Health Policy
Volume 92, Issue 1 , Pages 55-64 , September 2009

The population-level impacts of a national health insurance program and franchise midwife clinics on achievement of prenatal and delivery care standards in the Philippines

  • Katy Backes Kozhimannil

      Affiliations

    • Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Ave, 6th Floor, Boston, MA 02215, United States
    • Corresponding Author InformationCorresponding author. Tel.: +1 617 509 9202; fax: +1 617 859 8112.
  • ,
  • Madeleine R. Valera

      Affiliations

    • Philippine Health Insurance Corporation, Pasig City, Philippines
  • ,
  • Alyce S. Adams

      Affiliations

    • Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Ave, 6th Floor, Boston, MA 02215, United States
    • Division of Research, Kaiser Northern California, Oakland, CA, United States
  • ,
  • Dennis Ross-Degnan

      Affiliations

    • Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Ave, 6th Floor, Boston, MA 02215, United States

References 

  1. Stewart KM, Stanton CK, Festin M, Jacobson N. Issues in measuring maternal morbidity: lessons from the Philippines Safe Motherhood Survey Project. Studies in Family Planning. 1996;27
  2. Khan KS, Wojdyla D, Say L, Gülmezoglu AM, Van Look PFA. WHO analysis of causes of maternal death: a systematic review. Lancet. 2006;367:1066–1074
  3. Statement by the Global Forum For Health Research at the Conclusion of Forum 8. Global Forum For Health Research: Forum 8. Mexico City, Mexico; 2004.
  4. Collas-Monsod S, Monson TC, Ducanes GM. Philippines’ progress towards the millennium development goals: geographical and political correlates of subnational outcomes. Journal of Human Development. 2004;5:121–149
  5. Obermann K, Jowett MR, Alcantara MOO, Banzon EP, Bodart C. Social health insurance in a developing country: the case of the Philippines. Social Science & Medicine. 2006;62:3177–3185
  6. Wong EL, Popkin BM, Guilkey DK, Akin JS. Accessibility, quality of care and prenatal care use in the Philippines. Social Science & Medicine. 1987;24:927–944
  7. Guilkey DK, Popkin BM, Akin JS, Wong EL. Prenatal care and pregnancy outcome in Cebu, Philippines. Journal of Development Economics. 1989;30:241–272
  8. Miles-Doan R, Brewster KL. The impact of type of employment on women's use of prenatal-care services and family planning in Urban Cebu, the Philippines. Studies in Family Planning. 1998;29
  9. National Demographic and Health Survey, 2003: Key Findings. Calverton, MD: National Statistics Office (NSO) [Philippines] and ORC Macro; 2004.
  10. Becker S, Peters DH, Gray RH, Gultiano C, Black RE. The determinants of use of maternal and child health services in Metro Cebu, the Philippines. Health Transition Review. 1993;3:77–89
  11. Campbell O, Filippi V, Koblinsky M. Lessons learnt: a decade of measuring the impact of safe motherhood programs. London, UK: London School of Hygiene and Tropical Medicine; 1997;
  12. Koblinsky MA, Campbell O, Heichelheim J. Organizing delivery care: what works for safe motherhood. Bulletin of the World Health Organization. 1999;77:399–406
  13. Enkin M, Keirse MJNC, Neilson J, Crowther C, Duley L, Hodnett E, et al. A guide to effective care in pregnancy and childbirth. Oxford, UK: Oxford University Press; 2000;
  14. Scholl TO, Hediger ML, Belsky DH. Prenatal care and maternal health during adolescent pregnancy: a review and meta-analysis. Journal of Adolescent Health. 1994;15:444–456
  15. Gonzalez J. Evolution of the Philippine health care system during the last forty years of development administration. Asian Journal of Public Administration. 1996;18:168–200
  16. PhilHealth. The PhilHealth chronicles: the journey towards universal social health insurance. Manila; 2005.
  17. PhilHealth. Stats and Charts 2003. PhilHealth Corporate Planning Department, July, 2004.
  18. Hindle D, Acuin L, Valera M. Health insurance in the Philippines: bold policies and socio-economic realities. Australian Health Review. 2001;24:96–111
  19. Jones B, Moore R. Social franchising health services: a Philippines case study and review of experience. John Snow Inc.; November, 2003;
  20. TANGO II: Final Report Project Summary. John Snow Inc., USAID. Well Family Midwife Cinics; 2004.
  21. Stephenson R, Tsui AO, Sulzbach S, Bardsley P, Bekele G, Giday T, et al. Reproductive health in today's world franchising reproductive health services. Health Services Research. 2004;39:2053
  22. Cabegin ECA, Costello MP, Khan ME, Foreit J, Janowitz B, Dasmarinas E, et al. Willingness to pay for well-family midwife services in the Philippines. United States Agency for International Development; December, 2001;
  23. Medium Term Development Plan 2001–2004. . Pursuing balanced regional development. Pasig City: National Economic and Development Authority, Government of the Philippines; 2000;[Chapter 14]
  24. Well Family Midwife Clinic Locator Map. Well Family Midwife Clinics. http://www.wfmc.com.ph. Accessed January 5, 2009.
  25. Mays GP. Can accreditation work in public health? Lessons from other service industries. Robert Wood Johnson Foundation; 2004;[November 30]
  26. Gertler P, Solon O. Who Benefits from Social Health Insurance? Evidence from the Philippines. NBER Working Paper; 2000.
  27. Rutstein SO. Factors associated with trends in infant and child mortality in developing countries during the 1990s. Bulletin of the World Health Organization. 2000;78:1256–1270
  28. Rutstein SO, Rojas G. Guide to DHS statistics: demographic and health surveys. Calverton, MD: ORC Macro; September, 2003;
  29. Department of the Interior and Local Government (DILG). Republic of the Philippines. http://www.dilg.gov.ph/. Accessed January 5, 2009.
  30. National Demographic Survey 1993. Calverton, MD: National Statistics Office (NSO) [Philippines] and Macro International Inc. (MI); 1994.
  31. National Demographic and Health Survey 1998. Manila, Philippines: National Statistics Office (NSO), Department of Health (DOH) [Philippines] and Macro International (MI); 1999.
  32. PhilHealth. Operations Report 2000. PhilHealth Corporate Planning Department; March, 2001.
  33. National Statistics Office (NSO). Republic of the Philippines. http://www.census.gov.ph/. Accessed January 5, 2009.
  34. Angeles G, Guilkey DK, Mroz TA. Purposive program placement and the estimation of family planning program effects in Tanzania. Journal of the American Statistical Association. 1998;93:884–899
  35. Number of Live Births and Crude Birth Rates (CBR), by Sex, and Usual Residence of Mother: Philippines, 2003. Health and Vital Statistics Division, Civil Registry Department, National Statistics Office; 2006.
  36. Alano BP. Establishing the women's health and safe motherhood facility network. Philippines: Health Sector Policy Support Program, Department of Health; October, 2007;
  37. Banta D. What is the efficacy/effectiveness of antenatal car and the financial and organizational implications?. Copenhagen: WHO Regional Office for Europe; 2003;[Health Evidence Network report; http://www.euro.who.int/Document/E82996.pdf]
  38. Erbaydar T. Utilization of prenatal care in poorer and wealthier urban neighbourhoods in Turkey. The European Journal of Public Health. 2003;13:320–326
  39. Navaneetham K, Dharmalingam A. Utilization of maternal health care services in Southern India. Social Science & Medicine. 2002;55:1849–1869
  40. Taguchi N, Kawabata M, Maekawa M, Maruo T, Dewata L. Influence of socio-economic background and antenatal care programmes on maternal mortality in Surabaya, Indonesia. Tropical Medicine & International Health. 2003;8:847–852
  41. Troop P, Goldacre M, Mason A, Cleary R. Health outcome indicators: normal pregnancy and childbirth. Oxford, UK: National Centre for Health Outcomes Development; 1999;
  42. An Assessment of DHS-I Data Quality: DHS Methodological Reports. In: Development IR, editor. Columbia, MD: Institute for Resource Development, Macro Systems Inc.; 1990.
  43. Pullum TW. An assessment of age and date reporting in the DHS surveys, 1985–2003. DHS Methodological Report 5. Calverton, MD: Macro International Inc.; 2006;
  44. Stanton CK. Methodological issues in the measurement of birth preparedness in support of safe motherhood. Evaluation Review. 2004;28:179–200
  45. Frankenberg E, Thomas D. Women's health and pregnancy outcomes: do services make a difference?. Demography. 2001;38:253–265
  46. Number of Families, Median Annual Income and Median Annual Expenditures in the Philippines, by Region: 1998, 1991, 1994, and 1997. Family Income and Expenditures Survey, Income and Employment Statistics Division, Household Statistics Department, National Statistics Office, Republic of the Philippines; 1998.
  47. Percentage Increase in Average Annual Income and Average Annual Expenditure by Region: 1994–1997. Family Income and Expenditure Survey, Income and Employment Statistics Division, Household Statistics Department, National Statistics Office, Republic of the Philippines; 1998.
  48. Allison PD. Logistic regression using the SAS system: theory and application. SAS Publishing; 1999;
  49. Quimbo SA, Peabody JW, Shimkhada R, Woo K, Solon O. Should we have confidence if a physician is accredited? A study of the relative impacts of accreditation and insurance payments on quality of care in the Philippines. Social Science & Medicine. 2008;
  50. Di Mario S. What is the effectiveness of antenatal care? (Supplement). Copenhagen: WHO Regional Office for Europe; 2005;[Health Evidence Network report; http://www.euro.who.int/Document/E87997.pdf]

PII: S0168-8510(09)00056-6

doi: 10.1016/j.healthpol.2009.02.009

Health Policy
Volume 92, Issue 1 , Pages 55-64 , September 2009