Equity trends for the UHC service coverage sub-index for reproductive, maternal, newborn and child health in Pakistan: evidence from demographic health surveys
Abstract Background Pakistan, the world's sixth most populous country and the second largest in South Asia, is facing challenges related to reproductive, maternal, newborn and child health (RMNCH) that are exacerbated by various inequities. RMNCH coverage indicators such as antenatal care (ANC)...
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| Format: | Article |
| Language: | English |
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BMC
2023-11-01
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| Series: | International Journal for Equity in Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12939-023-02043-w |
| _version_ | 1797637024695451648 |
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| author | Nabila Zaka Maida Umar Ahsan Maqbool Ahmad Ikhlaq Ahmad Tahira Ezra Reza Mariyam Sarfraz Faran Emmanuel |
| author_facet | Nabila Zaka Maida Umar Ahsan Maqbool Ahmad Ikhlaq Ahmad Tahira Ezra Reza Mariyam Sarfraz Faran Emmanuel |
| author_sort | Nabila Zaka |
| collection | DOAJ |
| description | Abstract Background Pakistan, the world's sixth most populous country and the second largest in South Asia, is facing challenges related to reproductive, maternal, newborn and child health (RMNCH) that are exacerbated by various inequities. RMNCH coverage indicators such as antenatal care (ANC) and deliveries at health facilities have been improving over time, and the maternal mortality ratio (MMR) is gradually declining but not at the desired rates. Analysing and documenting inequities with reference to key characteristics are useful to unmask the disparities and to amicably implement targeted equity-oriented interventions. Methods Pakistan Demographic Health Survey (PDHS) based UHC service coverage tracer indicators were derived for the RMNCH domain at the national and subnational levels for the two rounds of the PDHS in 2012 and 2017. These derivations were subgrouped into wealth quintiles, place of residence, education and mothers’ age. Dumbbell charts were created to show the trends and quintile-specific coverage. The UHC service coverage sub-index for RMNCH was constructed to measure the absolute and relative parity indices, such as high to low absolute difference and high to low ratios, to quantify health inequities. The population attributable risk was computed to determine the overall population health improvement that is possible if all regions have the same level of health services as the reference point (national level) across the equity domains. Results The results indicate an overall improvement in coverage across all indicators over time, but with a higher concentration of data points towards higher coverage among the wealthiest groups, although the poorest quintile continues to have low coverage in all regions. The UHC service coverage sub-index on RMNCH shows that Pakistan has improved from 45 to 63 overall, while Punjab improved from 50 to 59 and Sindh from 43 to 55. The highest improvement is evident in Khyber Pakhtunkhwa (KP) province, which has increased from 31 in 2012 to 51 in 2017. All regions made slow progress in narrowing the gap between the poorest and wealthiest groups, with particularly noteworthy improvements in KP and Sindh, as indicated by the parity ratio. The RMNCH service coverage sub-index gap was the greatest among women aged 15–19 years, those who belonged to the poorest wealth quintile, had no education, and resided in rural areas. Conclusions Analysing existing data sources from an equity lens supports evidence-based policies, programs and practices with a focus on disadvantaged subgroups. |
| first_indexed | 2024-03-11T12:42:28Z |
| format | Article |
| id | doaj.art-2024adbeab474bc2a95c9039bced98ba |
| institution | Directory Open Access Journal |
| issn | 1475-9276 |
| language | English |
| last_indexed | 2024-03-11T12:42:28Z |
| publishDate | 2023-11-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal for Equity in Health |
| spelling | doaj.art-2024adbeab474bc2a95c9039bced98ba2023-11-05T12:10:46ZengBMCInternational Journal for Equity in Health1475-92762023-11-012211910.1186/s12939-023-02043-wEquity trends for the UHC service coverage sub-index for reproductive, maternal, newborn and child health in Pakistan: evidence from demographic health surveysNabila Zaka0Maida Umar1Ahsan Maqbool Ahmad2Ikhlaq Ahmad3Tahira Ezra Reza4Mariyam Sarfraz5Faran Emmanuel6UNICEFHealth Services AcademyCentre for Global Public HealthHealth Services AcademyCentre for Global Public HealthHealth Services AcademyUniversity of ManitobaAbstract Background Pakistan, the world's sixth most populous country and the second largest in South Asia, is facing challenges related to reproductive, maternal, newborn and child health (RMNCH) that are exacerbated by various inequities. RMNCH coverage indicators such as antenatal care (ANC) and deliveries at health facilities have been improving over time, and the maternal mortality ratio (MMR) is gradually declining but not at the desired rates. Analysing and documenting inequities with reference to key characteristics are useful to unmask the disparities and to amicably implement targeted equity-oriented interventions. Methods Pakistan Demographic Health Survey (PDHS) based UHC service coverage tracer indicators were derived for the RMNCH domain at the national and subnational levels for the two rounds of the PDHS in 2012 and 2017. These derivations were subgrouped into wealth quintiles, place of residence, education and mothers’ age. Dumbbell charts were created to show the trends and quintile-specific coverage. The UHC service coverage sub-index for RMNCH was constructed to measure the absolute and relative parity indices, such as high to low absolute difference and high to low ratios, to quantify health inequities. The population attributable risk was computed to determine the overall population health improvement that is possible if all regions have the same level of health services as the reference point (national level) across the equity domains. Results The results indicate an overall improvement in coverage across all indicators over time, but with a higher concentration of data points towards higher coverage among the wealthiest groups, although the poorest quintile continues to have low coverage in all regions. The UHC service coverage sub-index on RMNCH shows that Pakistan has improved from 45 to 63 overall, while Punjab improved from 50 to 59 and Sindh from 43 to 55. The highest improvement is evident in Khyber Pakhtunkhwa (KP) province, which has increased from 31 in 2012 to 51 in 2017. All regions made slow progress in narrowing the gap between the poorest and wealthiest groups, with particularly noteworthy improvements in KP and Sindh, as indicated by the parity ratio. The RMNCH service coverage sub-index gap was the greatest among women aged 15–19 years, those who belonged to the poorest wealth quintile, had no education, and resided in rural areas. Conclusions Analysing existing data sources from an equity lens supports evidence-based policies, programs and practices with a focus on disadvantaged subgroups.https://doi.org/10.1186/s12939-023-02043-wEquitySocio-economic statusRMNCHUHC service coverage |
| spellingShingle | Nabila Zaka Maida Umar Ahsan Maqbool Ahmad Ikhlaq Ahmad Tahira Ezra Reza Mariyam Sarfraz Faran Emmanuel Equity trends for the UHC service coverage sub-index for reproductive, maternal, newborn and child health in Pakistan: evidence from demographic health surveys International Journal for Equity in Health Equity Socio-economic status RMNCH UHC service coverage |
| title | Equity trends for the UHC service coverage sub-index for reproductive, maternal, newborn and child health in Pakistan: evidence from demographic health surveys |
| title_full | Equity trends for the UHC service coverage sub-index for reproductive, maternal, newborn and child health in Pakistan: evidence from demographic health surveys |
| title_fullStr | Equity trends for the UHC service coverage sub-index for reproductive, maternal, newborn and child health in Pakistan: evidence from demographic health surveys |
| title_full_unstemmed | Equity trends for the UHC service coverage sub-index for reproductive, maternal, newborn and child health in Pakistan: evidence from demographic health surveys |
| title_short | Equity trends for the UHC service coverage sub-index for reproductive, maternal, newborn and child health in Pakistan: evidence from demographic health surveys |
| title_sort | equity trends for the uhc service coverage sub index for reproductive maternal newborn and child health in pakistan evidence from demographic health surveys |
| topic | Equity Socio-economic status RMNCH UHC service coverage |
| url | https://doi.org/10.1186/s12939-023-02043-w |
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