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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Measuring equity in utilization of emergency obstetric care at Wolisso Hospital in Oromiya, Ethiopia: A cross sectional study
International Journal for Equity in Health, Volume 12, No. 1, Article 27, Year 2013
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Description
Introduction. Improving equity in access to services for the treatment of complications that arise during pregnancy and childbirth, namely Emergency Obstetric Care (EmOC), is fundamental if maternal and neonatal mortality are to be reduced. Consequently, there is a growing need to monitor equity in access to EmOC. The objective of this study was to develop a simple questionnaire to measure equity in utilization of EmOC at Wolisso Hospital, Ethiopia and compare the wealth status of EmOC users with women in the general population. Methods. Women in the Ethiopia 2005 Demographic and Health Survey (DHS) constituted our reference population. We cross-tabulated DHS wealth variables against wealth quintiles. Five variables that differentiated well across quintiles were selected to create a questionnaire that was administered to women at discharge from the maternity from January to August 2010. This was used to identify inequities in utilization of EmOC by comparison with the reference population. Results: 760 women were surveyed. An a posteriori comparison of these 2010 data to the 2011 DHS dataset, indicated that women using EmOC were wealthier and more likely to be urban dwellers. On a scale from 0 (poorest) to 15 (wealthiest), 31% of women in the 2011 DHS sample scored less than 1 compared with 0.7% in the study population. 70% of women accessing EmOC belonged to the richest quintile with only 4% belonging to the poorest two quintiles. Transportation costs seem to play an important role. Conclusions: We found inequity in utilization of EmOC in favour of the wealthiest. Assessing and monitoring equitable utilization of maternity services is feasible using this simple tool. © 2013 Wilunda et al.; licensee BioMed Central Ltd.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC3639914/bin/1475-9276-12-27-S1.doc
https://efashare.b-cdn.net/share/pmc/articles/PMC3639914/bin/1475-9276-12-27-S2.doc
https://efashare.b-cdn.net/share/pmc/articles/PMC3639914/bin/1475-9276-12-27-S3.doc
https://efashare.b-cdn.net/share/pmc/articles/PMC3639914/bin/1475-9276-12-27-S4.doc
Authors & Co-Authors
Wilunda, Calistus
Italy, Padua
Doctors with Africa Cuamm
Putoto, Giovanni
Italy, Padua
Doctors with Africa Cuamm
Manenti, Fabio
Italy, Padua
Doctors with Africa Cuamm
Castiglioni, Maria
Italy, Padua
Università Degli Studi Di Padova
Azzimonti, Gaetano
Ethiopia
Wolisso Hospital
Edessa, Wagari
Ethiopia, Bahar Dar
Zonal Health Department
Atzori, Andrea
Italy, Padua
Doctors with Africa Cuamm
Merialdi, Mario
Switzerland, Geneva
Organisation Mondiale de la Santé
Betrán, Ana Pilar
Switzerland, Geneva
Organisation Mondiale de la Santé
Vogel, Joshua P.
Switzerland, Geneva
Organisation Mondiale de la Santé
Australia, Perth
The University of Western Australia
Criel, Bart
Belgium, Antwerpen
Prins Leopold Instituut Voor Tropische Geneeskunde
Statistics
Citations: 28
Authors: 11
Affiliations: 7
Identifiers
Doi:
10.1186/1475-9276-12-27
e-ISSN:
14759276
Research Areas
Health System And Policy
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Ethiopia
Participants Gender
Female