Socio-economic inequalities in access to maternal and child healthcare in Nigeria: changes over time and decomposition analysis

Health Policy and Planning
Oludamilola AdeyanjuTim Ensor

Abstract

This article examines socioeconomic inequalities in maternal and child health care in Nigeria over an 18-year period. Studies demonstrate that maternal and child mortality is much higher amongst the poor in low-income countries, with access to health care concentrated among the wealthiest. Evidence suggests that in Nigeria inequalities in access to quality services continue to persist. We use data from two rounds of the Nigerian Demographic and Heath Survey (NDHS) conducted in 1990 and 2008 and measure inequalities in maternal and child health care variables across socioeconomic status using concentration curves and indices. Factors contributing to the inequalities are investigated using decomposition analysis. The results show that in 1990, maternal access to skilled assistance during delivery had the highest levels of inequalities. It reveals that child and maternal health inequalities appear to be determined by different factors and while inequalities in child care have declined, inequalities in maternal care have increased. We discuss the findings in relation to the much greater attention paid to child health programmes. The findings of this study call for specific maternal programmes targeting the poor, less educated and r...Continue Reading

References

May 29, 2007·Scandinavian Journal of Public Health·Carl Otto SchellAnna Mia Ekström
May 2, 2009·Journal of Epidemiology and Community Health·L D HoweS R A Huttly
Aug 13, 2009·BMC Pregnancy and Childbirth·Sabine Gabrysch, Oona M R Campbell
Jan 6, 2012·Journal of Pharmacy & Bioallied Sciences·Menizibeya Osain Welcome
May 11, 2013·Nigerian Medical Journal : Journal of the Nigeria Medical Association·Suleman Hadejia IdrisMuhammed Sani Ibrahim
May 3, 2014·Journal of Community Health Nursing·Mabel Ezeonwu, Bobbie Berkowitz

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Citations

Nov 21, 2019·PloS One·Gowokani Chijere ChirwaJesman Chintsanya
Dec 13, 2018·International Journal for Equity in Health·Kehinde O Omotoso, Steven F Koch
Nov 9, 2018·Journal of Health, Population, and Nutrition·Joshua O AkinyemiBabatunde M Gbadebo
Mar 30, 2020·International Journal for Equity in Health·Oluwasegun Jko OgundeleWim Groot
Nov 13, 2019·International Journal for Equity in Health·Yongjian XuDuolao Wang
Mar 1, 2021·Lancet·Richard CooksonFiorella Parra Mujica

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