Abstract：
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.
journal_name
Int J Equity Healthjournal_title
International journal for equity in healthauthors
Amporfu E,Grépin KAdoi
10.1186/s12939-019-1025-zsubject
Has Abstractpub_date
2019-08-09 00:00:00pages
123issue
1issn
1475-9276pii
10.1186/s12939-019-1025-zjournal_volume
18pub_type
杂志文章abstract：BACKGROUND:Given the persistence of Indigenous health inequities across national contexts, many countries have adopted strategies to improve the health of Indigenous peoples. Governmental recognition of the unique health needs of Indigenous populations is necessary for the development of targeted programs and policies ...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-020-1149-1
更新日期：2020-07-31 00:00:00
abstract：BACKGROUND:Inequity in use of physician services has been detected even within health care systems with universal coverage of the population through public insurance schemes. In this study we analyse and compare inequity in use of physician visits (GP and specialists) in Norway based on data from the Surveys of Living ...
journal_title：International journal for equity in health
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doi：10.1186/1475-9276-10-25
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abstract：BACKGROUND:Mobile Clinics represent an untapped resource for our healthcare system. The COVID-19 pandemic has exacerbated its limitations. Mobile health clinic programs in the US already play important, albeit under-appreciated roles in the healthcare system. They provide access to healthcare especially for displaced o...
journal_title：International journal for equity in health
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journal_title：International journal for equity in health
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doi：10.1186/s12939-020-01339-5
更新日期：2020-12-09 00:00:00
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journal_title：International journal for equity in health
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abstract：BACKGROUND:Improving maternal and child health remains a public health priority in Ghana. Despite efforts made towards universal coverage, there are still challenges with access to and utilization of maternal health care. This study examined socioeconomic inequalities in maternal health care utilization related to preg...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-019-1043-x
更新日期：2019-09-05 00:00:00
abstract：BACKGROUND:The inequitable allocation of health resources is a worldwide problem, and it is also one of the obstacles facing for health services utilization in China. A new round of health care reform which contains the important aspect of improving the equity in health resource allocation was released by Chinese gover...
journal_title：International journal for equity in health
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doi：10.1186/s12939-016-0357-1
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journal_title：International journal for equity in health
pub_type： 杂志文章,评审
doi：10.1186/s12939-016-0337-5
更新日期：2016-03-10 00:00:00
abstract：BACKGROUND:Income-related inequality measures such as the concentration index are often used to describe the unequal distribution of health, health care access, or expenditure in a single measure. This study demonstrates the use of such measures to evaluate the distributional impact of changes in health insurance cover...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-019-0955-9
更新日期：2019-04-16 00:00:00
abstract：BACKGROUND:The strategy of health policy has been changed for improving the performances to meeting the increasing healthcare demands. However, limited evidences were found to prove that the bundled payment was valid for service delivering in public sector. This study was designed to evaluate the effectiveness of a bun...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-016-0334-8
更新日期：2016-03-10 00:00:00
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journal_title：International journal for equity in health
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更新日期：2020-01-06 00:00:00
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journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-019-1006-2
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abstract：BACKGROUND:An important health issue in urban areas is how changes arising from the regeneration of city-areas affect social determinants of health and equity. This paper examines the impacts attributable to a new fish market and to delays in the regeneration of a port area in a deteriorated region of the Bay of Pasaia...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-016-0424-7
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journal_title：International journal for equity in health
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doi：10.1186/s12939-019-0970-x
更新日期：2019-05-06 00:00:00
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journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-015-0252-1
更新日期：2015-11-20 00:00:00
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journal_title：International journal for equity in health
pub_type： 杂志文章
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journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-018-0772-6
更新日期：2018-05-21 00:00:00
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journal_title：International journal for equity in health
pub_type： 杂志文章,评审
doi：10.1186/s12939-019-1108-x
更新日期：2019-12-26 00:00:00
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journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-020-01264-7
更新日期：2020-08-26 00:00:00
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journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-016-0490-x
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journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/1475-9276-9-27
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journal_title：International journal for equity in health
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journal_title：International journal for equity in health
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doi：10.1186/s12939-020-01170-y
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journal_title：International journal for equity in health
pub_type： 杂志文章
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更新日期：2018-08-13 00:00:00
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journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/1475-9276-4-8
更新日期：2005-06-24 00:00:00
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journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-014-0131-1
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journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/1475-9276-6-7
更新日期：2007-08-01 00:00:00
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journal_title：International journal for equity in health
pub_type： 杂志文章
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更新日期：2018-09-24 00:00:00
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journal_title：International journal for equity in health
pub_type： 杂志文章
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更新日期：2016-08-22 00:00:00
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journal_title：International journal for equity in health
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