@article{fdi:010069017,
  title = {{M}aternal and neonatal health impact of obstetrical risk insurance scheme in {M}auritania : a quasi experimental before-and-after study},
  author = {{P}hilibert, {A}. and {R}avit, {M}. and {R}idde, {V}al{\'e}ry and {D}ossa, {I}. and {B}onnet, {E}mmanuel and {B}edecarrats, {F}. and {D}umont, {A}lexandre},
  editor = {},
  language = {{ENG}},
  abstract = {{A} variety of health financing schemes shaped on pre-payment scheme have been implemented across {S}ub-{S}aharan {A}frica ({SSA}) to address the {M}illennium {D}evelopment {G}oals ({MDG}s). {I}n {M}auritania, the {O}bstetric {R}isk {I}nsurance package ({ORI}) focusing on maternal and perinatal health has been progressively implemented at the health district level since 2002. {H}ere, our main objective was to assess the effectiveness of the {ORI} in increasing facility-based delivery rates, as well as increases in family planning, antenatal and postnatal care, caesarean delivery and neonatal health, from demographic and health survey data between 2002 and 2011. {W}e also examined whether the effects of the {ORI} varied between strata of the population. {T}he study was based on a quasi-experimental before-and-after design to assess the causal link between availability of {ORI} and increase in use of maternal health services and neonatal mortality. {I}n combination with geographical information system, difference-in-differences and odd ratio approaches were used to address our objectives. {I}ndicators of access to care for pregnant women and neonatal health and improved in both non-intervention and intervention groups during the study period. {T}here was no global effect of the availability of {ORI} on facility-based delivery rates, nor on the use of antenatal and postnatal care services, except for qualified antenatal services. {H}owever, delivery rates in local health centres with {ORI} increased more rapidly than in those with no {ORI}, the contrary was shown for hospitals. {C}aesarean delivery and family planning decreased with {ORI}. {A}lthough late neonatal mortality rates remained low in the country, a significant decrease was seen in districts without {ORI}. {E}xcept for some strata of the population, {ORI} has not really met its objective of attracting more pregnant women towards facility-based health care.},
  keywords = {{MAURITANIE} ; {GHANA} ; {NIGERIA}},
  booktitle = {},
  journal = {{H}ealth {P}olicy and {P}lanning},
  volume = {32},
  numero = {3},
  pages = {405--417},
  ISSN = {0268-1080},
  year = {2017},
  DOI = {10.1093/heapol/czw142},
  URL = {https://www.documentation.ird.fr/hor/fdi:010069017},
}