University of Benin, Department of Nursing Science Benin City, Edo State, Nigeria.
University of Nigeria, Faculty of Medical Sciences, Department of Pharmacology, Enugu, Nigeria.
Ghana Med J. 2024 Sep;58(3):215-223. doi: 10.4314/gmj.v58i3.6.
The study aimed to assess the equity of access to free maternal and child health services among reproductive-age women in Delta State, Nigeria.
the study adopted a descriptive cross-sectional survey design.
The population for the study were 368 women of reproductive age (15-49 years) who had given birth between April 2015 and December 2015 in two randomly selected senatorial districts of Delta State. Data were collected using a pre-tested interviewer-administered questionnaire.
368 women were recruited for the study, consisting of 73.3% (N =270) from the urban setting and 26.7% (N=98) from the rural setting. 54.1% (N=199) had completed secondary school, while 28.8% (N=106) had completed tertiary education. Most respondents were aged 21 to 30 years 217(59.0%). 20% of respondents belonged to the poorest, poor and least poor socioeconomic status (SES) groups and 19.8% to average poor and rich SES groups. The results showed equity between different SES (0.014) and educational (0.027) backgrounds, as indicated in concentration curves. However, the concentration index between the geographical areas (-0.0200) indicates inequity in access in favour of urban dwellers.
Free maternal and child health services (FMCHS) were equitable across the different SES groups and educational levels. However, there was inequity in access due to distance to the hospitals among the women of childbearing age in the communities. This study is relevant to all healthcare professionals, especially those in public health, because it will encourage them to exercise their energy towards home care to reduce maternal and child mortality.
None declared.
本研究旨在评估尼日利亚三角洲州育龄妇女获得免费母婴保健服务的公平性。
本研究采用描述性横断面调查设计。
本研究的人群为 368 名生育年龄（15-49 岁）的妇女，她们于 2015 年 4 月至 2015 年 12 月期间在三角洲州两个随机选择的参议员区分娩。数据通过预测试的访谈式调查问卷收集。
研究共招募了 368 名妇女，其中 73.3%（N=270）来自城市地区，26.7%（N=98）来自农村地区。54.1%（N=199）完成了中学教育，28.8%（N=106）完成了高等教育。大多数受访者年龄在 21 至 30 岁之间，共 217 人（59.0%）。20%的受访者属于最贫穷、贫穷和最不贫穷的社会经济地位（SES）群体，19.8%属于平均贫穷和富裕 SES 群体。结果表明，在不同 SES（0.014）和教育（0.027）背景之间存在公平性，如集中曲线所示。然而，地理区域之间的集中指数（-0.0200）表明，城市居民在获得服务方面存在不公平。
免费母婴保健服务（FMCHS）在不同 SES 群体和教育水平之间是公平的。然而，由于社区中育龄妇女到医院的距离，在获得服务方面存在不公平。本研究与所有医疗保健专业人员有关，特别是那些从事公共卫生的专业人员，因为它将鼓励他们将精力投入到家庭护理中，以降低母婴死亡率。
无。
