Large and persistent subnational inequalities in reproductive, maternal, newborn and child health intervention coverage in sub-Saharan Africa.

BMJ Global Health
Cheikh Mbacké FayeTies Boerma

Abstract

Subnational inequalities have received limited attention in the monitoring of progress towards national and global health targets during the past two decades. Yet, such data are often a critical basis for health planning and monitoring in countries, in support of efforts to reach all with essential interventions. Household surveys provide a rich basis for interventions coverage indicators on reproductive, maternal, newborn and child health (RMNCH) at the country first administrative level (regions or provinces). In this paper, we show the large subnational inequalities that exist in RMNCH coverage within 39 countries in sub-Saharan Africa, using a composite coverage index which has been used extensively by Countdown to 2030 for Women's, Children's and Adolescent's Health. The analyses show the wide range of subnational inequality patterns such as low overall national coverage with very large top inequality involving the capital city, intermediate national coverage with bottom inequality in disadvantaged regions, and high coverage in all regions with little inequality. Even though nearly half of the 34 countries with surveys around 2004 and again around 2015 appear to have been successful in reducing subnational inequalities in ...Continue Reading

References

Mar 28, 2008·Bulletin of the World Health Organization·Jos VandelaerDeo Nshimirimana
Jan 26, 2016·The Lancet Global Health·Mercy KanyukaTim Colbourn
Jan 30, 2016·International Journal for Equity in Health·Ahmad Reza HosseinpoorCesar G Victora
Feb 23, 2018·American Journal of Public Health·Cesar Gomes VictoraAluisio J D Barros
Aug 30, 2018·PloS One·Jennifer YourkavitchStephen Delgado

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Citations

Aug 26, 2020·BMJ Global Health·Peter M MachariaEmelda A Okiro
Jan 8, 2021·Pediatric Health, Medicine and Therapeutics·Habteyes Hailu Tola, Dinka Fikadu Gamtesa
Mar 1, 2021·Lancet·Richard CooksonFiorella Parra Mujica

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