Introduction
Reproductive health in Ethiopia
Family Planninga
| Antenatal careb
| Skilled attendance at birthc
| ||||
---|---|---|---|---|---|---|
Number of observations | Coverage % | Number of observations | Coverage % | Number of observations | Coverage % | |
Wealth | ||||||
Least-poor | 2190 | 48 | 1644 | 56 | 2172 | 55 |
Less-poor | 1816 | 27 | 1227 | 22 | 1869 | 9 |
Middle | 18613 | 19 | 1239 | 15 | 1863 | 4 |
Poorer | 2022 | 17 | 1351 | 11 | 2111 | 4 |
Poorest | 3478 | 7 | 2276 | 8 | 3620 | 3 |
Location | ||||||
Urban | 1907 | 46 | 1496 | 56 | 1985 | 59 |
Rural | 9612 | 17 | 6241 | 14 | 9646 | 5 |
Education | ||||||
No education | 7788 | 15 | 5167 | 13 | 8124 | 6 |
Education | 3431 | 36 | 2570 | 40 | 3507 | 32 |
Head of Household | ||||||
Female headed household | 2122 | 16 | 1557 | 25 | 2183 | 21 |
Male headed household | 9097 | 23 | 6180 | 21 | 9448 | 13 |
Employment status | ||||||
Not employed | 7825 | 18 | 5296 | 19 | 8134 | 12 |
Employed | 3383 | 29 | 2431 | 30 | 3480 | 20 |
Health insurance | ||||||
No health insurance | 11155 | 22 | 7679 | 22 | 11559 | 14 |
Health insurance | 58 | 53 | 50 | 72 | 59 | 73 |
Age | ||||||
15–19 years | 514 | 18 | 416 | 17 | 514 | 14 |
20–24 years | 2344 | 26 | 1594 | 24 | 2338 | 18 |
25–29 years | 3506 | 22 | 2283 | 24 | 3632 | 17 |
30–34 years | 2266 | 21 | 1501 | 22 | 2366 | 13 |
35–39 years | 1692 | 21 | 1195 | 22 | 1788 | 10 |
>40 years | 954 | 16 | 748 | 15 | 993 | 7 |
Birth order | ||||||
First birth | 2248 | 29 | 1471 | 35 | 2298 | 29 |
Second birth | 1963 | 28 | 1331 | 30 | 2022 | 20 |
Third birth | 1630 | 21 | 1078 | 19 | 1686 | 12 |
Fourth birth | 1408 | 18 | 970 | 18 | 1458 | 10 |
Fifth or subsquent birth | 3970 | 16 | 2287 | 14 | 4167 | 6 |
Reporting problem
| ||||||
Permission to go | ||||||
Problem | 3784 | 15 | 2477 | 12 | 3927 | 7 |
Not a problem | 7433 | 25 | 5254 | 27 | 7695 | 18 |
Getting money | ||||||
Problem | 7826 | 18 | 5283 | 17 | 8095 | 10 |
Not a problem | 3392 | 28 | 2449 | 32 | 3528 | 24 |
Distance to facility | ||||||
Problem | 8304 | 17 | 5552 | 15 | 8594 | 8 |
Not a problem | 2912 | 35 | 2178 | 40 | 3027 | 32 |
Transportation | ||||||
Problem | 8697 | 18 | 5824 | 16 | 9002 | 9 |
Not a problem | 2520 | 35 | 1907 | 41 | 2620 | 33 |
Going alone | ||||||
Problem | 7014 | 19 | 4733 | 18 | 7273 | 10 |
Not a problem | 4202 | 26 | 2998 | 29 | 4348 | 22 |
No female provider | ||||||
Problem | 7178 | 18 | 4800 | 17 | 7435 | 10 |
Not a problem | 4037 | 28 | 2931 | 30 | 4185 | 21 |
No provider | ||||||
Problem | 7557 | 19 | 5087 | 19 | 7821 | 11 |
Not a problem | 3661 | 28 | 2645 | 29 | 3802 | 20 |
No drugs | ||||||
Problem | 7753 | 19 | 5237 | 19 | 8031 | 11 |
Not a problem | 3465 | 28 | 2495 | 29 | 3592 | 21 |
Workload at home | ||||||
Problem | 7511 | 19 | 5030 | 17 | 7782 | 10 |
Not a problem | 3701 | 27 | 2698 | 31 | 3835 | 23 |
Religion | ||||||
Muslim | 5211 | 14 | 3350 | 17 | 5435 | 11 |
Protestant | 2180 | 22 | 1476 | 18 | 2233 | 10 |
Orthodox | 3485 | 34 | 2680 | 31 | 3613 | 22 |
Other religion | 338 | 11 | 227 | 11 | 345 | 6 |
Region | ||||||
Tigray | 1164 | 21 | 846 | 30 | 1202 | 11 |
Affar | 1105 | 5 | 713 | 8 | 1128 | 5 |
Amhara | 1226 | 30 | 959 | 12 | 1291 | 9 |
Oromiya | 1694 | 23 | 1100 | 19 | 1759 | 9 |
Somali | 953 | 3 | 559 | 8 | 1027 | 8 |
Benishangul-Gumuz | 982 | 20 | 670 | 15 | 1015 | 8 |
SNNPR | 1576 | 23 | 1051 | 17 | 1612 | 6 |
Gambela | 834 | 18 | 605 | 23 | 847 | 17 |
Harari | 626 | 31 | 439 | 34 | 659 | 32 |
Addis Ababa | 383 | 68 | 344 | 87 | 399 | 85 |
Dire Dawa | 676 | 22 | 451 | 36 | 692 | 35 |
Total | 11219 | 22 | 7737 | 22 | 11631 | 14 |
Purpose of study
Methods
Measures of inequality in reproductive health
Data material
Ethical approval
Variables of interest
Regression analysis
Inequality analysis
Results
Determinants of reproductive health coverage
Family Planning | Antenatal Care | Skilled Birth Attendance | |
---|---|---|---|
Wealth | |||
Poorest | 0.270***
| 0.301***
| 0.237***
|
Poorer | 0.436***
| 0.419***
| 0.336***
|
Middle | 0.452***
| 0.485***
| 0.294***
|
Less-poor | 0.653*
| 0.674*
| 0.492***
|
Least-poor
| 1.000 | 1.000 | 1.000 |
Education | 1.347**
| 1.865***
| 2.144***
|
Urban | 0.939 | 1.159 | 3.357***
|
Female headed household | 0.484***
| 0.940 | 1.326 |
Employed | 1.581***
| 1.449***
| 1.299 |
Birth order | |||
Second birth | 1.415*
| 0.905 | 0.508***
|
Third birth | 1.324 | 0.612*
| 0.553*
|
Forth birth | 0.968 | 0.694 | 0.309***
|
Fifth or subsequent birth | 0.869 | 0.664*
| 0.323***
|
First birth
| 1.000 | 1.000 | 1.000 |
Reported problem | |||
Getting permission to go | 1.084 | 0.697**
| 0.808 |
Religion | |||
Protestant | 1.724**
| 0.714 | 1.343 |
Orthodox | 1.676**
| 1.091 | 1.937***
|
Other religion | 0.733 | 0.678 | 1.151 |
Muslim
| 1.000 | 1.000 | 1.000 |
Region | |||
Affar | 0.383**
| 0.079***
| 0.288***
|
Amhara | 1.091 | 0.069***
| 0.417**
|
Somali | 0.129***
| 0.044***
| 0.597 |
Benishangul-Gumuz | 0.793 | 0.122***
| 0.657 |
SNNPR | 0.719 | 0.145***
| 0.367*
|
Gambela | 0.748 | 0.263***
| 1.267 |
Harari | 0.739 | 0.152***
| 1.250 |
Dire Dawa | 0.567*
| 0.212***
| 2.565**
|
Oromiya | 0.752 | 0.129***
| 0.503*
|
Tigray | 0.486**
| 0.193***
| 0.254***
|
Addis Ababa
| 1.000 | 1.000 | 1.000 |
Previous health care use | |||
Antenatal care | 1.904***
| 3.012***
| |
Skilled attendance at birth | 1.564**
| ||
N
| 7422 | 7708 | 7702 |
pseudo R
2
| 0.138 | 0.175 | 0.403 |
Family planning
Antenatal care
Skilled birth attendance
Family planning | Antenatal Care | Skilled Birth Attendance |
---|---|---|
0,274 | 0,278 | 0,263 |
Unmet Need for Family Planning | Antenatal Care | Skilled Birth Attendance | ||||
---|---|---|---|---|---|---|
Absolute Contribution | % contribution | Absolute Contribution | % contribution | Absolute Contribution | % contribution | |
Wealth | ||||||
Poorest | 0,000 | 0,0 | 0,175 | 62,9 | 0,000 | 0,0 |
Poorer | −0,018 | −6,7 | 0,064 | 22,9 | −0,002 | −0,6 |
Middle | 0,006 | 2,2 | −0,019 | −6,7 | 0,000 | −0,2 |
Less-poor | 0,055 | 20,2 | −0,059 | −21,0 | 0,004 | 1,5 |
Least-poor | 0,119 | 43,4 | 0,000 | 0,0 | 0,081 | 30,9 |
Education | 0,022 | 8,1 | 0,038 | 13,7 | 0,028 | 10,7 |
Urban | - | - | - | - | 0,099 | 37,5 |
Female headed household | −0,003 | −1,1 | - | - | - | - |
Employed | 0,011 | 4,1 | 0,007 | 2,6 | 0,002 | 0,7 |
Religion | ||||||
Protestant | 0,000 | 0,0 | - | - | 0,000 | 0,0 |
Orthodox | 0,000 | 0,1 | - | - | 0,004 | 1,3 |
Other religion | 0,004 | 1,3 | - | - | 0,000 | 0,1 |
Muslim | 0,004 | 1,6 | - | - | 0,001 | 0,3 |
Region | ||||||
Affar | 0,000 | 0,0 | 0,001 | 0,5 | 0,003 | 1,1 |
Amhara | −0,005 | −1,7 | 0,004 | 1,5 | 0,009 | 3,4 |
Somali | 0,001 | 0,5 | 0,003 | 1,1 | 0,004 | 1,6 |
Benishangul-gumuz | 0,000 | −0,1 | 0,000 | 0,1 | 0,001 | 0,4 |
SNNRP | −0,001 | −0,4 | 0,003 | 1,0 | 0,008 | 3,1 |
Gambela | 0,000 | 0,0 | 0,000 | 0,0 | 0,000 | 0,1 |
Harari | 0,000 | 0,1 | 0,000 | 0,0 | 0,000 | −0,2 |
Dire Dawa | 0,000 | 0,0 | 0,000 | 0,1 | 0,000 | 0,0 |
Oromiya | 0,003 | 0,9 | −0,004 | −1,3 | −0,011 | −4,2 |
Tigray | 0,001 | 0,2 | −0,001 | −0,3 | 0,003 | 1,3 |
Addis Ababa | 0,009 | 3,3 | 0,028 | 10,0 | 0,002 | 0,9 |
Previous health care use | ||||||
Antenatal Care | 0,036 | 13,1 | - | - | 0,035 | 13,4 |
Skilled Birth Attendance | 0,027 | 9,7 | - | - | - | - |
Residual | 0,003 | 1,2 | 0,036 | 13,1 | −0,008 | −3,1 |
Total | 0,274 | 100,0 | 0,278 | 100,0 | 0,263 | 100 |