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Health insurance coverage and maternal health services in Rwanda: a policy paradox

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  • Manzoor Ahmad Malik
  • Wondimagegnehu Alemu

Abstract

Purpose - Research has found a strong correlation between maternal healthcare and health insurance coverage. But, despite having one of the best health coverage systems in the developing world, Rwanda still faces formidable challenges in provision certain key maternal health services, leading to higher levels of maternal morbidity and mortality. To understand this paradox, this study will examine the association between maternal health services and insurance coverage, utilizing the latest data from the Rwanda Demographic Health Survey. Design/methodology/approach - Using a sample of 6,167 childbearing women aged 15–49 years, a bivariate and multivariate analysis was conducted to examine the paradoxical relationship between health insurance and maternal health services, such as antenatal care, in Rwanda. Findings - The results reveal significant differences in ANC4+ and the timing of the first ANC, which remain low in Rwanda. Despite significant improvements in delivery factors and skilled ANC providers, ANC4+ rates in the country remain the lowest. However, this study found a positive and significant association between ANC4+ and insurance coverage (AOR = 1.64,p

Suggested Citation

  • Manzoor Ahmad Malik & Wondimagegnehu Alemu, 2023. "Health insurance coverage and maternal health services in Rwanda: a policy paradox," International Journal of Social Economics, Emerald Group Publishing Limited, vol. 51(3), pages 377-391, August.
    • Handle: RePEc:eme:ijsepp:ijse-01-2023-0059
    DOI: 10.1108/IJSE-01-2023-0059
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