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International Journal of Public Health

Erschienen in:

23.03.2018 | Original Article

Disparities in maternal health services in sub-Saharan Africa

verfasst von: Mulu Abraha Woldegiorgis, Janet E. Hiller, Wubegzier Mekonnen, Jahar Bhowmik

Erschienen in: International Journal of Public Health | Ausgabe 4/2018

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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.

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Titel: Disparities in maternal health services in sub-Saharan Africa
verfasst von: Mulu Abraha Woldegiorgis
Janet E. Hiller
Wubegzier Mekonnen
Jahar Bhowmik
Publikationsdatum: 23.03.2018
Verlag: Springer International Publishing
Erschienen in: International Journal of Public Health / Ausgabe 4/2018
Print ISSN: 1661-8556
Elektronische ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-018-1086-6

Springer Medizin

Abstract

Objectives

Methods

Results

Conclusions

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