3255.0: Monday, November 13, 2000 - 8:45 PM

Abstract #9110

Analysis of the effect of health insurance on prenatal care use among pregnant women in Indonesia

Zhimei Liu, William H. Dow, and Edward C. Norton. Dept. of Health Policy and Administration, University of North Carolina at Chapel Hill, CB# 7400, McGavran-Greenberg, Chapel Hill, NC 27599, 919-9143512, liu@email.unc.edu

Objective: Investigation of the effect of health insurance on pregnant women’s behaviors of seeking prenatal care is of great policy interest because it will help guide and design policies related to health insurance targeted to women. It has implications for developing countries because most of the population in some developing countries lacks health insurance. This paper assesses the relationship between health insurance status and pregnant women’s use of prenatal care in Indonesia. Methods: Indonesia Family Life Survey data (IFLS-1), which is collected from a representative national household survey conducted in 1993, is used to examine the effect of having insurance on three aspect of women’s prenatal care use: whether or not pregnant women seek any check-up, where they usually go, and when they go. Logit, multinomial logit and duration models are applied to address these issues separately. Health insurance is endogenous in the model, and the endogeneity problem is corrected. Results: The availability of health insurance increases pregnant women’s access to prenatal care in Indonesia. Health insurance also affects where these women will go for prenatal care. This result is expected to be robust in further analysis incorporating the second wave of IFLS data (IFLS-2).

Learning Objectives: "At the conclusion of the session, the participant (learner) in this session will be able to: 1. Understand the health care system in Indonesia." 2. Identify indicators of prenatal care use." 3. Apply appropriate statistical models to address issues like categorical data analysis, analyzing data with censoring problem,etc." 4. Assess the endogeneity problem related to the independent variable of interest and correct it."

Keywords: Health Insurance, Prenatal Care

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 128th Annual Meeting of APHA