Chijioke O. Nwosu|John E. Ataguba
Socioeconomic inequalities in maternal health service utilisation: a case of antenatal care in Nigeria using a decomposition approach
Human Sciences Research Council|University of Cape Town
abstract background antenatal care anc services critical maternal health nigeria performs poorly anc utilisation compared countries subsaharan africa study aimed assess socioeconomic inequalities anc utilisation determinants inequalities nigeria methods 2013 nigeria demographic health survey data 18559 women used analysis paper used concentration curves indices different measures anc utilisation anc visit 13 anc visits least four anc visits number anc visits positive negative concentration index means measure anc utilisation concentrated richer poorer population compared poorer richer counterparts concentration indices also decomposed using standard methodologies examine significant determinants socioeconomic inequalities anc visit least four anc visits number anc visits results anc visit disproportionately concentrated among poor concentration index ci 0573 whereas least four anc visits ci 0582 higher number anc visits ci 0357 disproportionately concentrated among rich results consistent across geopolitical zones rural urban areas inequalities prevalent northern zones also highest incidence poverty country rural areas significant contributors inequalities anc utilisation zone residence wealth womens education especially secondary employment urbanrural residence ethnicity spousal education problems obtaining permission seek health care distance clinic conclusions addressing wealth inequalities enhancing literacy employment mitigating spatial impediments health care use reduce socioeconomic inequalities anc utilisation nigeria factors social determinants health inequalities thus social determinants health approach needed address socioeconomic inequalities anc coverage nigeria