Wealth and Education Inequities in Maternal and Child Health Services Utilization in Rural Ethiopia.

Autor: Wuneh AD; School of Public Health, College of Health Sciences, Mekelle University, Mekelle P.O. Box 1871, Ethiopia., Bezabih AM; School of Public Health, College of Health Sciences, Mekelle University, Mekelle P.O. Box 1871, Ethiopia., Okwaraji YB; London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK.; Ethiopian Public Health Institute, Addis Ababa P.O. Box 1242, Ethiopia., Persson LÅ; London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK.; Ethiopian Public Health Institute, Addis Ababa P.O. Box 1242, Ethiopia., Medhanyie AA; School of Public Health, College of Health Sciences, Mekelle University, Mekelle P.O. Box 1871, Ethiopia.
Jazyk: angličtina
Zdroj: International journal of environmental research and public health [Int J Environ Res Public Health] 2022 Apr 29; Vol. 19 (9). Date of Electronic Publication: 2022 Apr 29.
DOI: 10.3390/ijerph19095421
Abstrakt: As part of the 2030 maternal and child health targets, Ethiopia strives for universal and equitable use of health services. We aimed to examine the association between household wealth, maternal education, and the interplay between these in utilization of maternal and child health services. Data emanating from the evaluation of the Optimizing of Health Extension Program intervention. Women in the reproductive age of 15 to 49 years and children aged 12-23 months were included in the study. We used logistic regression with marginal effects to examine the association between household wealth, women's educational level, four or more antenatal care visits, skilled assistance at delivery, and full immunization of children. Further, we analyzed the interactions between household wealth and education on these outcomes. Household wealth was positively associated with skilled assistance at delivery and full child immunization. Women's education had a positive association only with skilled assistance at delivery. Educated women had skilled attendance at delivery, especially in the better-off households. Our results show the importance of poverty alleviation and girls' education for universal health coverage.
Databáze: MEDLINE