A composite index; socioeconomic deprivation and coverage of reproductive and maternal health interventions.

Autor:	Ferreira LZ; International Center for Equity in Health, Universidade Federal de Pelotas, R. Marechal Deodoro 1160, Centro, Pelotas, Brazil., Wehrmeister FC; International Center for Equity in Health, Universidade Federal de Pelotas, R. Marechal Deodoro 1160, Centro, Pelotas, Brazil., Dirksen J; Oxford Poverty and Human Development Initiative, University of Oxford, Oxford, England., Vidaletti LP; Oxford Poverty and Human Development Initiative, University of Oxford, Oxford, England., Pinilla-Roncancio M; Centre of Sustainable Development Goals for Latin America and the Caribbean and School of Medicine, Universidad de los Andes, Bogotá, Colombia., Kirkby K; Department of Data and Analytics, World Health Organization, Geneva, Switzerland., Ricardo LI; International Center for Equity in Health, Universidade Federal de Pelotas, R. Marechal Deodoro 1160, Centro, Pelotas, Brazil., Barros AJ; International Center for Equity in Health, Universidade Federal de Pelotas, R. Marechal Deodoro 1160, Centro, Pelotas, Brazil., Hosseinpoor AR; Department of Data and Analytics, World Health Organization, Geneva, Switzerland.
Jazyk:	angličtina
Zdroj:	Bulletin of the World Health Organization [Bull World Health Organ] 2024 Feb 01; Vol. 102 (2), pp. 105-116. Date of Electronic Publication: 2023 Dec 08.
DOI:	10.2471/BLT.23.290866
Abstrakt:	Objective: To examine inequalities in the coverage of reproductive and maternal health interventions in low- and middle-income countries and territories using a composite index of socioeconomic deprivation status. Methods: We obtained data on education and living standards from national household surveys conducted between 2015 and 2019 to calculate socioeconomic deprivation status. We assessed the coverage of reproductive and maternal health interventions, using three indicators: (i) demand for family planning satisfied with modern methods; (ii) women who received antenatal care in at least four visits; and (iii) the presence of a skilled attendant at delivery. Absolute and relative inequalities were evaluated both directly and using the slope index of inequality and the concentration index. Findings: In the 73 countries and territories with available data, the median proportions of deprivation were 41% in the low-income category, 11% in the lower-middle-income category and less than 1% in the upper-middle-income category. The coverage analysis, conducted for 48 countries with sufficient data, showed consistently lower median coverage among deprived households across all health indicators. The coverage of skilled attendant at delivery showed the largest inequalities, where coverage among the socioeconomically deprived was substantially lower in almost all countries. Antenatal care visits and demand for family planning satisfied with modern methods also showed significant disparities, favouring the less deprived population. Conclusion: The findings highlight persistent disparities in the coverage of reproductive and maternal health interventions, requiring efforts to reduce those disparities and improve coverage, particularly for skilled attendant at delivery. ((c) 2024 The authors; licensee World Health Organization.)
Databáze:	MEDLINE
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