Eyob Zere|Prosper Tumusiime|O Walker|Joses Muthuri Kirigia|Chris Mwikisa|Thomas Mbeeli
Inequities in utilization of maternal health interventions in Namibia: implications for progress towards MDG 5 targets
World Health Organization - Zimbabwe|World Health Organization - Zimbabwe|World Health Organization - Zimbabwe|World Health Organization Regional Office for Africa|World Health Organization Regional Office for Africa|Ministry of Health and Social Services
inequities utilization maternal health services impede progress towards mdg 5 target reducing maternal mortality ratio three quarters 1990 2015 namibia despite increasing investments health sector maternal mortality ratio increased 271 per 100000 live births period 19912000 449 per 100000 live births 19982007 monitoring equity use maternal health services important target scarce resources need expedite progress towards mdg 5 target objective study measure socioeconomic inequalities access maternal health services propose recommendations relevant policy planning data namibia demographic health survey 200607 analyzed inequities utilization maternal health measuring inequities rateratios concentration curves concentration indices used regions relatively high human development index highest rates delivery skilled health service providers rate caesarean section women post secondary education seven times women education women urban areas delivered skilled providers 30 rural counterparts rich use public health facilities 30 poor child delivery indicators delivery trained health providers delivery caesarean section postnatal care show inequities favoring educated urban areas regions high human development indices wealthy presence inequities difficult achieve significant reduction maternal mortality ratio needed realize mdg 5 targets long large segment society inadequate access essential maternal health services basic social services addressing inequities access maternal health services seen health systems issue social determinants health tackled multisectoral approaches line principles primary health care recommendations commission social determinants health