Factors enabling comprehensive maternal health services in the benefits package of emerging financing schemes: A crosssectional analysis from 1990 to 2014

This article was published in the PLOS ONE [© 2018 Vargas et al. This is an open access article distributed under the terms of the Creative Commons Attribution License ] and the definite version is available at: https://doi.org/10.1371/journal.pone.0201398 The Journal's website is at: https://...

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Asıl Yazarlar:	Vargas, Veronica, Ahmed, Sayem, Adams, Alayne M.
Diğer Yazarlar:	Brac James P. Grant School of Public Health
Materyal Türü:	Journal Article
Dil:	en_US
Baskı/Yayın Bilgisi:	PLOS ONE 2022
Konular:	Finance Health insurance Labor and delivery Socioeconomic aspects of health Medical risk factors Low and middle income countries Critical care and emergency medicine Maternal health
Online Erişim:	http://hdl.handle.net/10361/16422 https://doi.org/10.1371/journal.pone.0201398

id	10361-16422
record_format	dspace
spelling	10361-164222022-03-08T21:01:30Z Factors enabling comprehensive maternal health services in the benefits package of emerging financing schemes: A crosssectional analysis from 1990 to 2014 Vargas, Veronica Ahmed, Sayem Adams, Alayne M. Brac James P. Grant School of Public Health Finance Health insurance Labor and delivery Socioeconomic aspects of health Medical risk factors Low and middle income countries Critical care and emergency medicine Maternal health This article was published in the PLOS ONE [© 2018 Vargas et al. This is an open access article distributed under the terms of the Creative Commons Attribution License ] and the definite version is available at: https://doi.org/10.1371/journal.pone.0201398 The Journal's website is at: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0201398 Introduction Maternal delivery is the costliest event during pregnancy, especially if a complicated delivery occurs that requires emergency hospital services. A health financing scheme or program that covers comprehensive maternal services, including specialized hospital services in the benefits health package, enhances maternal survival and improves financial risk protection. Objectives The objective of this study is to identify factors that enable the inclusion of comprehensive maternal services in the benefits package of emerging health financing schemes in low and middle-income countries across selected world regions. Comprehensive care is presumed if, in addition to normal delivery, primary health care, and secondary or tertiary hospital care are included. Methods Multilevel regression analysis is performed on 220 health financing schemes and programs initiated during the period 1990–2014, in 40 countries in Sub-Saharan Africa, Asia, and Latin America. Findings About two-thirds of emerging health financing schemes explicitly include maternal care in the benefits package, and less-than-half cover comprehensive maternal services. Provision of any type of maternal services and comprehensive services is significantly associated with the presence of donors/philanthropies as funders, and beneficiaries possessing an ID card that links them to entitled services. Other enabling factors are prepayment and risk pooling. However, private and community insurances are negatively associated with covering comprehensive maternal services, because they are subject to market failures, such as adverse and risk selection. Conclusions Emerging health financing schemes in low and upper-middle-income countries lag in coverage of maternal care. Advancing financial protection of these services in the health package needs policy attention, including government oversight and mandatory regulations. The enabling factors identified can enrich the ongoing discourse on Universal Health Coverage. Published 2022-03-08T06:56:58Z 2022-03-08T06:56:58Z 2018 2018-09-25 Journal Article Vargas, V., Ahmed, S., & Adams, A. M. (2018). Factors enabling comprehensive maternal health services in the benefits package of emerging financing schemes: A crosssectional analysis from 1990 to 2014. PLoS ONE, 13(9) doi:10.1371/journal.pone.0201398 http://hdl.handle.net/10361/16422 https://doi.org/10.1371/journal.pone.0201398 en_US https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0201398 application/pdf PLOS ONE
institution	Brac University
collection	Institutional Repository
language	en_US
topic	Finance Health insurance Labor and delivery Socioeconomic aspects of health Medical risk factors Low and middle income countries Critical care and emergency medicine Maternal health
spellingShingle	Finance Health insurance Labor and delivery Socioeconomic aspects of health Medical risk factors Low and middle income countries Critical care and emergency medicine Maternal health Vargas, Veronica Ahmed, Sayem Adams, Alayne M. Factors enabling comprehensive maternal health services in the benefits package of emerging financing schemes: A crosssectional analysis from 1990 to 2014
description	This article was published in the PLOS ONE [© 2018 Vargas et al. This is an open access article distributed under the terms of the Creative Commons Attribution License ] and the definite version is available at: https://doi.org/10.1371/journal.pone.0201398 The Journal's website is at: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0201398
author2	Brac James P. Grant School of Public Health
author_facet	Brac James P. Grant School of Public Health Vargas, Veronica Ahmed, Sayem Adams, Alayne M.
format	Journal Article
author	Vargas, Veronica Ahmed, Sayem Adams, Alayne M.
author_sort	Vargas, Veronica
title	Factors enabling comprehensive maternal health services in the benefits package of emerging financing schemes: A crosssectional analysis from 1990 to 2014
title_short	Factors enabling comprehensive maternal health services in the benefits package of emerging financing schemes: A crosssectional analysis from 1990 to 2014
title_full	Factors enabling comprehensive maternal health services in the benefits package of emerging financing schemes: A crosssectional analysis from 1990 to 2014
title_fullStr	Factors enabling comprehensive maternal health services in the benefits package of emerging financing schemes: A crosssectional analysis from 1990 to 2014
title_full_unstemmed	Factors enabling comprehensive maternal health services in the benefits package of emerging financing schemes: A crosssectional analysis from 1990 to 2014
title_sort	factors enabling comprehensive maternal health services in the benefits package of emerging financing schemes: a crosssectional analysis from 1990 to 2014
publisher	PLOS ONE
publishDate	2022
url	http://hdl.handle.net/10361/16422 https://doi.org/10.1371/journal.pone.0201398
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Factors enabling comprehensive maternal health services in the benefits package of emerging financing schemes: A crosssectional analysis from 1990 to 2014

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