Jamaica Gleaner

Women’s health advocates rap insurance companies

- Nadine Wilson-Harris/Gleaner Writer

THE POLICY of l ocal health insurance companies to have expectant mothers pay for their healthcare costs upfront and claim refunds later has potentiall­y disastrous outcomes for pregnant women.

According to representa­tives from the European Union (EU)funded ‘ Par tnership for the Promotion of Patients’ Rights in Maternal, Neonatal and Infant Health in Jamaica’ project, the policy “jeopardise­s the women’s rights to the highest attainable standard of health and risks lessthan-favourable pregnancy outcomes”.

“Maternal health is important, and ever y attempt must be made to ensure that pregnant women get timely access to the healthcare they need. While the decision taken by the insurance companies may be well founded from their perspectiv­e, it certainly discrimina­tes against women who are pregnant,” said Professor Wendel Abel, lead investigat­or for the project.

PAY OUT OWN POCKET

His comments come in the wake of The Sunday Gleaner’s lead story, which highlighte­d the plight of pregnant women who complained of having to pay out of their own pockets for their care despite having insurance coverage.

Affette McCaw-Binns, professor of reproducti­ve health and epidemiolo­gy at the University of the West Indies (UWI), believes that the Government and employers should lend their support to a rethink of how health insurance providers treat pregnant women.

“Young women 20-40 years and their partners are generally healthy. Their main health concerns revolve around their reproducti­ve health needs such as family planning resources and efficient access to antenatal care when pregnancy occurs,” McCaw-Binns said.

“Their positive health status means they are the mainstay of the health insurance system, where they invest consistent­ly more than they withdraw, except during pregnancy and childbirth,” she noted.

Advocacy specialist at the Women’s Resource and Outreach Centre Linnette Vassell believes that there is need for a national conversati­on around the issue.

“People have reservatio­ns about dealing with so-called market forces in the private sector domain when it comes to basic rights,” Vassell said. “But in this case, it is perfectly justifiabl­e for the Government and civil society to engage in a conversati­on with the private sector to enhance the health and well-being of citizens in light of our maternal mortality objective.”

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