The influence of community based health insurance on the utilization of maternal health services in Karisimbi Health Zone, North- Kivu, Democratic Republic of Congo

Introduction: While research has evaluated the impact of health insurance on healthcare utilization, few studies have focused on the effects of CBHI on maternal healthcare service utilization. By analyzing the different findings of previously conducted studies, this study aims to determine the influence of CBHI on maternal health care service utilization. Method: This is a retrospective case-control study based on data collected in the households of breastfeeding women who gave birth during the period from January to December 2021. Data collected on the tablets were analyzed using STATA statistical software. Results: The results show that marital status, ꭔ2(4, N=804)= 304.4, p < 0.001, socio-economic status ,ꭔ2 (1, N=804) =174.53, p < 0.001, and education level have a significant influence on the use of maternal health services p=0.001. In addition, use of antenatal care services, ꭔ2 =191.69, p<0.001, types of services received during antenatal care visits, ꭔ2(1, N=804) =47.225, p=0.001, number of deliveries in a health facility, ꭔ2 (3, N=804) =133. 86, p<0.001, mode of payment of delivery fees and use of postnatal services were associated with CBHI membership status, ꭔ2(1, N=804) =47.225, p=0.001. Discussion and Conclusion: Community membership showed great potential in increasing the use of maternal health services. Extending CBHIS would require taking into account the socio-economic status of individuals and the availability of services in primary health care facilities. Barriers to extending CBHI S should be examined in greater detail in future studies.