Recent Reports from Erasmus University Medical Center Highlight Findings in Health Insurance (The Effects of Ghana’s National Health Insurance Scheme…

Managed Care Weekly Digest

Recent Reports from Erasmus University Medical Center Highlight Findings in Health Insurance (The Effects of Ghana's National Health Insurance Scheme on Maternal and Infant Health Care Utilization)

By a News Reporter-Staff News Editor at Managed Care Weekly Digest -- Investigators discuss new findings in Health Insurance. According to news reporting from Rotterdam, Netherlands, by NewsRx journalists, research stated, "Increasing equitable access to health care is a main challenge African policy makers are facing. The Ghanaian government implemented the National Health Insurance Scheme in 2004 and the aim of this study is to evaluate its early effects on maternal and infant healthcare use."

Financial supporters for this research include BMG Innovationfund, Netherlands Organization for Scientific Research (see also Health Insurance).

The news correspondents obtained a quote from the research from Erasmus University Medical Center, "We exploit data on births before and after the intervention and apply propensity score matching to limit the bias arising from self-selection into the health insurance. About forty percent of children had a mother who is enrolled in this insurance. The scheme significantly increased the proportion of pregnancies with at least four antenatal care visits with 7 percentage points and had a significant effect on attended deliveries (10 percentage points). Caesarean sections increased (6 percentage points) and the number of children born from an unwanted pregnancy decreased (7 percentage points). Insurance enrollment had almost no effect on child vaccinations. Among the poorest forty percent of the sample, the effects of the scheme on antenatal care and attended deliveries were similar. However, the effects of the scheme on caesarean sections were about half the size (3 percentage points) and the reduction in unwanted pregnancies was larger (10 percentage points) compared to the effects in the full sample. We conclude that in the first years of operation, the National Health Insurance Scheme had a modest impact on the use of antenatal and delivery care."

According to the news reporters, the research concluded: "This is important for other African countries currently introducing or considering a national health insurance as a means towards universal health coverage."

For more information on this research see: The Effects of Ghana's National Health Insurance Scheme on Maternal and Infant Health Care Utilization. Plos One, 2016;11(11):e0165623. (Public Library of Science - www.plos.org; Plos One - www.plosone.org)

Our news journalists report that additional information may be obtained by contacting I. Bonfrer, Erasmus University Rotterdam, Institute for Health Policy & Management, Rotterdam, South Holland, Netherlands. Additional authors for this research include L. Breebaart and E. Van de Poel.

Keywords for this news article include: Europe, Rotterdam, Netherlands, Health Insurance, Insurance Companies.