Socioeconomic inequality in barriers for accessing health care among married reproductive aged women in sub-Saharan African countries: a decomposition analysis
Abstract Background Accessibility of health care is an essential for promoting healthy life, preventing diseases and deaths, and enhancing health equity for all. Barriers in accessing health care among reproductive-age women creates the first and the third delay for maternal mortality and leads to t...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-04-01
|
| Series: | BMC Women's Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12905-022-01716-y |
| _version_ | 1811289429018411008 |
|---|---|
| author | Tesfa Sewunet Alamneh Achamyeleh Birhanu Teshale Yigizie Yeshaw Adugnaw Zeleke Alem Hiwotie Getaneh Ayalew Alemneh Mekuriaw Liyew Zemenu Tadesse Tessema Getayeneh Antehunegn Tesema Misganaw Gebrie Worku |
| author_facet | Tesfa Sewunet Alamneh Achamyeleh Birhanu Teshale Yigizie Yeshaw Adugnaw Zeleke Alem Hiwotie Getaneh Ayalew Alemneh Mekuriaw Liyew Zemenu Tadesse Tessema Getayeneh Antehunegn Tesema Misganaw Gebrie Worku |
| author_sort | Tesfa Sewunet Alamneh |
| collection | DOAJ |
| description | Abstract Background Accessibility of health care is an essential for promoting healthy life, preventing diseases and deaths, and enhancing health equity for all. Barriers in accessing health care among reproductive-age women creates the first and the third delay for maternal mortality and leads to the occurrence of preventable complications related to pregnancy and childbirth. Studies revealed that barriers for accessing health care are concentrated among individuals with poor socioeconomic status which creates health inequality despite many international organizations top priority is enhancing universal health coverage. Therefore, this study aimed to assess the presence of socioeconomic inequality in barriers for accessing health care and its contributors in Sub-Saharan African countries. Methods The most recent DHS data of 33 sub-Saharan African countries from 2010 to 2020 were used. A total sample of 278,501 married reproductive aged were included in the study. Erreygers normalized concentration index (ECI) and its concentration curve were used while assessing the socioeconomic-related inequality in barriers for accessing health care. A decomposition analysis was performed to identify factors contributing for the socioeconomic-related inequality. Results The weighted Erreygers normalized Concentration Index (ECI) for barriers in accessing health care was − 0.289 with Standard error = 0.005 (P value < 0.0001); indicating that barriers in accessing health care was disproportionately concentrated among the poor. The decomposition analysis revealed that wealth index (42.58%), place of residency (36.42%), husband educational level (5.98%), women educational level (6.34%), and mass media exposure (3.07%) were the major contributors for the pro-poor socioeconomic inequalities in barriers for accessing health care. Conclusion In this study, there is a pro-poor inequality in barriers for accessing health care. There is a need to intensify programs that improve wealth status, education level of the population, and mass media coverage to tackle the barriers for accessing health care among the poor. |
| first_indexed | 2024-04-13T03:54:39Z |
| format | Article |
| id | doaj.art-80add6472cbf4409a146c8ae80092acf |
| institution | Directory Open Access Journal |
| issn | 1472-6874 |
| language | English |
| last_indexed | 2024-04-13T03:54:39Z |
| publishDate | 2022-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Women's Health |
| spelling | doaj.art-80add6472cbf4409a146c8ae80092acf2022-12-22T03:03:40ZengBMCBMC Women's Health1472-68742022-04-0122111010.1186/s12905-022-01716-ySocioeconomic inequality in barriers for accessing health care among married reproductive aged women in sub-Saharan African countries: a decomposition analysisTesfa Sewunet Alamneh0Achamyeleh Birhanu Teshale1Yigizie Yeshaw2Adugnaw Zeleke Alem3Hiwotie Getaneh Ayalew4Alemneh Mekuriaw Liyew5Zemenu Tadesse Tessema6Getayeneh Antehunegn Tesema7Misganaw Gebrie Worku8Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Midwifery, School of Nursing and Midwifery, College of Medicine and Health Sciences, Wollo UniversityDepartment of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Human Anatomy, College of Medicine and Health Science, School of Medicine, University of GondarAbstract Background Accessibility of health care is an essential for promoting healthy life, preventing diseases and deaths, and enhancing health equity for all. Barriers in accessing health care among reproductive-age women creates the first and the third delay for maternal mortality and leads to the occurrence of preventable complications related to pregnancy and childbirth. Studies revealed that barriers for accessing health care are concentrated among individuals with poor socioeconomic status which creates health inequality despite many international organizations top priority is enhancing universal health coverage. Therefore, this study aimed to assess the presence of socioeconomic inequality in barriers for accessing health care and its contributors in Sub-Saharan African countries. Methods The most recent DHS data of 33 sub-Saharan African countries from 2010 to 2020 were used. A total sample of 278,501 married reproductive aged were included in the study. Erreygers normalized concentration index (ECI) and its concentration curve were used while assessing the socioeconomic-related inequality in barriers for accessing health care. A decomposition analysis was performed to identify factors contributing for the socioeconomic-related inequality. Results The weighted Erreygers normalized Concentration Index (ECI) for barriers in accessing health care was − 0.289 with Standard error = 0.005 (P value < 0.0001); indicating that barriers in accessing health care was disproportionately concentrated among the poor. The decomposition analysis revealed that wealth index (42.58%), place of residency (36.42%), husband educational level (5.98%), women educational level (6.34%), and mass media exposure (3.07%) were the major contributors for the pro-poor socioeconomic inequalities in barriers for accessing health care. Conclusion In this study, there is a pro-poor inequality in barriers for accessing health care. There is a need to intensify programs that improve wealth status, education level of the population, and mass media coverage to tackle the barriers for accessing health care among the poor.https://doi.org/10.1186/s12905-022-01716-ySocioeconomic related inequalityErreygers Concentration IndexDHSDecomposition analysisBarriers for accessing health careSub-Saharan Africa |
| spellingShingle | Tesfa Sewunet Alamneh Achamyeleh Birhanu Teshale Yigizie Yeshaw Adugnaw Zeleke Alem Hiwotie Getaneh Ayalew Alemneh Mekuriaw Liyew Zemenu Tadesse Tessema Getayeneh Antehunegn Tesema Misganaw Gebrie Worku Socioeconomic inequality in barriers for accessing health care among married reproductive aged women in sub-Saharan African countries: a decomposition analysis BMC Women's Health Socioeconomic related inequality Erreygers Concentration Index DHS Decomposition analysis Barriers for accessing health care Sub-Saharan Africa |
| title | Socioeconomic inequality in barriers for accessing health care among married reproductive aged women in sub-Saharan African countries: a decomposition analysis |
| title_full | Socioeconomic inequality in barriers for accessing health care among married reproductive aged women in sub-Saharan African countries: a decomposition analysis |
| title_fullStr | Socioeconomic inequality in barriers for accessing health care among married reproductive aged women in sub-Saharan African countries: a decomposition analysis |
| title_full_unstemmed | Socioeconomic inequality in barriers for accessing health care among married reproductive aged women in sub-Saharan African countries: a decomposition analysis |
| title_short | Socioeconomic inequality in barriers for accessing health care among married reproductive aged women in sub-Saharan African countries: a decomposition analysis |
| title_sort | socioeconomic inequality in barriers for accessing health care among married reproductive aged women in sub saharan african countries a decomposition analysis |
| topic | Socioeconomic related inequality Erreygers Concentration Index DHS Decomposition analysis Barriers for accessing health care Sub-Saharan Africa |
| url | https://doi.org/10.1186/s12905-022-01716-y |
| work_keys_str_mv | AT tesfasewunetalamneh socioeconomicinequalityinbarriersforaccessinghealthcareamongmarriedreproductiveagedwomeninsubsaharanafricancountriesadecompositionanalysis AT achamyelehbirhanuteshale socioeconomicinequalityinbarriersforaccessinghealthcareamongmarriedreproductiveagedwomeninsubsaharanafricancountriesadecompositionanalysis AT yigizieyeshaw socioeconomicinequalityinbarriersforaccessinghealthcareamongmarriedreproductiveagedwomeninsubsaharanafricancountriesadecompositionanalysis AT adugnawzelekealem socioeconomicinequalityinbarriersforaccessinghealthcareamongmarriedreproductiveagedwomeninsubsaharanafricancountriesadecompositionanalysis AT hiwotiegetanehayalew socioeconomicinequalityinbarriersforaccessinghealthcareamongmarriedreproductiveagedwomeninsubsaharanafricancountriesadecompositionanalysis AT alemnehmekuriawliyew socioeconomicinequalityinbarriersforaccessinghealthcareamongmarriedreproductiveagedwomeninsubsaharanafricancountriesadecompositionanalysis AT zemenutadessetessema socioeconomicinequalityinbarriersforaccessinghealthcareamongmarriedreproductiveagedwomeninsubsaharanafricancountriesadecompositionanalysis AT getayenehantehunegntesema socioeconomicinequalityinbarriersforaccessinghealthcareamongmarriedreproductiveagedwomeninsubsaharanafricancountriesadecompositionanalysis AT misganawgebrieworku socioeconomicinequalityinbarriersforaccessinghealthcareamongmarriedreproductiveagedwomeninsubsaharanafricancountriesadecompositionanalysis |