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Inequity in Maternal and Child Health Care Utilization in Nigeria

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  • 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
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    References listed on IDEAS

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    1. 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.
    2. Singh, Tejendra Pratap & Yusuff, Olanrewaju, 2024. "Unlocking Health Potential: Effects of Free Maternal and Child Health Program," OSF Preprints y6wzt, Center for Open Science.
    3. 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..
    4. 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).
    5. 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(01), January.
    6. 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).
    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.

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