ReviewBMJ global health2019
Not all inequalities are equal: differences in coverage across the continuum of reproductive health services.
Review in BMJ global health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Inequalities in effective coverage of the maternal healthcare continuum in Cameroon: a cascade analysis from service contact to input-adjusted coverage.BMC health services research · 2025Article
- Article
- Article
- Socioeconomic inequalities in contraceptive use among Brazilian women: A multilevel analysis stratified by parity.Heliyon · 2024Article
- The Challenge Initiative: Lessons on Rapid Scale-Up of Family Planning and Adolescent and Youth Sexual and Reproductive Health Services.Global health, science and practice · 2024Article
- Contemporary demographic challenges and population policies.Bulletin of the World Health Organization · 2024Article
- Assessing the relationship between coverage of essential health services and poverty levels in low- and middle-income countries.Health policy and planning · 2024Article
- Are delay ages at marriage increasing? Pre-marital sexual relation among youth people in the place of residence in India.BMC women's health · 2023Article
- Article
- Inequalities in short-acting reversible, long-acting reversible and permanent contraception use among currently married women in India.BMC public health · 2022Article
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- [Inequalities in the Coverage and Quality of Prenatal Care in Peru, 2009-2019Desigualdades na cobertura e na qualidade da assistência pré-natal no Peru, 2009-2019].Revista panamericana de salud publica = Pan American journal of public health · 2022Article
- Access to primary healthcare Services in Conflict-Affected Fragile States: a subnational descriptive analysis of educational and wealth disparities in Cameroon, Democratic Republic of Congo, Mali, and Nigeria.International journal for equity in health · 2021Article
- Inequalities in early marriage, childbearing and sexual debut among adolescents in sub-Saharan Africa.Reproductive health · 2021Article
- District-level health system strengthening for universal health coverage: evidence from a longitudinal cohort study in rural Madagascar, 2014-2018.BMJ global health · 2020Article
- Contraceptive Use in Adolescent Girls and Adult Women in Low- and Middle-Income Countries.JAMA network open · 2020Article
- Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Reducing inequalities in health service coverage is central to achieving the larger goal of universal health coverage. Reproductive health services are part of evidence-based health interventions that comprise a minimum set of essential health interventions that all countries should be able to provide. This paper shows patterns in inequalities in three essential reproductive health services that span a continuum of care-contraceptive use, antenatal care during pregnancy and delivery at a health facility. We highlight coverage gaps and their impacts across geographical regions, key population subgroups and measures of inequality. We focus on reproductive age women (15-49 years) in 10 geographical regions in Africa, Asia and Latin America and the Caribbean. We examine inequalities by age (15-19, 20-24, 25-34 and 35-49 years), household wealth quintile, residence (rural or urban) and parity. Data on service coverage and the population in need are from 84 nationally representative surveys. Our results show that dominant inequalities in contraceptive coverage are varied, and include large disparities and impact by age group, compared with maternal health services, where inequalities are largest by economic status and urban-rural residence. Using multiple measures of inequality (relative, absolute and population impact) not only helps to show if there are consistent patterns in inequalities but also whether few or many different approaches are needed to reduce these inequalities and where resources could be prioritised to reach the largest number of people in need.
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Registered trials
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