IDEAS home Printed from https://ideas.repec.org/a/eee/hepoli/v92y2009i1p55-64.html
   My bibliography  Save this article

The population-level impacts of a national health insurance program and franchise midwife clinics on achievement of prenatal and delivery care standards in the Philippines

Author

Listed:
  • Kozhimannil, Katy Backes
  • Valera, Madeleine R.
  • Adams, Alyce S.
  • Ross-Degnan, Dennis

Abstract

Objectives Adequate prenatal and delivery care are vital components of successful maternal health care provision. Starting in 1998, two programs were widely expanded in the Philippines: a national health insurance program (PhilHealth); and a donor-funded franchise of midwife clinics (Well Family Midwife Clinics). This paper examines population-level impacts of these interventions on achievement of minimum standards for prenatal and delivery care.Methods Data from two waves of the Demographic and Health Surveys, conducted before (1998) and after (2003) scale-up of the interventions, are employed in a pre/post-study design, using longitudinal multivariate logistic and linear regression models.Results After controlling for demographic and socioeconomic characteristics, the PhilHealth insurance program scale-up was associated with increased odds of receiving at least four prenatal visits (OR 1.04 [95% CI 1.01-1.06]) and receiving a visit during the first trimester of pregnancy (OR 1.03 [95% CI 1.01-1.06]). Exposure to midwife clinics was not associated with significant changes in achievement of prenatal care standards. While both programs were associated with slight increases in the odds of delivery in a health facility, these increases were not statistically significant.Conclusions These results suggest that expansion of an insurance program with accreditation standards was associated with increases in achievement of minimal standards for prenatal care among women in the Philippines.

Suggested Citation

  • Kozhimannil, Katy Backes & Valera, Madeleine R. & Adams, Alyce S. & Ross-Degnan, Dennis, 2009. "The population-level impacts of a national health insurance program and franchise midwife clinics on achievement of prenatal and delivery care standards in the Philippines," Health Policy, Elsevier, vol. 92(1), pages 55-64, September.
    • Handle: RePEc:eee:hepoli:v:92:y:2009:i:1:p:55-64
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0168-8510(09)00056-6
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Wong, Emelita L. & Popkin, Barry M. & Guilkey, David K. & Akin, John S., 1987. "Accessibility, quality of care and prenatal care use in the Philippines," Social Science & Medicine, Elsevier, vol. 24(11), pages 927-944, January.
    2. Guilkey, David K. & Popkin, Barry M. & Akin, John S. & Wong, Emelita L., 1989. "Prenatal care and pregnancy outcome in Cebu, Philippines," Journal of Development Economics, Elsevier, vol. 30(2), pages 241-272, April.
    3. Cynthia K. Stanton, 2004. "Methodological Issues in the Measurement of Birth Preparedness in Support of Safe Motherhood," Evaluation Review, , vol. 28(3), pages 179-200, June.
    4. Elizabeth Frankenberg & Duncan Thomas, 2001. "Women’s health and pregnancy outcomes: Do services make a difference?," Demography, Springer;Population Association of America (PAA), vol. 38(2), pages 253-265, May.
    5. Obermann, Konrad & Jowett, Matthew R. & Alcantara, Maria Ofelia O. & Banzon, Eduardo P. & Bodart, Claude, 2006. "Social health insurance in a developing country: The case of the Philippines," Social Science & Medicine, Elsevier, vol. 62(12), pages 3177-3185, June.
    6. Navaneetham, K. & Dharmalingam, A., 2002. "Utilization of maternal health care services in Southern India," Social Science & Medicine, Elsevier, vol. 55(10), pages 1849-1869, November.
    7. Quimbo, Stella A. & Peabody, John W. & Shimkhada, Riti & Woo, Kimberly & Solon, Orville, 2008. "Should we have confidence if a physician is accredited? A study of the relative impacts of accreditation and insurance payments on quality of care in the Philippines," Social Science & Medicine, Elsevier, vol. 67(4), pages 505-510, August.
    8. Solita Collas-Monsod & Toby Monsod & Geoffrey Ducanes, 2004. "Philippines' Progress Towards the Millennium Development Goals: geographical and political correlates of subnational outcomes," Journal of Human Development and Capabilities, Taylor & Francis Journals, vol. 5(1), pages 121-149.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Tadashi Yamashita & Sherri Ann Suplido & Cecilia Ladines-Llave & Yuko Tanaka & Naomi Senba & Hiroya Matsuo, 2014. "A Cross-Sectional Analytic Study of Postpartum Health Care Service Utilization in the Philippines," PLOS ONE, Public Library of Science, vol. 9(1), pages 1-6, January.
    2. Hebe N Gouda & Andrew Hodge & Raoul Bermejo III & Willibald Zeck & Eliana Jimenez-Soto, 2016. "The Impact of Healthcare Insurance on the Utilisation of Facility-Based Delivery for Childbirth in the Philippines," PLOS ONE, Public Library of Science, vol. 11(12), pages 1-15, December.
    3. Raoul Bermejo III & Sonja Firth & Andrew Hodge & Eliana Jimenez-Soto & Willibald Zeck, 2015. "Overcoming Stagnation in the Levels and Distribution of Child Mortality: The Case of the Philippines," PLOS ONE, Public Library of Science, vol. 10(10), pages 1-13, October.
    4. Paqueo, Vicente B. & Abrigo, Michael Ralph M., 2017. "Social Protection and Access to Health Care among Children in the Philippines," Discussion Papers DP 2017-36, Philippine Institute for Development Studies.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Patience Aseweh Abor & Gordon Abekah‐Nkrumah & Kojo Sakyi & Charles K.D. Adjasi & Joshua Abor, 2011. "The socio‐economic determinants of maternal health care utilization in Ghana," International Journal of Social Economics, Emerald Group Publishing Limited, vol. 38(7), pages 628-648, June.
    2. Xiaoying Liu & Jere R Behrman & Aryeh D Stein & Linda S Adair & Santosh K Bhargava & Judith B Borja & Mariangela Freitas da Silveira & Bernardo L Horta & Reynaldo Martorell & Shane A Norris & Linda M , 2017. "Prenatal care and child growth and schooling in four low- and medium-income countries," PLOS ONE, Public Library of Science, vol. 12(2), pages 1-21, February.
    3. Debayan Pakrashi & Surya Nath Maiti & Sarani Saha, 2022. "Caste, Awareness and Inequality in Access to Maternal and Child Health Programs: Evidence From India," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 163(3), pages 1301-1321, October.
    4. Liu, Hong & Fang, Hai & Zhao, Zhong, 2013. "Urban–rural disparities of child health and nutritional status in China from 1989 to 2006," Economics & Human Biology, Elsevier, vol. 11(3), pages 294-309.
    5. Bautista, Cristina M., 1995. "Patterns of Health Care Expenditures, Utilization and Demand for Medical Care in Sample Philippine Households," Discussion Papers DP 1995-09, Philippine Institute for Development Studies.
    6. repec:zbw:rwirep:0365 is not listed on IDEAS
    7. Ahsan,Md Nazmul & Banerjee,Rakesh & Maharaj,Riddhi, 2020. "Early-Life Access to a Basic Health Care Program and Adult Outcomes in Indonesia," Policy Research Working Paper Series 9243, The World Bank.
    8. Edward N. Okeke & Amalavoyal V. Chari, 2015. "Can Institutional Deliveries Reduce Newborn Mortality? Evidence from Rwanda," Working Papers WR-1072, RAND Corporation.
    9. Biswajit Mandal, 2015. "Demand for maternal health inputs in West Bengal-Inference from NFHS 3 in India," Economics Bulletin, AccessEcon, vol. 35(4), pages 2685-2700.
    10. Adam Wagstaff, 2010. "Social health insurance reexamined," Health Economics, John Wiley & Sons, Ltd., vol. 19(5), pages 503-517, May.
    11. Habtom, GebreMichael Kibreab & Ruys, Pieter, 2007. "The choice of a health care provider in Eritrea," Health Policy, Elsevier, vol. 80(1), pages 202-217, January.
    12. Sunil, T.S. & Rajaram, S. & Zottarelli, Lisa K., 2006. "Do individual and program factors matter in the utilization of maternal care services in rural India? A theoretical approach," Social Science & Medicine, Elsevier, vol. 62(8), pages 1943-1957, April.
    13. Giles, John & Satriawan, Elan, 2015. "Protecting child nutritional status in the aftermath of a financial crisis: Evidence from Indonesia," Journal of Development Economics, Elsevier, vol. 114(C), pages 97-106.
    14. Arrieta, Alejandro & García-Prado, Ariadna & Guillén, Jorge, 2011. "The Private Health Care Sector and the Provision of Prenatal Care Services in Latin America," World Development, Elsevier, vol. 39(4), pages 579-587, April.
    15. Shroff, Monal R. & Griffiths, Paula L. & Suchindran, Chirayath & Nagalla, Balakrishna & Vazir, Shahnaz & Bentley, Margaret E., 2011. "Does maternal autonomy influence feeding practices and infant growth in rural India?," Social Science & Medicine, Elsevier, vol. 73(3), pages 447-455, August.
    16. Gordon Abekah-Nkrumah & Patience Abor, 2015. "Socioeconomic determinants of use of reproductive health services in Ghana," Health Economics Review, Springer, vol. 6(1), pages 1-15, December.
    17. Fredrick Manang & Chikako Yamauchi, 2015. "The impact of access to health facilities on maternal care use and health status: Evidence from longitudinal data from rural Uganda," GRIPS Discussion Papers 15-19, National Graduate Institute for Policy Studies.
    18. Sharmistha Self & Richard Grabowski, 2018. "Factors influencing maternal health care in Nepal: the role of socioeconomic interaction," Asia-Pacific Sustainable Development Journal, United Nations Economic and Social Commission for Asia and the Pacific (ESCAP), vol. 25(2), pages 53-75, December.
    19. Jörg Peters & Christoph Strupat & Colin Vance, 2012. "Television and Contraceptive Use – Panel Evidence from Rural Indonesia," Ruhr Economic Papers 0365, Rheinisch-Westfälisches Institut für Wirtschaftsforschung, Ruhr-Universität Bochum, Universität Dortmund, Universität Duisburg-Essen.
    20. Alderman, Harold & Garcia, Marito, 1992. "Food security and health security : explaining the levels of nutrition in Pakistan," Policy Research Working Paper Series 865, The World Bank.
    21. Roy, Ramananda & Bhattacharyya, Bhaskar & Mandal, Biswajit, 2022. "Demand for Maternal Health Care in The Eastern States of India: Evidence From A National Health Survey," MPRA Paper 116649, University Library of Munich, Germany.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:hepoli:v:92:y:2009:i:1:p:55-64. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu or the person in charge (email available below). General contact details of provider: http://www.elsevier.com/locate/healthpol .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.