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The problem
Intervention: Health insurance coverage for mothers and children
Who it was tested with: Mothers and children in West African countries.
Experience from people who deliver programmes: stories, case studies and lessons learned. Valuable for understanding how and why, and for spotting what to test next, but not a measure of effect.
[tier lowered: the text shows no before-and-after measurement] "Following screening, we retained 49 studies representing 51 study settings. In most study settings, health insurance increased access to child and maternal health services." This indicates a synthesis of multiple observational/quasi-experimental studies rather than a single controlled trial, so a lower evidence tier with moderate confidence is appropriate.
The review combines studies of differing designs and quality, so the strength and consistency of the causal link between insurance and access cannot be fully determined; further research on sustainable implementation is needed.
Across countries and designs
1 study · 0 countries