ArticleReproductive health2018
Inequities in maternal health services utilization in Ethiopia 2000-2016: magnitude, trends, and determinants.
Article in Reproductive health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 2 of them syntheses that pooled it.
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78 citing papers in PubMed, 2 syntheses or guidelines pooled it, 107 citations in OpenAlex.
- Is context considered in health inequity research and why? An examination of current trends in Ethiopia.Philosophy, ethics, and humanities in medicine : PEHM · 2026Pooled it
- Determinants of antenatal care utilisation in sub-Saharan Africa: a systematic review.BMJ open · 2019Pooled it
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- Trends, determinants and inequality of utilization of maternal healthcare services in Bangladesh: an analysis of demographic and health surveys from 2004 to 2022.BMC pregnancy and childbirth · 2026Article
- Inequalities in the completion of maternal continuum of care in Ethiopia using the 2019 mini-Ethiopian demographic and health survey.Scientific reports · 2026Article
- Trends and Inequities Related to Antenatal Care Utilization Among Pakistani Women From 1990 to 2019: An Insight From Demographic and Health Surveys.Journal of pregnancy · 2026Review
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- Generational disparities in maternal healthcare: a life-course perspective on social determinants in Kersa, Eastern Ethiopia.BMJ public health · 2026Article
- Urban-rural disparities in receipt of treatment for obstetric complications in Ethiopia: A multivariate decomposition analysis.PloS one · 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
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- Socio-economic and geographic equity in maternal health services utilization in Ethiopia: a community-based cross-sectional study.BMC health services research · 2025Article
- Barriers to completion of maternal and neonatal continuum of care services in Assosa Zone, north-western Ethiopia.African journal of primary health care & family medicine · 2025Article
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- Spatial distribution and determinants of Vitamin A supplementation non-receipt among children aged 6-35 months in Ethiopia: a multiscale geographically weighted regression analysis.Frontiers in public health · 2025Article
- Decomposing socioeconomic inequality in skilled birth attendant utilization in Ethiopia: A secondary data analysis.PloS one · 2025Article
- Spatial variation of correct knowledge of the ovulatory cycle and its associated factors among reproductive age women in Ethiopia: geographically weighted regression analysis.Frontiers in reproductive health · 2025Article
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- Article
18 more citing papers are in PubMed but not listed here.
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3 authors at 2 institutions in 2 countries.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundInequities in maternal health services utilization constitute a major challenge in maternal mortality reduction in Ethiopia. We sought to assess magnitude, trends, and determinants of inequities in maternal health services utilization in Ethiopia from 2000 to 2016.
methodsThe study utilized data from the 2000 and 2016 Ethiopia Demographic and Health Surveys, which were done based on a cross sectional survey design. The wealth-related inequities were assessed by concentration curve and horizontal inequity indices. Trends in inequities were assessed by comparing the concentration indices of maternal health services utilization variables between the 2000 and 2016 surveys using Wagstaff two groups concentration indices comparison method. Finally, the inequities were decomposed into its contributing factors using Wagstaff method of analysis.
resultsWealth-related inequities were significantly high in 2016: with horizontal inequities indices and residual regression error of antenatal care, skilled birth attendance, and postnatal care service utilization (- 0.09 and - 0.01), (- 0.06 and 0.01), and (- 0.11 and 0.0001), respectively. These indices increased significantly in 2016 when it is compared with the 2000 indices' with the respective concentration indices difference of - 0.05, 0.05, and - 0.07. The related all p-values were < 0.0001. The main determinants of inequities were low-economic status, illiteracy, rural residence, no occupation, and fewer accesses to mass media.
conclusionsIn Ethiopia, maternal health services utilization inequities were significantly high and increased in 2016 compared to 2000. Women who are poor, rural resident, uneducated, unemployed, and fewer mass media exposed are the most disadvantaged. Targeting maternal health interventions for the underserved women is essential to reduce maternal mortality in the country.
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