ArticleInternational journal for equity in health2019
Socioeconomic inequalities in maternal health care utilization in Ghana.
Article in International journal for equity in health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 2 of them syntheses that pooled it.
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Who cites it
53 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Socioeconomic inequalities in access to maternal healthcare in South-Asian countries: A systematic review.PloS one · 2025Pooled it
- Pooled it
- Spatiotemporal Trend and Hotspot Analysis of Stillbirth Prevalence in Ghana.Health science reports · 2026Article
- Assessing antenatal care utilization, socioeconomic inequalities and low birth weight outcomes: a population-based analysis using the 2022 Ghana demographic and health survey data.BMC pediatrics · 2026Article
- Universal Health Coverage and Health Equity in West Africa: Tracking Progress Toward SDG 3.8 in Ghana and Liberia.Public health challenges · 2026Article
- Who gets to deliver in a health facility? An investigation of wealth-based inequities in institutional delivery in Ghana.BMJ open · 2026Article
- Spatiotemporal modeling of Under-Five Pneumonia (U-5P) risk in Ghana using Integrated Nested Laplace Approximations, 2018-2022.BMC public health · 2026Article
- Women's decision-making autonomy and early antenatal care initiation in Ghana: a propensity score-matched analysis.BMC women's health · 2026Article
- Regional and socioeconomic inequalities and factors associated with low birth weight in Ghana: a multilevel analysis of the 2022 Ghana Demographic and Health Survey.Frontiers in pediatrics · 2026Article
- A cross-sectional study to evaluate access to antenatal care services in Twifo Hemang Lower Denkyira district of Ghana.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
- Census block based loglinear regression analysis of health and social determinants of maternal mortality in Indonesia 2010-2021.Scientific reports · 2025Article
- Health insurance enrollment and maternal health service utilization using Ghana Demographic and Health Survey, 2022.PloS one · 2025Article
- Article
- Non-adherence to antenatal iron supplementation and its determinants among pregnant women in 35 sub-saharan African countries: a generalized linear mixed-effects modeling with robust Poisson regression analysis.BMC pregnancy and childbirth · 2024Article
- Article
- Understanding Socioeconomic Inequalities in Zero-Dose Children for Vaccination in Underserved Settings of Ethiopia: Decomposition Analysis Approach.International journal of environmental research and public health · 2024Article
- Pakistan's path to universal health coverage: national and regional insights.International journal for equity in health · 2024Article
- Demographic and economic inequality of antenatal care coverage in 4 African countries with a high maternal mortality rate.Archives of public health = Archives belges de sante publique · 2024Article
- Healthcare cost coverage inequality and its impact on hypertension and diabetes: A five-year follow-up study in a Malaysian rural community.Health science reports · 2024Article
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Authors and funding
4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundImproving maternal and child health remains a public health priority in Ghana. Despite efforts made towards universal coverage, there are still challenges with access to and utilization of maternal health care. This study examined socioeconomic inequalities in maternal health care utilization related to pregnancy and identified factors that account for these inequalities.
methodsWe used data from three rounds of the Ghana Demographic and Health Surveys (2003, 2008 and 2014). Two health care utilization measures were used; (i) four or more antenatal care (ANC) visits and (ii) delivery by trained attendants (DTA). We first constructed the concentration curve (CC) and estimated concentration indices (CI) to examine the trend in inequality. Secondly, the CI was decomposed to estimate the contribution of various factors to inequality in these outcomes.
resultsThe CCs show that utilization of at least four ANC visits and DTA were concentrated among women from wealthier households. However, the trends show the levels of inequality decreased in 2014. The CI of at least four ANC visits was 0.30 in 2003 and 0.18 in 2014. Similarly, the CIs for DTA was 0.60 in 2003 and 0.42 in 2014. The decomposition results show that access to National Health Insurance Scheme (NHIS) and women's education levels were the most important contributors to the reduction in inequality in maternal health care utilization.
conclusionsThe findings highlight the importance of the NHIS and formal education in bridging the socioeconomic gap in maternal health care utilization.
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