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Wealth and Education Inequities in Maternal and Child Health Services Utilization in Rural Ethiopia

Author

Listed:
  • Alem Desta Wuneh

    (School of Public Health, College of Health Sciences, Mekelle University, Mekelle P.O. Box 1871, Ethiopia)

  • Afework Mulugeta Bezabih

    (School of Public Health, College of Health Sciences, Mekelle University, Mekelle P.O. Box 1871, Ethiopia)

  • Yemisrach Behailu Okwaraji

    (London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK
    Ethiopian Public Health Institute, Addis Ababa P.O. Box 1242, Ethiopia)

  • Lars Åke Persson

    (London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK
    Ethiopian Public Health Institute, Addis Ababa P.O. Box 1242, Ethiopia)

  • Araya Abrha Medhanyie

    (School of Public Health, College of Health Sciences, Mekelle University, Mekelle P.O. Box 1871, Ethiopia)

Abstract

As part of the 2030 maternal and child health targets, Ethiopia strives for universal and equitable use of health services. We aimed to examine the association between household wealth, maternal education, and the interplay between these in utilization of maternal and child health services. Data emanating from the evaluation of the Optimizing of Health Extension Program intervention. Women in the reproductive age of 15 to 49 years and children aged 12–23 months were included in the study. We used logistic regression with marginal effects to examine the association between household wealth, women’s educational level, four or more antenatal care visits, skilled assistance at delivery, and full immunization of children. Further, we analyzed the interactions between household wealth and education on these outcomes. Household wealth was positively associated with skilled assistance at delivery and full child immunization. Women’s education had a positive association only with skilled assistance at delivery. Educated women had skilled attendance at delivery, especially in the better-off households. Our results show the importance of poverty alleviation and girls’ education for universal health coverage.

Suggested Citation

  • Alem Desta Wuneh & Afework Mulugeta Bezabih & Yemisrach Behailu Okwaraji & Lars Åke Persson & Araya Abrha Medhanyie, 2022. "Wealth and Education Inequities in Maternal and Child Health Services Utilization in Rural Ethiopia," IJERPH, MDPI, vol. 19(9), pages 1-12, April.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:9:p:5421-:d:805306
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    References listed on IDEAS

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    1. Luis Miguel Fonseca & José Pedro Domingues & Alina Mihaela Dima, 2020. "Mapping the Sustainable Development Goals Relationships," Sustainability, MDPI, vol. 12(8), pages 1-15, April.
    2. Richard Williams, 2012. "Using the margins command to estimate and interpret adjusted predictions and marginal effects," Stata Journal, StataCorp LP, vol. 12(2), pages 308-331, June.
    3. Rana Dahab & Dikaios Sakellariou, 2020. "Barriers to Accessing Maternal Care in Low Income Countries in Africa: A Systematic Review," IJERPH, MDPI, vol. 17(12), pages 1-17, June.
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    Cited by:

    1. Fisseha Ashebir Gebregizabher & Araya Abrha Medhanyie & Afework Mulugeta Bezabih & Lars Åke Persson & Della Berhanu Abegaz, 2023. "Is Women’s Engagement in Women’s Development Groups Associated with Enhanced Utilization of Maternal and Neonatal Health Services? A Cross-Sectional Study in Ethiopia," IJERPH, MDPI, vol. 20(2), pages 1-12, January.

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