Socioeconomic inequality in modern contraceptive utilization among reproductive-age women in sub-Saharan African countries: a decomposition analysis
Abstract Introduction Family planning services allow individuals to achieve desired birth spacing, family size, and contribute to improved health outcomes for infants, children, women, and families, and prevent unintended pregnancy. Births resulting from unintended pregnancies can have negative cons...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-02-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-023-09172-6 |
| _version_ | 1797865208523259904 |
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| author | Elsa Awoke Fentie Desale Bihonegn Asmamaw Ever Siyoum Shewarega Wubshet Debebe Negash Rediet Eristu Teklu Tewodros Getaneh Alemu Habitu Birhan Eshetu Daniel Gashaneh Belay Fantu Mamo Aragaw Samrawit Mihret Fetene |
| author_facet | Elsa Awoke Fentie Desale Bihonegn Asmamaw Ever Siyoum Shewarega Wubshet Debebe Negash Rediet Eristu Teklu Tewodros Getaneh Alemu Habitu Birhan Eshetu Daniel Gashaneh Belay Fantu Mamo Aragaw Samrawit Mihret Fetene |
| author_sort | Elsa Awoke Fentie |
| collection | DOAJ |
| description | Abstract Introduction Family planning services allow individuals to achieve desired birth spacing, family size, and contribute to improved health outcomes for infants, children, women, and families, and prevent unintended pregnancy. Births resulting from unintended pregnancies can have negative consequences Children from unintended pregnancies are more likely to experience poor mental and physical health during childhood. Even though many international organizations work to ensure universal access to sexual and reproductive health services, reproductive health service utilization is concentrated among individuals with rich socioeconomic status. Therefore, this study aimed to assess the presence of socioeconomic inequality in modern contraceptive utilization and its contributors in sub-Saharan African countries. Methods A total of 466,282 weighted reproductive-aged women samples from DHS data SSA countries were included in the study. Erreygers normalized concentration index and its concentration curve were used to assess socioeconomic-related inequality in modern contraceptive utilization. Decomposition analysis was performed to identify factors contributing to socioeconomic-related inequality. Results The weighted Erreygers normalized concentration index for modern contraceptive utilization was 0.079 with Standard error = 0.0013 (P value< 0.0001); indicating that There is small amount but statistically significant pro rich distribution of wealth related in equalities of modern contraceptive utilization among reproductive age women. The decomposition analysis revealed that mass media exposure, wealth index., place of residency, and distance of health facility were the major contributors to the pro-rich socioeconomic inequalities in modern contraceptive utilization. Conclusion and recommendation In this study, there is a small amount but statistically significant pro rich distribution of modern contraceptive utilization. Therefore, give priority to modifiable factors such as promoting the accessibility of health facilities, media exposure of the household, and improving their country’s economy to a higher economic level to improve the wealth status of the population. |
| first_indexed | 2024-04-09T23:04:20Z |
| format | Article |
| id | doaj.art-a741a63d499941d5a670401fd4abccc3 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-09T23:04:20Z |
| publishDate | 2023-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-a741a63d499941d5a670401fd4abccc32023-03-22T10:46:56ZengBMCBMC Health Services Research1472-69632023-02-0123111010.1186/s12913-023-09172-6Socioeconomic inequality in modern contraceptive utilization among reproductive-age women in sub-Saharan African countries: a decomposition analysisElsa Awoke Fentie0Desale Bihonegn Asmamaw1Ever Siyoum Shewarega2Wubshet Debebe Negash3Rediet Eristu Teklu4Tewodros Getaneh Alemu5Habitu Birhan Eshetu6Daniel Gashaneh Belay7Fantu Mamo Aragaw8Samrawit Mihret Fetene9Department of Reproductive Health, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Reproductive Health, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Reproductive Health, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Health Systems and Policy, 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 Pediatrics and Child Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of GondarDepartment of Health Promotion and Health Behavior, 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 Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of GondarAbstract Introduction Family planning services allow individuals to achieve desired birth spacing, family size, and contribute to improved health outcomes for infants, children, women, and families, and prevent unintended pregnancy. Births resulting from unintended pregnancies can have negative consequences Children from unintended pregnancies are more likely to experience poor mental and physical health during childhood. Even though many international organizations work to ensure universal access to sexual and reproductive health services, reproductive health service utilization is concentrated among individuals with rich socioeconomic status. Therefore, this study aimed to assess the presence of socioeconomic inequality in modern contraceptive utilization and its contributors in sub-Saharan African countries. Methods A total of 466,282 weighted reproductive-aged women samples from DHS data SSA countries were included in the study. Erreygers normalized concentration index and its concentration curve were used to assess socioeconomic-related inequality in modern contraceptive utilization. Decomposition analysis was performed to identify factors contributing to socioeconomic-related inequality. Results The weighted Erreygers normalized concentration index for modern contraceptive utilization was 0.079 with Standard error = 0.0013 (P value< 0.0001); indicating that There is small amount but statistically significant pro rich distribution of wealth related in equalities of modern contraceptive utilization among reproductive age women. The decomposition analysis revealed that mass media exposure, wealth index., place of residency, and distance of health facility were the major contributors to the pro-rich socioeconomic inequalities in modern contraceptive utilization. Conclusion and recommendation In this study, there is a small amount but statistically significant pro rich distribution of modern contraceptive utilization. Therefore, give priority to modifiable factors such as promoting the accessibility of health facilities, media exposure of the household, and improving their country’s economy to a higher economic level to improve the wealth status of the population.https://doi.org/10.1186/s12913-023-09172-6Socioeconomic-related inequalityDHSDecomposition analysisModern contraceptive utilizationSub-Saharan Africa |
| spellingShingle | Elsa Awoke Fentie Desale Bihonegn Asmamaw Ever Siyoum Shewarega Wubshet Debebe Negash Rediet Eristu Teklu Tewodros Getaneh Alemu Habitu Birhan Eshetu Daniel Gashaneh Belay Fantu Mamo Aragaw Samrawit Mihret Fetene Socioeconomic inequality in modern contraceptive utilization among reproductive-age women in sub-Saharan African countries: a decomposition analysis BMC Health Services Research Socioeconomic-related inequality DHS Decomposition analysis Modern contraceptive utilization Sub-Saharan Africa |
| title | Socioeconomic inequality in modern contraceptive utilization among reproductive-age women in sub-Saharan African countries: a decomposition analysis |
| title_full | Socioeconomic inequality in modern contraceptive utilization among reproductive-age women in sub-Saharan African countries: a decomposition analysis |
| title_fullStr | Socioeconomic inequality in modern contraceptive utilization among reproductive-age women in sub-Saharan African countries: a decomposition analysis |
| title_full_unstemmed | Socioeconomic inequality in modern contraceptive utilization among reproductive-age women in sub-Saharan African countries: a decomposition analysis |
| title_short | Socioeconomic inequality in modern contraceptive utilization among reproductive-age women in sub-Saharan African countries: a decomposition analysis |
| title_sort | socioeconomic inequality in modern contraceptive utilization among reproductive age women in sub saharan african countries a decomposition analysis |
| topic | Socioeconomic-related inequality DHS Decomposition analysis Modern contraceptive utilization Sub-Saharan Africa |
| url | https://doi.org/10.1186/s12913-023-09172-6 |
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