of the risk of neonatal mortality can be reduced by having at least one antenatal visit. Several studies have identified potential factors related to maternal health seeking behavior. However, the association between health insurance membership and antenatal care utilization was not well investigated in Ethiopia. Therefore, this study was aimed at assessing the effect of health insurance coverage on antenatal care use in Ethiopia.
The study utilized data from the 2019 Ethiopia Mini Demographic and Health Survey (EMDHS). The analysis included a weighted sample of 3,919 women who gave birth in the last five years. A logistic regression model was employed to assess the association between antenatal care use and health insurance coverage and other covariates. The results were presented as adjusted odds ratios (AOR) at a 95% confidence interval (CI). Statistical significance was declared at a -value <0.05 in all analyses.
Antenatal care was used by 43% (95% CI: 41.46 to 44.56%) of Ethiopian women. Those with health insurance coverage had higher odds of antenatal care use than those without health insurance coverage. Women were 33% more likely to use antenatal care (ANC) if they were covered by health insurance. Age, Media access, marital status, education status, wealth index, and economic regions were also factors associated with antenatal care utilizations.
According to our findings, less than half of Ethiopian women had four or more antenatal care visits. Health insurance membership, respondent age, media access, marital status, education status, wealth index, and economic region were factors associated with antenatal care utilization. Improving health insurance, women's economic empowerment, and education coverage are critical determinants of antenatal care utilization.
通过至少进行一次产前检查，可以降低约四分之三的孕产妇严重并发症事件以及五分之二的新生儿死亡风险。多项研究已经确定了与孕产妇寻求医疗行为相关的潜在因素。然而，在埃塞俄比亚，医疗保险参保情况与产前检查利用之间的关联尚未得到充分研究。因此，本研究旨在评估医疗保险覆盖对埃塞俄比亚产前检查利用的影响。
本研究使用了2019年埃塞俄比亚微型人口与健康调查（EMDHS）的数据。分析纳入了过去五年内分娩的3919名妇女的加权样本。采用逻辑回归模型评估产前检查利用与医疗保险覆盖及其他协变量之间的关联。结果以95%置信区间（CI）的调整优势比（AOR）呈现。在所有分析中，当P值<0.05时宣布具有统计学显著性。
43%（95%CI：41.46%至44.56%）的埃塞俄比亚妇女进行了产前检查。有医疗保险覆盖的妇女进行产前检查的几率高于没有医疗保险覆盖的妇女。如果妇女有医疗保险覆盖，她们使用产前检查（ANC）的可能性要高33%。年龄、媒体接触情况、婚姻状况、教育程度、财富指数和经济区域也是与产前检查利用相关的因素。
根据我们的研究结果，不到一半的埃塞俄比亚妇女进行了四次或更多次产前检查。医疗保险参保情况、受访者年龄、媒体接触情况、婚姻状况、教育程度、财富指数和经济区域是与产前检查利用相关的因素。改善医疗保险、增强妇女经济权能和教育覆盖是产前检查利用的关键决定因素。
