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Disparities in maternal health services in sub-Saharan Africa

Author

Listed:
  • Mulu Abraha Woldegiorgis

    (Swinburne University of Technology)

  • Janet E. Hiller

    (Swinburne University of Technology
    University of Adelaide)

  • Wubegzier Mekonnen

    (Addis Ababa University)

  • Jahar Bhowmik

    (Swinburne University of Technology)

Abstract

Objectives To examine the progress of and disparities in the provision of key maternal health services in the sub-Saharan Africa (SSA) region. Methods A time-trend analysis of disparities in antenatal care (ANC) and skilled birth attendance (SBA) coverage in SSA over the last 25 years was conducted. The average values of each country’s 5-year period data were used for analysis. Absolute and relative disparities were examined by time period, economic class, geographic group and clusters. Analysis of variance was used to compare progresses in coverage across time. Results Regional median ANC coverage and SBA increased by 8% points and 15% points, respectively, during the 25-year period. The rank score of SBA has shown significant improvement only in the recent period. A 33.3% disparity between ANC and SBA was observed in the most recent period. The relative disparity by economic class and cluster was higher for SBA than ANC coverage. Conclusions The region showed improvement in both indicators across time. Regional disparity in ANC narrowed down while that of SBA remained high. These were mainly associated with economic class and cluster of countries.

Suggested Citation

  • Mulu Abraha Woldegiorgis & Janet E. Hiller & Wubegzier Mekonnen & Jahar Bhowmik, 2018. "Disparities in maternal health services in sub-Saharan Africa," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(4), pages 525-535, May.
    • Handle: RePEc:spr:ijphth:v:63:y:2018:i:4:d:10.1007_s00038-018-1086-6
    DOI: 10.1007/s00038-018-1086-6
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    References listed on IDEAS

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    Cited by:

    1. Derek Asuman & Ama Pokuaa Fenny & Doreen Nyarko Anyamesem Odame, 2021. "Trends and antecedents of inequalities in maternal healthcare coverage in four African countries," Journal of International Development, John Wiley & Sons, Ltd., vol. 33(3), pages 515-544, April.

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