ArticleBMC public health2016
Utilisation of health services and the poor: deconstructing wealth-based differences in facility-based delivery in the Philippines.
Article in BMC public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Inequity in uptake of maternal health care services in developing countries: a systematic review and meta-analysis.Frontiers in public health · 2024Pooled it
- 'Wala kaming alam sa stroke care' (we don't know anything about stroke care): experiences of care providers delivering stroke rehabilitation care in the Philippines.Global health action · 2026Article
- Inequality in Utilization of Maternal Healthcare Services in Low‑ and Middle‑Income Countries: A Scoping Review of the Literature.Maternal and child health journal · 2025Article
- Impact of primary care benefits on healthcare utilisation and estimated out-of-pocket expenses in urban, rural and remote settings in the Philippines.BMJ open quality · 2025Article
- Important but Neglected: A Qualitative Study on the Lived Experiences of Barangay Health Workers in the Philippines.Acta medica Philippina · 2025Article
- Women's health facility choices for antenatal, delivery, and postnatal care in Eastern Visayas, Philippines.Frontiers in global women's health · 2025Article
- A scoping review of stroke services within the Philippines.BMC health services research · 2024Article
- Stroke rehabilitation in urban and rural settings in the Philippines: Protocol for an interview and visual elicitation study.PloS one · 2024Article
- Investigating Health Inequality Using Trend, Decomposition and Spatial Analyses: A Study of Maternal Health Service Use in Nepal.International journal of public health · 2023Article
- Community-Dwelling Older Adults' Intended Use of Different Types of Long-Term Care in China and Its Associated Factors Based on the Andersen Behavioral Model.International journal of environmental research and public health · 2022Article
- Negative Incentives for Noninstitutional Births Are Associated With a Higher Rate of Facility-Based Births in the Eastern Visaya Region, Philippines.Global health, science and practice · 2021Article
- A cross-sectional study on the determinants of health-related quality of life in the Philippines using the EQ-5D-5L.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021Article
- Article
- Income level and healthcare utilization in Calabar Metropolis of Cross River State, Nigeria.Heliyon · 2020Article
- Article
- Maternal health care access among migrant women labourers in the selected brick kilns of district Faridabad, Haryana: mixed method study on equity and access.International journal for equity in health · 2018Article
- Prevalence and determinants of home delivery in urban and rural Philippines: Evidence from the 2017 National Demographic and Health Survey.Women's health (London, England)Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite achieving some success, wealth-related disparities in the utilisation of maternal and child health services persist in the Philippines. The aim of this study is to decompose the principal factors driving the wealth-based utilisation gap.
methodsUsing national representative data from the 2013 Philippines Demographic and Health Survey, we examine the extent overall differences in the utilisation of maternal health services can be explained by observable factors. We apply nonlinear Blinder-Oaxaca-type decomposition methods to quantify the effect of differences in measurable characteristics on the wealth-based coverage gap in facility-based delivery.
resultsThe mean coverage of facility-based deliveries was respectively 41.1 % and 74.6 % for poor and non-poor households. Between 67 and 69 % of the wealth-based coverage gap was explained by differences in observed characteristics. After controlling for factors characterising the socioeconomic status of the household (i.e. the mothers' and her partners' education and occupation), the birth order of the child was the major factor contributing to the disparity. Mothers' religion and the subjective distance to the health facility were also noteworthy.
conclusionsThis study has found moderate wealth-based disparities in the utilisation of institutional delivery in the Philippines. The results confirm the importance of recent efforts made by the Philippine government to implement equitable, pro-poor focused health programs in the most deprived geographic areas of the country. The importance of addressing the social determinants of health, particularly education, as well as developing and implementing effective strategies to encourage institutional delivery for higher order births, should be prioritised.
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