Investigating the impact of health insurance coverage on the provision and accessibility of pediatric healthcare services in Benin.

Abstract

Background: Access to pediatric healthcare services in Benin remains a critical challenge, particularly for low-income families. The Assurance pour le Renforcement du Capital Humain (ARCH) program was introduced to improve healthcare accessibility through health insurance coverage. However, disparities persist due to systemic inefficiencies, financial barriers, and regional disparities. This study examines the impact of health insurance coverage on the provision and accessibility of pediatric healthcare services in Benin, assessing the effectiveness of the ARCH program and identifying remaining challenges.

Methods and Materials: The research employs a mixed-methods approach, incorporating both quantitative data analysis from health facilities and qualitative insights from interviews and focus groups with families, healthcare providers, and administrators. Data sources include health service utilization records, patient demographics, and outcomes before and after the implementation of ARCH. Statistical analysis will be applied to evaluate service utilization rates, while thematic analysis will assess patient and provider experiences.

Results: Preliminary findings suggest that while ARCH has improved access to pediatric healthcare, gaps remain in insurance enrollment, affordability, and service delivery, particularly in rural areas. Enrollment figures indicate that coverage remains below the government’s initial target, leaving many children uninsured. Socioeconomic barriers, healthcare infrastructure limitations, and fragmented health financing systems continue to affect pediatric healthcare accessibility. However, expanding insurance coverage, integrating health services, and leveraging international partnerships present opportunities for improvement.

Conclusion: Health insurance plays a crucial role in enhancing pediatric healthcare accessibility in Benin, but challenges such as low enrollment, systemic inefficiencies, and socioeconomic disparities must be addressed. Strengthening policy frameworks, improving insurance outreach, and ensuring financial sustainability are critical for optimizing the impact of programs like ARCH. The study’s findings will inform policymakers on strategies to enhance pediatric healthcare access and equity in Benin, contributing to improved health outcomes for children.