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Does Public Health Insurance Increase Maternal Health Care Utilization in Egypt

Author

Listed:
  • Mesbah Sharaf
  • Ahmed Rashad

    (Frankfurt School of Finance and Management, Germany)

  • Elhussien I. Mansour

Abstract

We assess the impact of health insurance on the utilization of maternal health care services in Egypt. A propensity score matching is used to control for baseline differences in the characteristics of the insured and uninsured women, to determine the difference in health care utilization between the two groups that is attributed solely to the health insurance coverage. The results yield that the national health insurance has a strong positive impact on most of the maternal healthcare indicators. Public health insurance coverage increases the likelihood of receiving antenatal care by about 7%, delivering in a public health facility by 8%, and the likelihood that a newborn receive vitamin A dose after delivery by 8.2%. However, women who are less educated, from a poor household, and rural regions, are less likely to be covered by a health insurance. The findings of this study would guide intervention measures that aim at improving health care utilization especially among the poor and other vulnerable groups.

Suggested Citation

  • Mesbah Sharaf & Ahmed Rashad & Elhussien I. Mansour, 2017. "Does Public Health Insurance Increase Maternal Health Care Utilization in Egypt," Working Papers 1076, Economic Research Forum, revised 03 2017.
    • Handle: RePEc:erg:wpaper:1076
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    References listed on IDEAS

    as
    1. Nancy Reichman & Hope Corman & Kelly Noonan & Ofira Schwartz-Soicher, 2010. "Effects of prenatal care on maternal postpartum behaviors," Review of Economics of the Household, Springer, vol. 8(2), pages 171-197, June.
    2. Randall P. Ellis & D. Keith McInnes & Elizabeth H. Stephenson, 1994. "Inpatient and outpatient health care demand in Cairo, Egypt," Health Economics, John Wiley & Sons, Ltd., vol. 3(3), pages 183-200, May.
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    4. Liu, Tsai-Ching & Chen, Bradley & Chan, Yun-Shan & Chen, Chin-Shyan, 2015. "Does prenatal care benefit maternal health? A study of post-partum maternal care use," Health Policy, Elsevier, vol. 119(10), pages 1382-1389.
    5. Elgazzar, Heba, 2009. "Income and the use of health care: an empirical study of Egypt and Lebanon," Health Economics, Policy and Law, Cambridge University Press, vol. 4(4), pages 445-478, October.
    6. Ahmed Shoukry Rashad & Mesbah Fathy Sharaf, 2015. "Catastrophic Economic Consequences of Healthcare Payments: Effects on Poverty Estimates in Egypt, Jordan, and Palestine," Economies, MDPI, vol. 3(4), pages 1-19, November.
    7. Paul J. Gertler & Sebastian Martinez & Patrick Premand & Laura B. Rawlings & Christel M. J. Vermeersch, . "Impact Evaluation in Practice, First Edition [La evaluación de impacto en la práctica]," World Bank Publications, The World Bank, number 2550, September.
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    Cited by:

    1. Manini Ojha, 2022. "Gender gap in schooling: Is there a role for health insurance?," Journal of International Development, John Wiley & Sons, Ltd., vol. 34(1), pages 29-54, January.

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    More about this item

    JEL classification:

    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development

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