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International Journal of Public Health

, Volume 63, Issue 4, pp 525–535 | Cite as

Disparities in maternal health services in sub-Saharan Africa

  • Mulu Abraha Woldegiorgis
  • Janet E. Hiller
  • Wubegzier Mekonnen
  • Jahar Bhowmik
Original Article

Abstract

Objectives

To examine the progress of and disparities in the provision of key maternal health services in the sub-Saharan Africa (SSA) region.

Methods

A time-trend analysis of disparities in antenatal care (ANC) and skilled birth attendance (SBA) coverage in SSA over the last 25 years was conducted. The average values of each country’s 5-year period data were used for analysis. Absolute and relative disparities were examined by time period, economic class, geographic group and clusters. Analysis of variance was used to compare progresses in coverage across time.

Results

Regional median ANC coverage and SBA increased by 8% points and 15% points, respectively, during the 25-year period. The rank score of SBA has shown significant improvement only in the recent period. A 33.3% disparity between ANC and SBA was observed in the most recent period. The relative disparity by economic class and cluster was higher for SBA than ANC coverage.

Conclusions

The region showed improvement in both indicators across time. Regional disparity in ANC narrowed down while that of SBA remained high. These were mainly associated with economic class and cluster of countries.

Keywords

Antenatal care Skilled birth attendance Disparity Sub-Saharan Africa 

Notes

Acknowledgements

Data for this study were downloaded from the freely accessed World Bank database. We extend our acknowledgement to the owner of the data. Our gratitude also goes to Associate professor Brian Phillips and Dr. Steve Price from Swinburne University for their technical help. Finally, we thank Swinburne University of Technology for all the support.

Funding

This study was funded by Swinburne University of Technology.

Compliance with ethical standards

Ethical approval

This article does not contain any studies with human participants performed by any of the authors.

Conflict of interest

MAW declares that she has no conflict of interest. JB declares that he has no conflict of interest. JH declares that she has no conflict of interest. WB declares that he has no conflict of interest.

Supplementary material

38_2018_1086_MOESM1_ESM.pdf (327 kb)
Supplementary material 1 (PDF 327 kb)

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Copyright information

© Swiss School of Public Health (SSPH+) 2018

Authors and Affiliations

  • Mulu Abraha Woldegiorgis
    • 1
  • Janet E. Hiller
    • 1
    • 2
  • Wubegzier Mekonnen
    • 3
  • Jahar Bhowmik
    • 1
  1. 1.School of Health SciencesSwinburne University of TechnologyMelbourneAustralia
  2. 2.School of Population HealthUniversity of AdelaideAdelaideAustralia
  3. 3.School of Public HealthAddis Ababa UniversityAddis AbabaEthiopia

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