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Socioeconomic inequalities in maternal health service utilisation: a case of antenatal care in Nigeria using a decomposition approach

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dc.date.accessioned 2019-11-19T09:15:17Z
dc.date.available 2019-11-19T09:15:17Z
dc.date.issued 2019-11-19 en
dc.identifier.uri http://hdl.handle.net/20.500.11910/15025
dc.description.abstract Antenatal care (ANC) services are critical for maternal health but Nigeria performs poorly in ANC utilisation compared to other countries in sub-Saharan Africa. This study aimed to assess socioeconomic inequalities in ANC utilisation and the determinants of these inequalities in Nigeria. The 2013 Nigeria Demographic and Health Survey data with 18,559 women was used for analysis. The paper used concentration curves and indices for different measures of ANC utilisation (no ANC visit, 13 ANC visits, at least four ANC visits, and the number of ANC visits). A positive (or negative) concentration index means that the measure of ANC utilisation was concentrated on the richer (poorer) population compared to their poorer (richer) counterparts. The concentration indices were also decomposed using standard methodologies to examine the significant determinants of the socioeconomic inequalities in no ANC visit, at least four ANC visits, and the number of ANC visits. No ANC visit was disproportionately concentrated among the poor, whereas at least four ANC visits and a higher number of ANC visits were disproportionately concentrated among the rich. While these results were consistent across all the geopolitical zones and rural and urban areas, the inequalities were more prevalent in the northern zones (which also have the highest incidence of poverty in the country) and the rural areas. The significant contributors to inequalities in ANC utilisation were the zone of residence, wealth, womens education (especially secondary) and employment, urban-rural residence, ethnicity, spousal education, and problems with obtaining permission to seek health care and distance to the clinic. Addressing wealth inequalities, enhancing literacy, employment and mitigating spatial impediments to health care use will reduce socioeconomic inequalities in ANC utilisation in Nigeria. These factors are the social determinants of health inequalities. Thus, a social determinants of health approach is needed to address socioeconomic inequalities in ANC coverage in Nigeria. en
dc.format.medium Print en
dc.publisher OECD en
dc.subject MATERNAL HEALTH en
dc.subject SOCIO-ECONOMIC INEQUALITIES en
dc.subject NIGERIA en
dc.subject ANTENATAL CARE en
dc.title Socioeconomic inequalities in maternal health service utilisation: a case of antenatal care in Nigeria using a decomposition approach en
dc.type Journal Article en
dc.description.version Y en
dc.ProjectNumber N/A en
dc.Volume 19(1493) en
dc.BudgetYear 2019/20 en
dc.ResearchGroup Economic Perfomance and Development en
dc.SourceTitle BMC Public Health en
dc.ArchiveNumber 11074 en
dc.URL http://ktree.hsrc.ac.za/doc_read_all.php?docid=21878 en
dc.PageNumber Online en
dc.outputnumber 10179 en
dc.bibliographictitle Nwosu, C.O. & Ataguba, J.E. (2019) Socioeconomic inequalities in maternal health service utilisation: a case of antenatal care in Nigeria using a decomposition approach. <i>BMC Public Health</i>. 19(1493):Online. en
dc.publicationyear 2019 en
dc.contributor.author1 Nwosu, C.O. en
dc.contributor.author2 Ataguba, J.E. en


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