Department of Reproductive Health and Health Services Management, School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia.
Reprod Health. 2019 Jul 8;16(1):99. doi: 10.1186/s12978-019-0768-8.
In Ethiopia, socio-economic inequalities in the utilization of antenatal care (ANC) have long been an obstacle to the country's effort in achieving universal coverage of the service. The study aimed to investigate socio-economic inequalities in the use of ANC services among recently-delivered women in Debre Brehan and surrounding areas, North East Ethiopia.
A community-based survey was carried out in Debre Brehan and surrounding areas in North East Ethiopia. Two-stage cluster sampling technique was followed to recruit study participants. Data was collected using interviewer-administered structured questionnaire from a sample of 412 mothers who gave birth in the 12 months prior to the study. The socio-economic inequalities were assessed by calculating a relative concentration index. Decomposition analysis was done to explain measured inequalities. Analysis was carried out in RStudio statistical environment using the 'decomp' package.
The first ANC attendance has slight pro-poor concentration, with a relative concentration index of-0.128, and 95%CI -0.175, - 0.082.Socio-Economic Status (SES) of a household, educational level and occupation of a woman and her husband were the most important contributors to the measured inequality in ANC attendance. We found no SES-based inequality in the attendance of four or more ANC visits between the poor and rich.
Attendance of the first ANC visit appeared to be slightly concentrated among women in the lower end of SES. The utilization of at least four ANC visits was found to be similar among the poor and rich. Population-based interventions that target all socio-economic groups are recommended to accelerate universal coverage of these process indicators.
在埃塞俄比亚，产前护理（ANC）利用方面的社会经济不平等长期以来一直是该国实现该服务普及覆盖的障碍。本研究旨在调查东北埃塞俄比亚德布雷布罕及周边地区最近分娩妇女利用 ANC 服务方面的社会经济不平等。
在东北埃塞俄比亚的德布雷布罕及周边地区进行了一项基于社区的调查。采用两阶段聚类抽样技术招募研究参与者。从在研究前 12 个月内分娩的 412 名母亲中抽取样本，使用访谈者管理的结构化问卷收集数据。通过计算相对集中指数评估社会经济不平等。进行分解分析以解释测量的不平等。在 RStudio 统计环境中使用 'decomp' 包进行分析。
第一次 ANC 就诊略有倾向穷人，相对集中指数为-0.128，95%CI -0.175，-0.082。家庭的社会经济地位（SES）、妇女和其丈夫的教育水平和职业是 ANC 就诊测量不平等的最重要因素。我们没有发现 SES 基础上的在贫穷和富裕之间的四次或更多 ANC 就诊的不平等。
第一次 ANC 就诊的就诊似乎在 SES 较低端的妇女中略有集中。至少进行四次 ANC 就诊的利用率在贫困和富裕人群中相似。建议针对所有社会经济群体的基于人群的干预措施，以加速这些过程指标的普及覆盖。
