ArticlePLOS global public health2023
Socioeconomic inequalities in maternal healthcare utilization: An analysis of the interaction between wealth status and education, a population-based surveys in Tanzania.
Article in PLOS global public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 21 citations in OpenAlex.
- Prevalence, sociodemographic determinants and regional disparities in health facility delivery in Somalia.Research in health services & regions · 2026Article
- Sociodemographic Determinants of Health Facility Delivery Among Women in Nigeria: A Cross-Sectional Study Using 2018 NDHS Data.Health science reports · 2026Article
- Factors associated with breast cancer screening among insured and uninsured women in Tanzania: an analysis of the Tanzania demographic and health survey 2022.Health economics review · 2026Article
- Antenatal Care Utilization and Delivery Location: Evidence from Postpartum Women in Enugu, South East Nigeria.International journal of MCH and AIDS · 2026Article
- Factors associated with birth preparedness and complication readiness knowledge among pregnant women before implementation of a culturally adapted training intervention in rural Iringa, Tanzania.Frontiers in global women's health · 2026Article
- Obstetric complications and socio-demographic characteristics associated with severe maternal morbidity at Mbeya Zonal Referral Hospital, Tanzania: a case-control study.Frontiers in global women's health · 2026Article
- Trends and inequalities in health facility deliveries among women of reproductive age in Ghana, 1993-2022.Frontiers in reproductive health · 2026Article
- EPIDEMIOLOGICAL PROFILE OF CONGENITAL FOOT ANOMALIES IN THE STATE OF BAHIA FROM 2014 TO 2022.Acta ortopedica brasileira · 2026Article
- Wealth-based inequality in maternal health service utilization among ever-married women of reproductive age in Somaliland; secondary analysis of the 2020 Demographic and Health Survey.Frontiers in public health · 2026Article
- Educational attainment and chronic HIV treatment adherence in southern and eastern Africa.PloS one · 2026Article
- Socioeconomic inequities impacting complete continuum of maternal healthcare service utilisation over time in Ethiopia.International journal of health economics and management · 2025Article
- Assessing regional disparities and sociodemographic influences on short birth intervals (SBI) among reproductive-age women in Nigeria.Scientific reports · 2025Article
- COVID-19 Vaccine Uptake and Socioeconomic Disparities in Tanzania: A Population-Based Cross-Sectional Study Amid High Hesitancy.Health science reports · 2025Article
- 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
- Assessing Prevalence and Regional Disparities in Zero-Dose Immunization Among Children Aged 12-23 Months in Somalia.Journal of epidemiology and global health · 2025Article
- Effective coverage for reproductive, maternal, neonatal and newborn health: an analysis of geographical and socioeconomic inequalities in 39 low- and middle-income countries.BMJ global health · 2025Article
- Sociodemographic determinants and regional disparities of first-trimester antenatal care initiation among Nigerian women: a multilevel analysis of 2018 NDHS data.Frontiers in global women's health · 2025Article
- Decomposing socioeconomic inequality in skilled birth attendant utilization in Ethiopia: A secondary data analysis.PloS one · 2025Article
- 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
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Abstract
Limited scientific, evidence has so far described the interactions between socioeconomic factors and the gap of inequalities in maternal healthcare utilization. This study assessed the interaction between wealth status and education to identify women with greater disadvantage. This analysis used secondary data from the three most recent rounds (2004, 2010, and 2016) of the Tanzania Demographic Health Survey (TDHS). Maternal healthcare utilization was assessed based on six services (outcomes) which are i) booking during the first trimester (bANC), ii) at least four antenatal visits (ANC4+), iii) adequate antenatal care (aANC), iv) facility-based delivery (FBD), v) skilled birth attendance (SBA), vi) cesarean section delivery (CSD). The concentration curve and the concentration index were used to measure socioeconomic inequality in maternal healthcare utilization outcomes. The interaction coefficients suggest that each unit increase in the wealth status is significantly associated with higher odds of utilizing all maternal healthcare services for women with primary and secondary or higher education compared to those with no education (booking during the first trimester [AOR = 1.30; 95% CI: 1.08-1.57], at least four antenatal visits [AOR = 1.16; 95% CI: 1.01-1.33], facility-based delivery [AOR = 1.29; 95% CI: 1.12-1.48], skilled birth attendance [AOR = 1.31; 95% CI: 1.15-1.49]). The highest wealth-related inequality in bANC (EI: 0.166), at least four antenatal visits (EI: 0.259), FBD (EI: 0.323) and skilled birth attendance (EI: 0.328) (P < 0.05) was observed among women with primary and secondary or higher education. These findings provide strong evidence that there is an interaction effect between education attainment and wealth status in socioeconomic inequalities of maternal health services utilization. Therefore, any approach which will address both women's education and wealth status might be the first step to reducing socioeconomic inequalities in maternal health services utilization in Tanzania.
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