Evidence map›Paper›PMID 39696059›Full record

ArticleBMC public health2024

Educational inequalities and decomposition of the urban-rural disparities in maternal health care utilization in Ethiopia: further analysis of 2019 intermediate Ethiopian demography and health survey.

Mastewal Arefaynie, Anissa Mohammed, Abiyu Abadi Tareke, Awoke Keleb, Natnael Kebede, Yawkal Tsega, Abel Endawkie, Shimels Derso Kebede, Kaleab Mesfin Abera, Eyob Tilahun Abeje and 4 more

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Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

14 authors.

Mastewal ArefaynieDepartment of Reproductive and Family Health, School of Public Health, College of Medicine and Health Sciences, Wollo University, PO Box: 1145, Dessie, Ethiopia. marefaynie@yahoo.com.
Anissa MohammedDepartment of Epidemiology and Biostatistics School of Public Health College of Medicine and Health Science, Wollo University, Dessie, Ethiopia.
Abiyu Abadi TarekeAmref Health Africa in Ethiopia, COVID-19 Vaccine/EPI Technical Assistant at West Gondar Zonal Health Department, Gondar, Ethiopia.
Awoke KelebDepartment of Environmental Health College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Natnael KebedeDepartment of Health Promotion, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Yawkal TsegaDepartment of Health System and Management, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Abel EndawkieDepartment of Epidemiology and Biostatistics School of Public Health College of Medicine and Health Science, Wollo University, Dessie, Ethiopia.
Shimels Derso KebedeDepartment of Health Informatics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Kaleab Mesfin AberaDepartment of Health System and Management, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Eyob Tilahun AbejeDepartment of Epidemiology and Biostatistics School of Public Health College of Medicine and Health Science, Wollo University, Dessie, Ethiopia.
Ermias Bekele EnyewDepartment of Health Informatics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Chala DabaDepartment of Environmental Health College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Lakew AsmareDepartment of Epidemiology and Biostatistics School of Public Health College of Medicine and Health Science, Wollo University, Dessie, Ethiopia.
Fekade Demeke BayouDepartment of Epidemiology and Biostatistics School of Public Health College of Medicine and Health Science, Wollo University, Dessie, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe utilization of maternal health services is vital to prevent maternal and child health problems. However, there is limited evidence as to why rural women have lower utilization and educational inequality in maternal health services utilization in Ethiopia. Identifying the causes is the first step to achieving maternal and child health initiatives.

objectiveThe objective of this study was to decompose the urban-rural disparities and educational inequalities in maternal health care utilization in Ethiopia.

methodsThe study used the 2019 Ethiopian Demography Health Survey. Blinder-Oaxaca decomposition and multivariate decomposition analyses were done on a weighted 3,926.7 women to see the urban-rural differences in maternal health service utilization by using Stata 17.0. For the educational inequality of maternal health service utilization, concentration curve and concentration index were used by using conindex. P value < 0.005 was used to declare association.

result84.89% of urban and 70.75% of rural residents use antenatal care and 73% of urban and 44% rural use institutional delivery. There was no urban-rural difference in postnatal care utilization. There was educational inequality in antenatal care (CIx 0.0926; p < 0.001), delivery care (CIx 0.2137; p < 0.001 and postnatal care (CIx 0.1272; p < 0.001) utilization in Ethiopia. 83.3% of antenatal care urban-rural difference was explained by women's characteristics difference. Secondary (16.51%) and higher (23.01%) educational level difference of urban and rural women widening antenatal care utilization. Living regions (-1.33%) difference of urban and rural women mitigated antenatal care utilization. About 76.07% of the urban-rural difference in institutional delivery was explained by differences in the characteristics of women. Attending primary (3.76%), secondary (11.83%), and higher (8.44%) education, antenatal care (15.81%) difference of urban and rural women were widening institutional delivery utilization.

conclusionThe urban-rural disparity in antenatal care and delivery care utilization is significant in the country. There were educational inequalities in maternal health service utilization. Attending, Secondary, higher, educational levels widening antenatal care and institutional delivery care utilization. Living regions mitigated antenatal care utilization. Antenatal care utilization widening institutional delivery utilization. Special attention is needed for rural women to improve maternal health service utilization through health extension workers and the women's developmental army.

Indexed as

Educational StatusHealthcare DisparitiesMaternal Health ServicesPatient Acceptance of Health CareRural PopulationUrban PopulationAdolescentAdultEthiopiaFemaleHealth SurveysHumansMiddle AgedPregnancySocioeconomic FactorsYoung AdultBlinder-Oaxaca decompositionEducational inequalityMaternal health servicesUrban-rural disparities

Identifiers

PMID39696059
PMCPMC11654395

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.