Utilisation of eight or more antenatal care visits and its associated socio-economic-related inequalities in sub-Saharan Africa: A decomposition analysis

Richard Gyan Aboagye, Augustus Osborne, Anayochukwu Edward Anyasodor, Sharon Vera Yikindi, Qorinah Estiningtyas Sakilah Adnani and Bright Opoku Ahinkorah

PLOS ONE, 2025, vol. 20, issue 3, 1-23

Abstract: Introduction: Inadequate utilisation of maternal healthcare services, particularly antenatal care (ANC), poses a challenge in sub-Saharan Africa (SSA). There is a dearth of regional studies that address the socio-economic disparities in the use of ANC in SSA. Therefore, we examined the wealth and education-based inequalities in the utilisation of ANC services among women in SSA. Methods: We analysed secondary data obtained from the Demographic Health Survey conducted in fifteen countries in SSA. We estimated the degree of wealth and education-related inequalities using concentration curves, concentration indices (CIX), and decomposition analysis, which identified the factors contributing to the disparities in the utilisation of ANC. All the analyses were conducted using Stata version 17.0 (Stata Corporation, College Station, TX, USA). Results: The results revealed a significant socio-economic gap in utilising ANC in SSA. We found positive and statistically significant wealth index-related (CIX = 0.30; p-value

Date: 2025
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0312412

DOI: 10.1371/journal.pone.0312412

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