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Trends and antecedents of inequalities in maternal healthcare coverage in four African countries

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  • Derek Asuman
  • Ama Pokuaa Fenny
  • Doreen Nyarko Anyamesem Odame

Abstract

Using data between 2003 and 2016, this paper assesses the degree and evolution of socio‐economic inequalities in maternal health outcomes in four African countries. The study measures the trends of socio‐economic inequalities in maternal healthcare and assesses the sources of socio‐economic inequalities in maternal health through a decomposition approach. We find cross‐country differences in the evolution of maternal healthcare inequalities. Rwanda and Uganda witnessed a decline in pro‐rich inequalities, whereas changes in Ethiopia and Kenya have been mixed. Further, the study finds significant contributions of personal characteristics of the woman to inequalities in maternal healthcare access.

Suggested Citation

  • Derek Asuman & Ama Pokuaa Fenny & Doreen Nyarko Anyamesem Odame, 2021. "Trends and antecedents of inequalities in maternal healthcare coverage in four African countries," Journal of International Development, John Wiley & Sons, Ltd., vol. 33(3), pages 515-544, April.
    • Handle: RePEc:wly:jintdv:v:33:y:2021:i:3:p:515-544
    DOI: 10.1002/jid.3534
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    References listed on IDEAS

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    1. Erreygers, Guido, 2009. "Correcting the Concentration Index: A reply to Wagstaff," Journal of Health Economics, Elsevier, vol. 28(2), pages 521-524, March.
    2. Mulu Abraha Woldegiorgis & Janet E. Hiller & Wubegzier Mekonnen & Jahar Bhowmik, 2018. "Disparities in maternal health services in sub-Saharan Africa," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(4), pages 525-535, May.
    3. Heckley, Gawain & Gerdtham, Ulf-G. & Kjellsson, Gustav, 2016. "A general method for decomposing the causes of socioeconomic inequality in health," Journal of Health Economics, Elsevier, vol. 48(C), pages 89-106.
    4. David E. Sahn & David Stifel, 2003. "Exploring Alternative Measures of Welfare in the Absence of Expenditure Data," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 49(4), pages 463-489, December.
    5. Wagstaff, Adam, 2009. "Correcting the concentration index: A comment," Journal of Health Economics, Elsevier, vol. 28(2), pages 516-520, March.
    6. Adam Wagstaff, 2011. "Reply to Guido Erreygers and Tom Van Ourti's comment on ‘The concentration index of a binary outcome revisited’," Health Economics, John Wiley & Sons, Ltd., vol. 20(10), pages 1166-1168, October.
    7. Erreygers, Guido & Van Ourti, Tom, 2011. "Measuring socioeconomic inequality in health, health care and health financing by means of rank-dependent indices: A recipe for good practice," Journal of Health Economics, Elsevier, vol. 30(4), pages 685-694, July.
    8. Meghan A Bohren & Joshua P Vogel & Erin C Hunter & Olha Lutsiv & Suprita K Makh & João Paulo Souza & Carolina Aguiar & Fernando Saraiva Coneglian & Alex Luíz Araújo Diniz & Özge Tunçalp & Dena Javadi , 2015. "The Mistreatment of Women during Childbirth in Health Facilities Globally: A Mixed-Methods Systematic Review," PLOS Medicine, Public Library of Science, vol. 12(6), pages 1-32, June.
    9. Wagstaff, Adam & van Doorslaer, Eddy & Watanabe, Naoko, 2003. "On decomposing the causes of health sector inequalities with an application to malnutrition inequalities in Vietnam," Journal of Econometrics, Elsevier, vol. 112(1), pages 207-223, January.
    10. Sergio Firpo & Nicole M. Fortin & Thomas Lemieux, 2009. "Unconditional Quantile Regressions," Econometrica, Econometric Society, vol. 77(3), pages 953-973, May.
    11. Adam Wagstaff, 2011. "The concentration index of a binary outcome revisited," Health Economics, John Wiley & Sons, Ltd., vol. 20(10), pages 1155-1160, October.
    12. Deon Filmer & Lant Pritchett, 2001. "Estimating Wealth Effects Without Expenditure Data—Or Tears: An Application To Educational Enrollments In States Of India," Demography, Springer;Population Association of America (PAA), vol. 38(1), pages 115-132, February.
    13. Ama Pokuaa Fenny & Derek Asuman & Aba Obrumah Crentsil & Doreen Nyarko Anyamesem Odame, 2019. "Trends and causes of socioeconomic inequalities in maternal healthcare in Ghana, 2003–2014," International Journal of Social Economics, Emerald Group Publishing Limited, vol. 46(2), pages 288-308, February.
    14. Adjiwanou, Vissého & LeGrand, Thomas, 2013. "Does antenatal care matter in the use of skilled birth attendance in rural Africa: A multi-country analysis," Social Science & Medicine, Elsevier, vol. 86(C), pages 26-34.
    15. Roselinde Kessels & Guido Erreygers, 2016. "Structural equation modeling for decomposing rank-dependent indicators of socioeconomic inequality of health: an empirical study," Health Economics Review, Springer, vol. 6(1), pages 1-13, December.
    16. Alemayehu Ambel & Colin Andrews & Anne Bakilana & Elizabeth Foster & Qaiser Khan & Huihui Wang, 2015. "Maternal and Child Health Inequalities in Ethiopia," World Bank Publications - Reports 23805, The World Bank Group.
    17. Adam Wagstaff, 2005. "The bounds of the concentration index when the variable of interest is binary, with an application to immunization inequality," Health Economics, John Wiley & Sons, Ltd., vol. 14(4), pages 429-432, April.
    18. Erreygers, Guido, 2009. "Correcting the Concentration Index," Journal of Health Economics, Elsevier, vol. 28(2), pages 504-515, March.
    19. Pulok, Mohammad Habibullah & Sabah, Md Nasim-Us Sabah & Uddin, Jalal & Enemark, Ulrika, 2015. "Progress in utilization of antenatal and delivery care services in Bangladesh: Where does the equity gap lie?," MPRA Paper 63496, University Library of Munich, Germany.
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