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Socioeconomic Inequality in Maternal Healthcare Services: The Case of Tanzania

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  • Kinyondo, Abel Alfred
  • Ntegwa, Magashi Joseph
  • Masawe, Cresencia Apolinary

Abstract

Low utilisation of maternal healthcare among women in developing countries increases the health risk of the child and mother during pregnancy, childbirth, and the postnatal period. It is in this context that this study intends to assess socioeconomic inequalities in maternal healthcare utilisation in Tanzania using the 2004/05, 2010, and 2015/16 Demographic and Health Survey. We first use the Concentration index to measure the presence of inequalities. Thereafter, we execute decomposition analysis to examine contributing factors of inequality in maternal healthcare utilization. Results from the Concentration index indicate that there is pro-rich inequality in maternal health utilisation and has increased over time. Meanwhile, the decomposition analysis reveals that household wealth status and women's education level contribute to the observed inequality. This could be due to the long distance to the health facilities, inadequate capacity of health facilities, and sociocultural barriers. We thus recommend that maternal healthcare in Tanzania should target the less privileged pregnant women to redress the inequality problem and ultimately alleviate maternal and child death rates in Tanzania.

Suggested Citation

  • Kinyondo, Abel Alfred & Ntegwa, Magashi Joseph & Masawe, Cresencia Apolinary, 2022. "Socioeconomic Inequality in Maternal Healthcare Services: The Case of Tanzania," African Journal of Economic Review, African Journal of Economic Review, vol. 10(01), January.
    • Handle: RePEc:ags:afjecr:320577
    DOI: 10.22004/ag.econ.320577
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    1. 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.
    2. Kodjo Abalo & Akoété Ega Agbodji & Yélé Maweki Batana, 2014. "Nutritional Health Inequalities among Children in Togo," African Development Review, African Development Bank, vol. 26(4), pages 584-596, December.
    3. Raghupathy, Shobana, 1996. "Education and the use of maternal health care in Thailand," Social Science & Medicine, Elsevier, vol. 43(4), pages 459-471, August.
    4. Owen O'Donnell & Eddy van Doorslaer & Adam Wagstaff & Magnus Lindelow, 2008. "Analyzing Health Equity Using Household Survey Data : A Guide to Techniques and Their Implementation," World Bank Publications - Books, The World Bank Group, number 6896, August.
    5. 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.
    6. Mark Montgomery & Michele Gragnolati & Kathleen Burke & Edmundo Paredes, 2000. "Measuring living standards with proxy variables," Demography, Springer;Population Association of America (PAA), vol. 37(2), pages 155-174, May.
    7. United Nations UN, 2015. "Transforming our World: the 2030 Agenda for Sustainable Development," Working Papers id:7559, eSocialSciences.
    8. Kakwani, Nanak & Wagstaff, Adam & van Doorslaer, Eddy, 1997. "Socioeconomic inequalities in health: Measurement, computation, and statistical inference," Journal of Econometrics, Elsevier, vol. 77(1), pages 87-103, March.
    9. Rifkatu Nghargbu & Olanrewaju Olaniyan, 2017. "Inequity in Maternal and Child Health Care Utilization in Nigeria," African Development Review, African Development Bank, vol. 29(4), pages 630-647, December.
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