Determinants of Healthcare Insurance Coverage among Women of Reproductive Age in Tanzania: A Multilevel Mixed Effect Analysis
2024

Determinants of Healthcare Insurance Coverage among Women of Reproductive Age in Tanzania

Sample size: 15254 publication 10 minutes Evidence: moderate

Author Information

Author(s): Kessy Sanun Ally, Tibenderana Jovin R., Gimonge Jomo, Moshi Fabiola V.

Primary Institution: Kilimanjaro Christian Medical University College, Moshi, Tanzania

Hypothesis

This study aimed at assessing factors associated with access to health care insurance among women of reproductive age in Tanzania using national Demographic and health survey dataset.

Conclusion

Less than ten percent of Tanzanian women of reproductive age are registered in health insurance, highlighting the urgent need to eliminate barriers to healthcare access for this population.

Supporting Evidence

  • The proportion of health insurance coverage among women of reproductive age in Tanzania was found to be 5.8%.
  • Older women (35-49) were more likely to be covered with health insurance compared to younger women (15-24).
  • Married women had a higher likelihood of health insurance coverage compared to unmarried women.
  • Educated women were significantly more likely to have health insurance than those without education.

Takeaway

Only a small number of women in Tanzania have health insurance, and many factors like age, education, and marital status affect this.

Methodology

This study was an analytical cross-sectional study that utilized nationally representative secondary data sourced from the Tanzania Demographic and Health Surveys (TDHS) of 2022, with a weighted sample of 15,254 women of reproductive age.

Potential Biases

Potential biases include recall bias and social desirability bias due to reliance on self-reported data.

Limitations

The study relied on secondary data, which may exclude significant factors not captured in the DHS dataset, and the cross-sectional design limits causal inferences.

Participant Demographics

Participants were women of reproductive age (15-49) from various socioeconomic backgrounds in Tanzania.

Statistical Information

P-Value

<0.001

Confidence Interval

95% CI: 2.19, 3.45

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0302806

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