Evidence map›Paper›PMID 26867540›Full record

ArticleBMC health services research2016

Inequalities in utilization of maternal and child health services in Ethiopia: the role of primary health care.

Solomon Tessema Memirie, Stéphane Verguet, Ole F Norheim, Carol Levin, Kjell Arne Johansson

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 2 pooled it
15.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 2 syntheses or guidelines pooled it, 88 citations in OpenAlex.

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  16. Inequalities of Infant Mortality in Ethiopia.International journal of environmental research and public health · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Solomon Tessema MemirieDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway. solomon.memirie@igs.uib.no.
Stéphane VerguetDepartment of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Ole F NorheimDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Carol LevinDepartment of Global Health, University of Washington, Seattle, WA, USA.
Kjell Arne JohanssonDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
University of Bergen · NOHarvard Global Health Institute · USUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth systems aim to narrow inequality in access to health care across socioeconomic groups and area of residency. However, in low-income countries, studies are lacking that systematically monitor and evaluate health programs with regard to their effect on specific inequalities. We aimed to measure changes in inequality in access to maternal and child health (MCH) interventions and the effect of Primary Health Care (PHC) facilities expansion on the inequality in access to care in Ethiopia.

methodsThe Demographic and Health Survey datasets from Ethiopia (2005 and 2011) were used. We calculated changes in utilization of MCH interventions and child morbidity. Concentration and horizontal inequity indices were estimated. Decomposition analysis was used to calculate the contribution of each determinant to the concentration index.

resultsBetween 2005 and 2011, improvements in aggregate coverage have been observed for MCH interventions in Ethiopia. Wealth-related inequality has remained persistently high in all surveys. Socioeconomic factors were the main predictors of differences in maternal and child health services utilization and child health outcome. Utilization of primary care facilities for selected maternal and child health interventions have shown marked pro-poor improvement over the period 2005-2011.

conclusionsOur findings suggest that expansion of PHC facilities in Ethiopia might have an important role in narrowing the urban-rural and rich-poor gaps in health service utilization for selected MCH interventions.

Indexed as

AdultChildChild Health ServicesEthiopiaFemaleHealthcare DisparitiesHealth SurveysHumansMaleMaternal Health ServicesPatient Acceptance of Health CarePovertyPrimary Health CareResidence CharacteristicsRural HealthRural Health Services

Identifiers

PMID26867540
PMCPMC4751648
OpenAlexW2260156753

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.