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dc.contributor.authorVerguet, Stéphaneen_US
dc.contributor.authorLevin, Carolen_US
dc.contributor.authorMemirie, Solomon Tessemaen_US
dc.contributor.authorNorheim, Ole F.en_US
dc.contributor.authorJohansson, Kjell Arneen_US
dc.PublishedBMC Health Services Research 2016, 16(1):51eng
dc.description.abstractBackground: Health systems aim to narrow inequality in access to health care across socioeconomic groups and area of residency. However, in low-income countries, studies are lacking that systematically monitor and evaluate health programs with regard to their effect on specific inequalities. We aimed to measure changes in inequality in access to maternal and child health (MCH) interventions and the effect of Primary Health Care (PHC) facilities expansion on the inequality in access to care in Ethiopia. Methods: The Demographic and Health Survey datasets from Ethiopia (2005 and 2011) were used. We calculated changes in utilization of MCH interventions and child morbidity. Concentration and horizontal inequity indices were estimated. Decomposition analysis was used to calculate the contribution of each determinant to the concentration index. Results: Between 2005 and 2011, improvements in aggregate coverage have been observed for MCH interventions in Ethiopia. Wealth-related inequality has remained persistently high in all surveys. Socioeconomic factors were the main predictors of differences in maternal and child health services utilization and child health outcome. Utilization of primary care facilities for selected maternal and child health interventions have shown marked pro-poor improvement over the period 2005–2011. Conclusions: Our findings suggest that expansion of PHC facilities in Ethiopia might have an important role in narrowing the urban-rural and rich-poor gaps in health service utilization for selected MCH interventions.en_US
dc.publisherBioMed Centraleng
dc.relation.ispartof<a href="" target="_blank">Scale-up of high impact maternal and child health interventions in Ethiopia: equity, cost and cost-effectiveness analyses</a>eng
dc.rightsAttribution CC BYeng
dc.subjectMaternal and child health serviceseng
dc.subjectPrimary health careeng
dc.titleInequalities in utilization of maternal and child health services in Ethiopia: the role of primary health careen_US
dc.typePeer reviewed
dc.typeJournal article
dc.rights.holderMemirie et al.

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