Health insurance expansion positively impacts maternal and reproductive health service utilisation but lacks evidence for postnatal care, contraception access, and financial protection in low- and lower-middle-income countries
Amidst efforts to achieve universal health coverage (UHC) in low- and lower middle-income countries, the expansion of health insurance has emerged as a key reform strategy. This systematic review delves into the effects of health insurance on maternal and reproductive health services, aiming to gauge its impact on service utilization and financial protection. By analyzing a pool of 17 studies, the review underscores the significant strides made in antenatal care and delivery assistance. However, it also highlights notable gaps in postnatal care, contraception access, and financial safeguards. Through this comprehensive examination, the review sheds light on the complexities of health insurance implementation in the context of maternal and reproductive health, providing valuable insights for policymakers and practitioners striving to enhance healthcare access and affordability in resource-constrained settings.