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HEALTH INSURANCE AND MATERNAL HEALTH SERVICE UTILISATION AMONG WOMEN OF REPRODUCTIVE AGE
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  • Miracle Ayomikun Adesina,
  • Toluwase Ayobola Ayorinde,
  • Ruth Oladele,
  • Isaac Olufadewa,
  • Elizabeth Oyewole,
  • Olajumoke Ogundele
Miracle Ayomikun Adesina
Slum and Rural Health Initiative

Corresponding Author:[email protected]

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Toluwase Ayobola Ayorinde
Slum and Rural Health Initiative
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Ruth Oladele
Slum and Rural Health Initiative
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Isaac Olufadewa
Slum and Rural Health Initiative
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Elizabeth Oyewole
Slum and Rural Health Initiative
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Olajumoke Ogundele
Slum and Rural Health Initiative
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Abstract

Background: Access to consistent health insurance is a commendable landmark in healthcare service as it reduces maternal mortality. In Nigeria, pregnancy-related complications result in 40,000 maternal deaths annually. Socio-demographic factors of women predict access to health insurance and utilisation of maternal health services. This study aimed to investigate the association between health insurance coverage and utilisation of maternal health services among women of reproductive age. Methodology: Data for this study was extracted from NDHS 2018 population-based study. Statistical significance was set at p<0.005. Descriptive statistics was used to analyze socio-demographic characteristics while inferential statistics of binary logistic regressioninvestigated the strength of association between independent and dependent variables. Result: The mean age of women in this study were 29.8±7.0. Majority of respondents (97.2%) were not covered by health insurance which predicts poor maternal healthcare as the majority (98.1%) did not attend the above four ANC visits. Binary logistic regression analysis revealed that women covered by health insurance were 3.8 times more likely to be attended to by a skilled birth attendant at time of delivery than those without health insurance (OR=3.755; CI=2.901-4.860). Findings revealed that women covered by health insurance were 1.5times more likely to assess ANC compared to those who are not (OR=1.494, C.I=1.224-1.823) Conclusion: Health insurance coverage is associated with better utilisation of maternal healthcare services. Therefore, instituting sustainable strategies to ensure a holistic health insurance coverage that cuts across socio-economic strata will improve decision-making and enhance health-seeking practices among women of reproductive age.