ArticleFrontiers in public health2024
Inequalities in utilization of maternal health services in Ethiopia: evidence from the PMA Ethiopia longitudinal survey.
Article in Frontiers in public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Severe maternal outcomes and their underlying causes in Ethiopia. Systematic review and meta-analysis.Women's health (London, England)Pooled it
- Article
- 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
- Do sociodemographic factors modify the association between antenatal care utilisation and acute respiratory infection among infants in Ethiopia?PLOS global public health · 2026Article
- Impact of the health bazaar initiative on sexual and reproductive health service use in Ethiopia.Reproductive health · 2025Article
- Incomplete antenatal care despite high coverage: geographic and sociocultural barriers in Lao PDR.Frontiers in public health · 2025Article
- Article
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Abstract
Background: Previous studies documented the existence of substantial inequalities in the utilization of maternal health services across different population subgroups in Ethiopia. Regularly monitoring the state of inequality could enhance efforts to address health inequality in the utilization of maternal health services. Therefore, this study aimed to measure the level of inequalities in the utilization of maternal health services in Ethiopia. Method: The study used data from the Performance Monitoring for Action Ethiopia (PMA Ethiopia) dataset. Longitudinal data was collected from a weighted sample of 1966 postpartum women using multistage stratified cluster sampling techniques between November 2021 to October 2022. We assessed inequality in maternal health services using three indicators: antenatal care four (ANC), skilled birth attendants (SBA), and postnatal care (PNC). Age, economic status, education level, place of residence, and subnational regions were used as dimensions for measuring inequality. The analysis was conducted using Health Equity Assessment Toolkit Plus (HEAT Plus) software. We computed the summary measure of health inequality: Difference (D), Ratio (R), Population Attributable Risk (PAR), and Population Attributable Fraction (PAF). Result: The simple summary measures of inequality difference (D) reported a high level of inequality in the utilization of maternal health services in ANC four, SBA, and PNC across economic, education, residence, and subnational regions. The difference (D) in maternal health service utilization between advantaged and disadvantaged population groups exceeded 20 percentage points in all four dimensions of inequality for the three maternal health indicators. Similarly, the complex summary measures of inequality (PAR and PAF) also showed high levels of inequality in the utilization of ANC four, SBA, and PNC across all four dimensions of inequality. However, there was no age-related inequality in the use of maternal health services. Conclusion: A high level of socioeconomic and geographic area related inequality was observed in the utilization of ANC four, SBA, and PNC services in Ethiopia. Women from socioeconomically disadvantaged subgroups and women from disadvantaged geographic areas significantly lagged behind in the utilization of maternal health services. Therefore, implementing targeted interventions for the most disadvantaged groups can help to reduce inequality in accessing maternal health services.
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