Takondwa Mwase|Stephan Brenner|Jacob Mazalale|Julia Lohmann|Saidou Hamadou|Serge Somda|Valéry Ridde|Manuela De Allegri
Inequities and their determinants in coverage of maternal health services in Burkina Faso
Heidelberg University|Heidelberg University|University of Malawi|Heidelberg University|Université de Montréal|Centre Muraz|Université de Montréal|Heidelberg University
poor marginalized segments society often display worst health status due limited access health enhancing interventions follows order enhance health status entire populations inequities access health care services need addressed inherent element effort targeting universal health coverage line observation need generate evidence equity status quo subsaharan africa assessed magnitude inequities determinants coverage maternal health services burkina fasowe assessed coverage three basic maternal care services least four antenatal care visits facilitybased delivery least one postnatal care visit using data crosssectional household survey including total 6655 mostly rural poor women completed pregnancy 24 months prior survey date assessed equity along dimensions household wealth distance health facility literacy using simple comparative measures concentration indices also ran hierarchical random effects regression confirm presence absence inequities due household wealth distance literacy controlling potential confounderscoverage facility based delivery high 89 suboptimal least four antenatal care visits 44 one postnatal care visit 53 detected inequities along dimensions household wealth literacy distance service coverage higher among least poor literate living closer health facility detected significant positive association household wealth outcome variables positive association literacy facilitybased delivery detected negative association living farther away catchment facility outcome variablesexisting inequities maternal health services burkina faso likely going jeopardize achievement universal health coverage important policy makers continue strengthen monitor implementation strategies promote proportionate universalism forge multisectoral approach dealing social determinants inequities maternal health services coverage