IDEAS home Printed from https://ideas.repec.org/a/bla/afrdev/v29y2017i4p630-647.html
   My bibliography  Save this article

Inequity in Maternal and Child Health Care Utilization in Nigeria

Author

Listed:
  • Rifkatu Nghargbu
  • Olanrewaju Olaniyan

Abstract

The study assesses the degree and patterns of horizontal inequity in maternal and child health care utilization in Nigeria. Horizontal inequity was estimated using concentration curves and a standardized concentration index, which was decomposed into need and non†need variables to capture the major drivers of inequity in utilization. Maternal and child health care utilization was measured by antenatal visits, skilled delivery and immunization utilization. Four rounds of Nigerian Demographic and Health Survey (DHS) data (1999, 2003, 2008, 2013) were used. The results show a positive horizontal inequity index from 1999 to 2013; which indicates that there is pro†rich inequity in utilization of antenatal, skilled delivery and immunization, respectively. The study concludes that there is higher and increasing inequity in maternal health care while inequity in utilization of child health care decreased over time with wealth status and education as the major non†need drivers of inequity in utilization. Interventions to enhance women's wealth status and education could significantly improve equity in skilled delivery and antenatal care utilization. Hence wealth creation, women empowerment and education should be given more attention to improve the deteriorating equity in maternal health care utilization.

Suggested Citation

  • Rifkatu Nghargbu & Olanrewaju Olaniyan, 2017. "Inequity in Maternal and Child Health Care Utilization in Nigeria," African Development Review, African Development Bank, vol. 29(4), pages 630-647, December.
    • Handle: RePEc:bla:afrdev:v:29:y:2017:i:4:p:630-647
    DOI: 10.1111/1467-8268.12301
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/1467-8268.12301
    Download Restriction: no
    File URL: https://libkey.io/10.1111/1467-8268.12301?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Kodjo Abalo & Akoété Ega Agbodji & Yélé Maweki Batana, 2014. "Nutritional Health Inequalities among Children in Togo," African Development Review, African Development Bank, vol. 26(4), pages 584-596, December.
    2. Fleurbaey, Marc & Schokkaert, Erik, 2009. "Unfair inequalities in health and health care," Journal of Health Economics, Elsevier, vol. 28(1), pages 73-90, January.
    3. Marc Fleurbaey, 2006. "Health, equity and social welfare," Annals of Economics and Statistics, GENES, issue 83-84, pages 21-59.
    4. Sarah Ssewanyana & Ibrahim Kasirye, 2012. "Causes of Health Inequalities in Uganda: Evidence from the Demographic and Health Surveys," African Development Review, African Development Bank, vol. 24(4), pages 327-341.
    5. Adam Wagstaff & Eddy van Doorslaer, 2000. "Measuring and Testing for Inequity in the Delivery of Health Care," Journal of Human Resources, University of Wisconsin Press, vol. 35(4), pages 716-733.
    6. John Anyanwu, 2007. "Demand for Health Care Institutions' Services: Evidence from Malaria Fever Treatment in Nigeria," African Development Review, African Development Bank, vol. 19(2), pages 304-334.
    7. repec:adr:anecst:y:2006:i:83-84:p:02 is not listed on IDEAS
    8. Huda Ahmed & Hatim Mahran, 2009. "Determinants of Demand for Delivery Services in Sudan: An Empirical Investigation with Reference to Khartoum State, 2004," African Development Review, African Development Bank, vol. 21(3), pages 514-557.
    9. Culyer, A. J. & Wagstaff, Adam, 1993. "Equity and equality in health and health care," Journal of Health Economics, Elsevier, vol. 12(4), pages 431-457, December.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Godfrey I. Ihedimma & Godwin I. Opara, 2020. "An Account of Disproportionate Child Healthcare Utilization in Nigeria," Research Africa Network Working Papers 20/048, Research Africa Network (RAN).
    2. Mohamed Vadel Taleb El Hassen & Juan M. Cabases & Moulay Driss Zine Eddine El Idrissi & Samuel Mills, 2022. "Changes in Inequality in Use of Maternal Health Care Services: Evidence from Skilled Birth Attendance in Mauritania for the Period 2007–2015," IJERPH, MDPI, vol. 19(6), pages 1-17, March.
    3. Singh, Tejendra Pratap & Yusuff, Olanrewaju, 2024. "Unlocking Health Potential: Effects of Free Maternal and Child Health Program," OSF Preprints y6wzt, Center for Open Science.
    4. Godfrey I. Ihedimma & Godwin I. Opara, 2020. "An Account of Disproportionate Child Healthcare Utilization in Nigeria," Working Papers of the African Governance and Development Institute. 20/048, African Governance and Development Institute..
    5. Godfrey I. Ihedimma & Godwin I. Opara, 2020. "An Account of Disproportionate Child Healthcare Utilization in Nigeria," Working Papers 20/048, European Xtramile Centre of African Studies (EXCAS).
    6. Kinyondo, Abel Alfred & Ntegwa, Magashi Joseph & Masawe, Cresencia Apolinary, 2022. "Socioeconomic Inequality in Maternal Healthcare Services: The Case of Tanzania," African Journal of Economic Review, African Journal of Economic Review, vol. 10(1), January.
    7. M. Boubacar Bathily & Omar Sene, 2021. "Décomposition des sources d'inégalité d'accès à la santé de l'enfant: Une analyse comparative de quelques pays d'Afrique Subsaharienne," African Development Review, African Development Bank, vol. 33(2), pages 221-233, June.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Fleurbaey, Marc & Schokkaert, Erik, 2009. "Unfair inequalities in health and health care," Journal of Health Economics, Elsevier, vol. 28(1), pages 73-90, January.
    2. Pulok, Mohammad Habibullah & van Gool, Kees & Hall, Jane, 2020. "Horizontal inequity in the utilisation of healthcare services in Australia," Health Policy, Elsevier, vol. 124(11), pages 1263-1271.
    3. Paolo Li Donni & Vito Peragine & Giuseppe Pignataro, 2014. "Ex‐Ante And Ex‐Post Measurement Of Equality Of Opportunity In Health: A Normative Decomposition," Health Economics, John Wiley & Sons, Ltd., vol. 23(2), pages 182-198, February.
    4. Schokkaert, Erik & Van de Voorde, Carine, 2009. "Direct versus indirect standardization in risk adjustment," Journal of Health Economics, Elsevier, vol. 28(2), pages 361-374, March.
    5. Zhao, Guangchuan & Cao, Xinbang & Ma, Chao, 2020. "Accounting for horizontal inequity in the delivery of health care: A framework for measurement and decomposition," International Review of Economics & Finance, Elsevier, vol. 66(C), pages 13-24.
    6. Eric French & Elaine Kelly & Richard Cookson & Carol Propper & Miqdad Asaria & Rosalind Raine, 2016. "Socio‐Economic Inequalities in Health Care in England," Fiscal Studies, Institute for Fiscal Studies, vol. 37, pages 371-403, September.
    7. Antonio Abatemarco & Massimo Aria & Sergio Beraldo & Michela Collaro, 2023. "Measuring Access and Inequality of Access to Health Care: a Policy-Oriented Decomposition," CSEF Working Papers 666, Centre for Studies in Economics and Finance (CSEF), University of Naples, Italy.
    8. repec:dau:papers:123456789/13753 is not listed on IDEAS
    9. Philippe Batifoulier & John Latsis & Jacques Merchiers, 2010. "Les priorités de la prise en charge financière des soins. Une approche par la philosophie du besoin," EconomiX Working Papers 2010-2, University of Paris Nanterre, EconomiX.
    10. repec:dau:papers:123456789/11716 is not listed on IDEAS
    11. Florence Jusot & Sandy Tubeuf & Alain Trannoy, 2010. "Effort or Circumstances: Does the Correlation Matter for Inequality of Opportunity in Health?," Working Papers DT33, IRDES institut for research and information in health economics, revised Jul 2010.
    12. Florence Jusot & Sabine Mage & Marta Menendez, 2014. "Inequality of Opportunity in Health in Indonesia," Working Papers DT/2014/06, DIAL (Développement, Institutions et Mondialisation).
    13. Van de Poel, Ellen & Van Doorslaer, Eddy & O’Donnell, Owen, 2012. "Measurement of inequity in health care with heterogeneous response of use to need," Journal of Health Economics, Elsevier, vol. 31(4), pages 676-689.
    14. Florence Jusot & Sandy Tubeuf & Alain Trannoy, 2013. "Circumstances And Efforts: How Important Is Their Correlation For The Measurement Of Inequality Of Opportunity In Health?," Health Economics, John Wiley & Sons, Ltd., vol. 22(12), pages 1470-1495, December.
    15. Audun Langørgen, 2004. "Needs, economic constraints, and the distribution of public home-care," Applied Economics, Taylor & Francis Journals, vol. 36(5), pages 485-496.
    16. Pulok, Mohammad Habibullah & van Gool, Kees & Hall, Jane, 2020. "Inequity in physician visits: the case of the unregulated fee market in Australia," Social Science & Medicine, Elsevier, vol. 255(C).
    17. Antonio Abatemarco & Sergio Beraldo & Francesca Stroffolini, 2020. "Equality of opportunity in health care: access and equal access revisited," International Review of Economics, Springer;Happiness Economics and Interpersonal Relations (HEIRS), vol. 67(1), pages 13-29, March.
    18. Richard Agbanyo, 2020. "Ghana's national health insurance, free maternal healthcare and facility‐based delivery services," African Development Review, African Development Bank, vol. 32(1), pages 27-41, March.
    19. Pia Schneider & Kara Hanson, 2006. "Horizontal equity in utilisation of care and fairness of health financing: a comparison of micro‐health insurance and user fees in Rwanda," Health Economics, John Wiley & Sons, Ltd., vol. 15(1), pages 19-31, January.
    20. repec:dau:papers:123456789/14339 is not listed on IDEAS
    21. Adam Wagstaff & Daniel Cotlear & Patrick Hoang-Vu Eozenou & Leander R. Buisman, 2016. "Measuring progress towards universal health coverage: with an application to 24 developing countries," Oxford Review of Economic Policy, Oxford University Press and Oxford Review of Economic Policy Limited, vol. 32(1), pages 147-189.
    22. Joan Costa-Font & Frank A. Cowell, 2022. "The measurement of health inequalities: does status matter?," The Journal of Economic Inequality, Springer;Society for the Study of Economic Inequality, vol. 20(2), pages 299-325, June.
    23. Moreno-Serra, R & Smith, PC, 2012. "Towards an index of health coverage," Working Papers 10422, Imperial College, London, Imperial College Business School.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bla:afrdev:v:29:y:2017:i:4:p:630-647. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://edirc.repec.org/data/afdbgci.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.