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Measuring and explaining changing patterns of inequality in institutional deliveries between urban and rural women in Ghana: a decomposition analysis.

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  • المؤلفون: Amporfu E;Amporfu E; Grépin KA; Grépin KA
  • المصدر:
    International journal for equity in health [Int J Equity Health] 2019 Aug 09; Vol. 18 (1), pp. 123. Date of Electronic Publication: 2019 Aug 09.
  • نوع النشر :
    Comparative Study; Journal Article; Research Support, Non-U.S. Gov't
  • اللغة:
    English
  • معلومة اضافية
    • المصدر:
      Publisher: BioMed Central Country of Publication: England NLM ID: 101147692 Publication Model: Electronic Cited Medium: Internet ISSN: 1475-9276 (Electronic) Linking ISSN: 14759276 NLM ISO Abbreviation: Int J Equity Health Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: [London] : BioMed Central, 2002-
    • الموضوع:
      Socioeconomic Factors*; Health Services Accessibility/*statistics & numerical data ; Healthcare Disparities/*statistics & numerical data ; Rural Population/*statistics & numerical data ; Urban Population/*statistics & numerical data; Adult ; Female ; Ghana ; Health Facilities/statistics & numerical data ; Health Surveys ; Humans ; Maternal Health Services/statistics & numerical data ; Middle Aged ; Pregnancy ; Prenatal Care/statistics & numerical data ; Social Class ; Young Adult
    • نبذة مختصرة :
      Background: Despite recent progress in improving access to maternal health services, the utilization of these services remains inequitable among women in developing countries, and rural women are particularly disadvantaged. This study sought to measure i) disparities in the rates of institutional births between rural and urban women in Ghana, ii) the extent to which existing disparities are due to differences in the distribution of the determinants of institutional delivery between rural and urban women, and iii) the extent to which existing disparities are due to discrimination in resource availability.
      Methods: Using Demographic and Health Survey data from 2003, 2008, and 2014, this study decomposed inequalities in institutional delivery rates among urban and rural Ghanaian woman using the Oaxaca, the Blinder, and related decompositions for non-linear models. The determinants of the observed inequalities were also analyzed.
      Results: Institutional delivery rates in urban areas exceeded those of rural areas by 32.4 percentage points due to differences in distribution of the determinants of institutional delivery between the two areas. The main determinants driving the observed disparities were wealth, which contributed to about 16.1% of the gap, followed by education level, and number of antenatal visits.
      Conclusion: Relative to urban women, rural women have lower rates of institutional deliveries due primarily to lower levels of wealth, which results in financial barriers in accessing maternal health services. Economic empowerment of rural women is crucial in order to close the gap in institutional delivery between urban and rural women.
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    • Contributed Indexing:
      Keywords: Inequality; Institutional delivery; Oaxaca decomposition; Poverty
    • الموضوع:
      Date Created: 20190811 Date Completed: 20191125 Latest Revision: 20200225
    • الموضوع:
      20231215
    • الرقم المعرف:
      PMC6688245
    • الرقم المعرف:
      10.1186/s12939-019-1025-z
    • الرقم المعرف:
      31399050