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Results

162,977

Enrollees in Nigeria, Kenya and Tanzania


16,184,200

Total disbursed loan amount in USD


1,938,199


Number of patient visits to SafeCare facilities per month


1,954

Number of active clinics in the SafeCare program

Newsroom

Sustained effect of health insurance and facility quality improvement on blood pressure in adults with hypertension in Nigeria

Sep 21, 2015


Background: Hypertension is a leading risk factor for death in sub-Saharan Africa. Quality treatment is often not
available nor affordable. We assessed the effect of a voluntary health insurance program, including quality improvement
of healthcare facilities, on blood pressure (BP) in hypertensive adults in rural Nigeria.
Methods: We compared changes in outcomes from baseline (2009) to midline (2011) and endline (2013) between
non-pregnant hypertensive adults in the insurance program area (PA) and a control area (CA), through
household surveys. The primary outcome was the difference between the PA and CA in change in BP, using
difference-in-differences analysis.
Results: Of 1500 eligible households, 1450 (96.7%) participated, including 559 (20.8%) hypertensive individuals,
ofwhich 332 (59.4%) had follow-up data. Insurance coverage increased from 0% at baseline to 41.8% at endline in
the PA and remained under 1% in the CA. The PA showed a 4.97mmHg (95% CI:−0.76 to+10.71mmHg) greater
decrease in systolic BP and a 1.81mmHg (−1.06 to+4.68mmHg) greater decrease in diastolic BP frombaseline
to endline compared to the CA. Respondents with stage 2 hypertension showed an 11.43 mm Hg (95% CI:
1.62 to 21.23mmHg) greater reduction in systolic BP and 3.15mmHg (−1.22 to+7.53mmHg) greater reduction
in diastolic BP in the PA compared to the CA. Attrition did not affect the results.

Conclusion:Access to improved quality healthcare through an insurance program in rural Nigeriawas associated
with a significant longer-term reduction in systolic BP in subjects with moderate or severe hypertension.

Read full article here

Author: Marleen E. Hendriks, Nicole T.A. Rosendaal, Ferdinand W.N.M. Wit, Oladimeji A. Bolarinwa, Berber Kramer, Daniëlla Brals, Emily Gustafsson-Wright, Peju Adenusi, Lizzy M. Brewster, Gordon K. Osagbemi, Tanimola M. Akande, Constance Schultsz

Date: September, 2015

News

On 12 September 2016, OPIC, Calvert Foundation and two private investors announce expansion
PharmAccess and its German consultancy partner GFA have won a 27.3 million Euros tender from the German development bank KfW to improve access to healthcare for low-income pregnant women in 5 regions of Tanzania.
President Felipe Nyuse of Mozambique officially opened the University Clinic

Publications

A population-based study
Date: September, 2015

Research findings on Health Insurance Fund supported programs

Date: February, 2015