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Decomposition and Spatio-temporal analysis of health care access challenges among reproductive age women in Ethiopia, 2005–2016
Authors: Getayeneh Antehunegn Tesema, Zemenu Tadesse Tessema, and Koku Sisay Tamirat
Source: BMC Health Services Research, 20(Article number: 760); DOI: 10.1186/s12913-020-05639-y
Topic(s): Health care utilization
Women's health
Country: Africa
Published: AUG 2020
Abstract: Background The high maternal mortality, home delivery, unwanted pregnancies, incidence of unsafe abortion, and unmeet family planning needs are maternal health gaps attributed to health care access barriers and responsible for the observed health care disparities. Over the last decades remarkable achievements have made in relation to maternal health problems and the reduction of health care access barriers. Thus, this study aimed to assess the decomposition and spatial-temporal analysis of health care access challenges among reproductive-age women in Ethiopia. Methods Secondary data analysis was conducted based on the three consecutive Ethiopian Demographic and Health Surveys (2005–2016 EDHSs). A total weighted sample of 46,235 reproductive-age women was included in this study. A logit based multivariate decomposition analysis was employed for identifying factors contributing to the overall decrease in health care access challenges over time. For the spatial analysis, ArcGIS version 10.6 and SaTScan™ version 9.6 were used to explore hotspot areas of health care access challenges in Ethiopia over time. Variables with p-value