Wealth inequalities in reproductive and child health preventive care in Mozambique: a decomposition analysis
Background Assessing the gap between rich and poor is important to monitor inequalities in health. Identifying the contribution to that gap can help policymakers to develop interventions towards decreasing that difference. Objective To quantify the wealth inequalities in health preventive measures (...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2022-12-01
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| Series: | Global Health Action |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/16549716.2022.2040150 |
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| author | Chanvo S. L. Daca Barbara Schumann Carlos Arnaldo Miguel San Sebastian |
| author_facet | Chanvo S. L. Daca Barbara Schumann Carlos Arnaldo Miguel San Sebastian |
| author_sort | Chanvo S. L. Daca |
| collection | DOAJ |
| description | Background Assessing the gap between rich and poor is important to monitor inequalities in health. Identifying the contribution to that gap can help policymakers to develop interventions towards decreasing that difference. Objective To quantify the wealth inequalities in health preventive measures (bed net use, vaccination, and contraceptive use) to determine the demographic and socioeconomic contribution factors to that inequality using a decomposition analysis. Methods Data from the 2015 Immunisation, Malaria and AIDs Indicators Survey were used. The total sample included 6946 women aged 15–49 years. Outcomes were use of insecticide-treated nets (ITN), child vaccination, and modern contraception use. Wealth Index was the exposure variable and age, marital status, place of residence, region, education, occupation, and household wealth index were the explanatory variables. Wealth inequalities were assessed using concentration indexes (Cindex). Wagstaff-decomposition analysis was conducted to assess the determinants of the wealth inequality. Results The Cindex was −0.081 for non-ITN, −0.189 for lack of vaccination coverage and −0.284 for non-contraceptive use, indicating a pro-poor inequality. The results revealed that 88.41% of wealth gap for ITN was explained by socioeconomic factors, with education and wealth playing the largest roles. Lack of full vaccination, socioeconomic factors made the largest contribution, through the wealth variable, whereas geographic factors came next. Finally, the lack of contraceptive use, socioeconomic factors were the main explanatory factors, but to a lesser degree than the other two outcomes, with wealth and education contributing most to explaining the gap. Conclusion There was a pro-poor inequality in reproductive and child preventive measures in Mozambique. The greater part of this inequality could be attributed to wealth, education, and residence in rural areas. Resources should be channeled into poor and non-educated rural communities to tackle these persistent inequities in preventive care. |
| first_indexed | 2024-03-12T17:49:41Z |
| format | Article |
| id | doaj.art-a60bbc91b1154d6185a8a0a5d7a315f6 |
| institution | Directory Open Access Journal |
| issn | 1654-9880 |
| language | English |
| last_indexed | 2024-03-12T17:49:41Z |
| publishDate | 2022-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Global Health Action |
| spelling | doaj.art-a60bbc91b1154d6185a8a0a5d7a315f62023-08-03T09:07:51ZengTaylor & Francis GroupGlobal Health Action1654-98802022-12-0115110.1080/16549716.2022.20401502040150Wealth inequalities in reproductive and child health preventive care in Mozambique: a decomposition analysisChanvo S. L. Daca0Barbara Schumann1Carlos Arnaldo2Miguel San Sebastian3Ministry of Health, Directorate of Planning and CooperationUmeå UniversityUniversidade Eduardo MondlaneUmeå UniversityBackground Assessing the gap between rich and poor is important to monitor inequalities in health. Identifying the contribution to that gap can help policymakers to develop interventions towards decreasing that difference. Objective To quantify the wealth inequalities in health preventive measures (bed net use, vaccination, and contraceptive use) to determine the demographic and socioeconomic contribution factors to that inequality using a decomposition analysis. Methods Data from the 2015 Immunisation, Malaria and AIDs Indicators Survey were used. The total sample included 6946 women aged 15–49 years. Outcomes were use of insecticide-treated nets (ITN), child vaccination, and modern contraception use. Wealth Index was the exposure variable and age, marital status, place of residence, region, education, occupation, and household wealth index were the explanatory variables. Wealth inequalities were assessed using concentration indexes (Cindex). Wagstaff-decomposition analysis was conducted to assess the determinants of the wealth inequality. Results The Cindex was −0.081 for non-ITN, −0.189 for lack of vaccination coverage and −0.284 for non-contraceptive use, indicating a pro-poor inequality. The results revealed that 88.41% of wealth gap for ITN was explained by socioeconomic factors, with education and wealth playing the largest roles. Lack of full vaccination, socioeconomic factors made the largest contribution, through the wealth variable, whereas geographic factors came next. Finally, the lack of contraceptive use, socioeconomic factors were the main explanatory factors, but to a lesser degree than the other two outcomes, with wealth and education contributing most to explaining the gap. Conclusion There was a pro-poor inequality in reproductive and child preventive measures in Mozambique. The greater part of this inequality could be attributed to wealth, education, and residence in rural areas. Resources should be channeled into poor and non-educated rural communities to tackle these persistent inequities in preventive care.http://dx.doi.org/10.1080/16549716.2022.2040150socioeconomic inequalitydecomposition analysishealth preventive caremozambique |
| spellingShingle | Chanvo S. L. Daca Barbara Schumann Carlos Arnaldo Miguel San Sebastian Wealth inequalities in reproductive and child health preventive care in Mozambique: a decomposition analysis Global Health Action socioeconomic inequality decomposition analysis health preventive care mozambique |
| title | Wealth inequalities in reproductive and child health preventive care in Mozambique: a decomposition analysis |
| title_full | Wealth inequalities in reproductive and child health preventive care in Mozambique: a decomposition analysis |
| title_fullStr | Wealth inequalities in reproductive and child health preventive care in Mozambique: a decomposition analysis |
| title_full_unstemmed | Wealth inequalities in reproductive and child health preventive care in Mozambique: a decomposition analysis |
| title_short | Wealth inequalities in reproductive and child health preventive care in Mozambique: a decomposition analysis |
| title_sort | wealth inequalities in reproductive and child health preventive care in mozambique a decomposition analysis |
| topic | socioeconomic inequality decomposition analysis health preventive care mozambique |
| url | http://dx.doi.org/10.1080/16549716.2022.2040150 |
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