Coverage and equity of maternal and newborn health care in rural Nigeria, Ethiopia and India.
Journal
CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
ISSN: 1488-2329
Titre abrégé: CMAJ
Pays: Canada
ID NLM: 9711805
Informations de publication
Date de publication:
28 Oct 2019
28 Oct 2019
Historique:
accepted:
15
10
2019
entrez:
30
10
2019
pubmed:
30
10
2019
medline:
17
6
2020
Statut:
ppublish
Résumé
Despite progress toward meeting the Sustainable Development Goals, a large burden of maternal and neonatal mortality persists for the most vulnerable people in rural areas. We assessed coverage, coverage change and inequity for 8 maternal and newborn health care indicators in parts of rural Nigeria, Ethiopia and India. We examined coverage changes and inequity in 2012 and 2015 in 3 high-burden populations where multiple actors were attempting to improve outcomes. We conducted cluster-based household surveys using a structured questionnaire to collect 8 priority indicators, disaggregated by relative household socioeconomic status. Where there was evidence of a change in coverage between 2012 and 2015, we used binomial regression models to assess whether the change reduced inequity. In 2015, we interviewed women with a birth in the previous 12 months in Gombe, Nigeria ( Although coverage increased equitably because of various community-based interventions, underlying inequities persisted. Action is needed to address the needs of the most vulnerable women, particularly those living in the most rural areas.
Sections du résumé
BACKGROUND
BACKGROUND
Despite progress toward meeting the Sustainable Development Goals, a large burden of maternal and neonatal mortality persists for the most vulnerable people in rural areas. We assessed coverage, coverage change and inequity for 8 maternal and newborn health care indicators in parts of rural Nigeria, Ethiopia and India.
METHODS
METHODS
We examined coverage changes and inequity in 2012 and 2015 in 3 high-burden populations where multiple actors were attempting to improve outcomes. We conducted cluster-based household surveys using a structured questionnaire to collect 8 priority indicators, disaggregated by relative household socioeconomic status. Where there was evidence of a change in coverage between 2012 and 2015, we used binomial regression models to assess whether the change reduced inequity.
RESULTS
RESULTS
In 2015, we interviewed women with a birth in the previous 12 months in Gombe, Nigeria (
INTERPRETATION
CONCLUSIONS
Although coverage increased equitably because of various community-based interventions, underlying inequities persisted. Action is needed to address the needs of the most vulnerable women, particularly those living in the most rural areas.
Identifiants
pubmed: 31659058
pii: 191/43/E1179
doi: 10.1503/cmaj.190219
pmc: PMC6821501
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
E1179-E1188Informations de copyright
© 2019 Joule Inc. or its licensors.
Déclaration de conflit d'intérêts
Competing interests: None declared.
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