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Regional Inequalities in Maternal and Neonatal Health Services in Iraq and Syria From 2000 to 2011

Author

Listed:
  • Sawsan Abdulrahim

    (AUB - American University of Beirut [Beyrouth])

  • Marwân-Al-Qays Bousmah

    (SESSTIM - U1252 INSERM - Aix Marseille Univ - UMR 259 IRD - Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale - IRD - Institut de Recherche pour le Développement - AMU - Aix Marseille Université - INSERM - Institut National de la Santé et de la Recherche Médicale, ORS PACA - Observatoire régional de la santé Provence-Alpes-Côte d'Azur [Marseille], AMSE - Aix-Marseille Sciences Economiques - EHESS - École des hautes études en sciences sociales - AMU - Aix Marseille Université - ECM - École Centrale de Marseille - CNRS - Centre National de la Recherche Scientifique, CEPED - UMR_D 196 - Centre population et développement - IRD - Institut de Recherche pour le Développement - UPCité - Université Paris Cité)

Abstract

We analyze regional inequalities in access to maternal and neonatal health services in Iraq and Syria during the period 2000–2011, before the rise of the Islamic State in Iraq and Syria, ISIS. Utilizing nationally representative survey data (Iraq 2000, 2006, 2011; Syria 2006, 2009), we examine changes in the rate of babies weighed at birth and women delivering at home. We calculate 4 regional inequality indicators: (1) extremal quotient, (2) interquartile quotient, (3) coefficient of variation, and (4) systematic component of variation. Despite national improvements in both countries over time, indicators show increasing regional inequalities in access to maternal and neonatal health services, particularly in Syria between 2006 and 2009. Spatial regression results indicate that these inequalities associate with inequalities in maternal education, rurality, and wealth. Regions where women experienced deteriorating access over time, reflecting overall inequalities, are those that fell under the control of ISIS. Inequalities in access to basic services (education and health) deserve more attention in understanding social and political change in the Arab region.

Suggested Citation

  • Sawsan Abdulrahim & Marwân-Al-Qays Bousmah, 2019. "Regional Inequalities in Maternal and Neonatal Health Services in Iraq and Syria From 2000 to 2011," Post-Print hal-02188422, HAL.
    • Handle: RePEc:hal:journl:hal-02188422
    DOI: 10.1177/0020731419851659
    as

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