Health inequalities in Ethiopia: modeling inequalities in length of life within and between population groups
MetadataShow full item record
Background and objectives: Most studies on health inequalities use average measures, but describing the distribution of health can also provide valuable knowledge. In this paper, we estimate and compare within-group and between-group inequalities in length of life for population groups in Ethiopia in 2000 and 2011.
Methods: We used data from the 2011 and 2000 Ethiopia Demographic and Health Survey and the Global Burden of Disease study 2010, and the MODMATCH modified logit life table system developed by the World Health Organization to model mortality rates, life expectancy, and length of life for Ethiopian population groups stratified by wealth quintiles, gender and residence. We then estimated and compared within-group and between-group inequality in length of life using the Gini index and absolute length of life inequality.
Results: Length of life inequality has decreased and life expectancy has increased for all population groups between 2000 and 2011. Length of life inequality within wealth quintiles is about three times larger than the between-group inequality of 9 years. Total length of life inequality in Ethiopia was 27.6 years in 2011.
Conclusion: Longevity has increased and the distribution of health in Ethiopia is more equal in 2011 than 2000, with length of life inequality reduced for all population groups. Still there is considerable potential for further improvement. In the Ethiopian context with a poor and highly rural population, inequality in length of life within wealth quintiles is considerably larger than between them. This suggests that other factors than wealth substantially contribute to total health inequality in Ethiopia and that identification and quantification of these factors will be important for identifying proper measures to further reduce length of life inequality.
CitationInternational Journal for Equity in Health
SubjectEthiopiaJusticeHealth inequalityInequality in length of lifePriority settingInequality measurementGini
Eirik Tranvåg et al.; licensee BioMed Central Ltd.
Showing items related by title, author, creator and subject.
Public education in latin america's lowest performing country. The Impact of inequality and violence among children and youth in Lima and Cusco in Peru Montalvan Castilla, Johana Evelyn (The University of Bergen, 2014-08-01)Measurements of learning outcomes have found that too many children in Peru are graduating from primary school without having achieved competency in literacy or numeracy (Barrett, 2009). Results show that seven out of ten ...Master thesis
Exploring inequities in skilled care at birth among migrant population in a metropolitan city Addis Ababa, Ethiopia; a qualitative study Mirkuzie, Alemnesh Hailemariam (BioMed Central, 2014-11-25)Introduction: Ethiopia records high levels of inequity in skilled birth care (SBC), where the gaps are much wider among urban migrant women. An intervention project has been conducted in Addis Ababa, intending to improve ...Journal article
Rural - Urban Differentiation, Migration and Emerging Educational Inequalities.A case Study of Left-behind Children in Ganqiu Village, Yunnan He, Hongmei (The University of Bergen, 2010-06-28)Abstract After China's policy of reform and opening up to the outside world was carried out in the late 1970s, millions of farmers are flocking to China's cities, seeking work with a hope of improving the living standard ...Master thesis