Back to browse results
Socioeconomic inequality in barriers for accessing health care among married reproductive aged women in sub-Saharan African countries: a decomposition analysis
Authors: Tesfa Sewunet Alamneh, Achamyeleh Birhanu Teshale, Yigizie Yeshaw, Adugnaw Zeleke Alem, Hiwotie Getaneh Ayalew, Alemneh Mekuriaw Liyew, Zemenu Tadesse Tessema, Getayeneh Antehunegn Tesema and Misganaw Gebrie Worku
Source: BMC Women's Health, Volume 22, issue 130;DOI:
Topic(s): Health equity
Women's health
Country: Africa
  Multiple African Countries
Published: APR 2022
Abstract: Background: Accessibility of health care is an essential for promoting healthy life, preventing diseases and deaths, and enhancing health equity for all. Barriers in accessing health care among reproductive-age women creates the first and the third delay for maternal mortality and leads to the occurrence of preventable complications related to pregnancy and childbirth. Studies revealed that barriers for accessing health care are concentrated among individuals with poor socioeconomic status which creates health inequality despite many international organizations top priority is enhancing universal health coverage. Therefore, this study aimed to assess the presence of socioeconomic inequality in barriers for accessing health care and its contributors in Sub-Saharan African countries. Methods: The most recent DHS data of 33 sub-Saharan African countries from 2010 to 2020 were used. A total sample of 278,501 married reproductive aged were included in the study. Erreygers normalized concentration index (ECI) and its concentration curve were used while assessing the socioeconomic-related inequality in barriers for accessing health care. A decomposition analysis was performed to identify factors contributing for the socioeconomic-related inequality. Results: The weighted Erreygers normalized Concentration Index (ECI) for barriers in accessing health care was?-?0.289 with Standard error?=?0.005 (P value?