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Obstetric benefits of health insurance: A comparative analysis of obstetric indices and outcome of enrollees and non-enrollees in southeast Nigeria
被引：7
|作者：
Lawani, Lucky Osaheni
[1
]
Iyoke, Chukwuemeka Anthony
[2
]
Onoh, Robinson Chukwudi
[1
]
Nkwo, Peter Onubiwe
[2
]
Ibrahim, Isa Ayuba
[3
]
Ekwedigwe, Kenneth Chinedu
[4
]
Ekine, Atombosoba Adokiye
[3
]
机构：
[1] Fed Teaching Hosp Abakaliki, Dept Obstet & Gynaecol, Abakaliki 400001, Ebonyi State, Nigeria
[2] Univ Nigeria, Teaching Hosp, Dept Obstet & Gynaecol, Enugu, Enugu State, Nigeria
[3] Niger Delta Univ, Dept Obstet & Gynaecol, Amassoma, Bayelsa State, Nigeria
[4] Natl Obstet Fistula Ctr Abakaliki, Dept Obstet & Gynaecol, Abakaliki, Ebonyi State, Nigeria
关键词：
Health insurance;
enrollee;
non-enrollee;
obstetric indices;
pregnancy outcome;
health financing;
D O I：
10.1080/01443615.2016.1174830
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
This study determined the obstetric benefits and compared the obstetric indices and pregnancy outcome of enrollees and non-enrollees of the national health insurance scheme (NHIS). A prospective cohort study of enrollees and non-enrollees of NHIS was conducted over 2years. Data was analysed with Epi-info statistical software. Malaria (25.3% versus 8.0%, p value 0.001), anaemia (11.3% versus 3.3%, p value 0.0001), preterm delivery (8.0% versus 2.7% p value=0.00001), antenatal default rate (22.7% versus 6.7%, p value=0.0001) and maternal death (2.7% versus 0.7%, p value=0.00001) were higher in the non-insured. Singleton low birth weight (9.3% versus 2.7%, p value=0.00001) and new born admission (10.7% versus 4.7%, p value=0.00001) were also more in non-enrollee, with higher perinatal deaths (6.7% versus 2.0%, p value=0.00001). Women managed under the Nigerian NHIS scheme had better maternal and perinatal indices, therefore, effort should be scaled up to ensure universal health insurance coverage for all parturient and their newborn.
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页码：946 / 949
页数：4
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