What explains the rural − Urban inequalities in maternal health services utilization in tanzania? A fairlie decomposition analysis

Magashi J. Ntegwa, Evaline G Mcharo, Joseph Mlay
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Abstract

Introduction: Maternal mortality remains a public health issue in developing countries, with rural areas having higher rates as compared to the urban areas. Since effective utilization of maternal health-care services has the potential to reduce maternal mortality, this study measures the factors contributing to the existing rural − urban differences in the utilization of maternal healthcare services in Tanzania. Methods: We used Tanzania Demographic and Health Survey 2015/2016 data. Multi-stage stratified sampling was used to select the study participants and we estimated a Fairlie decomposition to understand the factors that contribute to inequality in maternal health-care services utilization between the rural and urban areas in Tanzania using Stata 17. Results: The study findings revealed a considerably wide rural-urban disparity in the utilization of maternal health-care services. As the findings indicated, household wealth status is the major factor for that disparity. Other factors are women's exposure to the media, women's working status, and distance from the homesteads to the health facilities. Conclusion: Therefore, any policy geared toward bridging the gap between the rural and urban areas in the utilization of maternal health-care services should focus on empowering women in terms of household economic status, media exposure, and employment.
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是什么解释了坦桑尼亚农村和城市在孕产妇保健服务利用方面的不平等?fairlie分解分析
导言:产妇死亡率仍然是发展中国家的一个公共卫生问题,农村地区的死亡率高于城市地区。由于有效利用孕产妇保健服务有可能降低孕产妇死亡率,本研究衡量了坦桑尼亚孕产妇保健服务利用率存在城乡差异的因素。方法:我们使用坦桑尼亚2015/2016年人口与健康调查数据。使用多阶段分层抽样来选择研究参与者,我们使用Stata 17估计了Fairlie分解,以了解坦桑尼亚农村和城市地区孕产妇保健服务利用不平等的因素。结果:研究结果显示,在孕产妇保健服务的利用方面,城乡差距相当大。调查结果表明,家庭财富状况是造成这种差距的主要因素。其他因素包括妇女接触媒体、妇女的工作状况以及从家庭到卫生设施的距离。结论:因此,任何旨在缩小农村和城市地区在利用孕产妇保健服务方面差距的政策都应侧重于在家庭经济地位、媒体曝光率和就业方面赋予妇女权力。
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来源期刊
Asian Journal of Social Health and Behavior
Asian Journal of Social Health and Behavior Social Sciences-Health (social science)
CiteScore
8.50
自引率
0.00%
发文量
18
审稿时长
17 weeks
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