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Decomposition Analysis of Antenatal Care Utilization Inequities in Kembata Tembaro Zone, Southern Ethiopia Cover

Decomposition Analysis of Antenatal Care Utilization Inequities in Kembata Tembaro Zone, Southern Ethiopia

Open Access
|Oct 2023

Figures & Tables

Table 1

Sociodemographic characteristics of respondents and their spouses according to groups of women in two communities in the Kembata Tembaro zone, Southern Ethiopia, November 2021.

SOCIOECONOMIC VARIABLESPARTICIPANT’S CATEGORYTOTAL PARTICIPANTS
GOLDEN HANDNON-GOLDEN HAND
Wealth index
1st quintile150 (82.4%)32 (17.6%)182 (15.04%)
2nd quintile104 (82.5%)22 (17.5%)126 (10.04%)
3rd quintile94 (55.0%)77 (45.0%)171 (14.13%)
4th quintile63 (29.3%)152 (70.7%)215 (17.77%)
5th quintile29 (5.6%)487 (94.4%)516 (42.64%)
Residence
Urban399 (65.6%)209 (34.4)602 (49.75%)
Rural41 (6.8%)561 (93.2%)608 (50.25%)
Respondent’s occupation
Government employed16 (3.8%)408 (96.2%)697 (57.60%)
Housewife377 (57.1%)283 (42.9%)412 (34.05%)
NGO12 (48.0%)13 (52.0%)69 (5.70%)
Merchant/self-employed21 (30.9%)47 (69.1%)20 (1.65%)
Students13 (40.6%)20 (60.3%)33 (2.73%)
Spouse’s occupation
Government employed3 (0.8%)389 (99.2%)392 (32.59%)
Farmer/housewife140 (51.5%)132 (48.5%)272 (22.52%)
NGO employee9 (13.01%)60 (86.99%)69 (5.74%)
Merchant/self-employed231 (58.6%)163 (41.4%)394 (32.61%)
Student1(25%)3 (75%)4 (0.25%)
Others64 (87.7%)9 (12.3%)73 (6.07%)
Respondent’s education
No formal education332 (72.2%)128 (27.8%)468 (38.68%)
Primary education90 (48.4%)96 (51.6%)187 (15.45%)
Secondary education9 (5.5%)156 (94.5%)165 (13.64%)
College and above9 (2.3%)390 (97.7%)390 (32.23%)
Table 2

Summary statistics of ANC service utilization of the study participants by socioeconomic variables in the Kembata Tembaro zone, Southern Ethiopia, 2022.

SOCIOECONOMIC VARIABLESTOTAL NUMBER IN EACH CATEGORYANC UTILIZATION
Community subgroups
Golden hand subgroups44056 (12.73%)
Non-golden hand subgroups770629 (81.69%)
Wealth index
1st quintile18242 (23.08%)
2nd quintile12622 (17.46%)
3rd quintile17167 (39.18%)
4th quintile215121 (56.28%)
5th quintile516433 (83.91%)
Residence
Urban602503 (83.55%)
Rural608182 (29.93%)
Respondent’s occupation
Housewife660247 (37.42%)
Government employed424365 (86.08%)
Merchant/self-employed6844 (64.71%)
NGO2511 (44.00%)
Students3318 (54.55%)
Respondent’s education
No formal education460121 (26.30%)
Primary education18669 (37.10%)
Secondary education165149 (90.30%)
College and above399346 (86.72%)
Table 3

Rate-ratio (rich/poor), concentration indices, standard error, and p-value for maternal and reproductive health services in Kembata Tembaro, Southern Ethiopia, 2021.

INDICATORSRATE-RATIO (RICH/POOR)COMBINED CONCENTRATION INDEX (CI)STANDARD ERRORP-VALUEDIFFERENCE IN CI BETWEEN GOLDEN HAND AND OTHERSP-VALUE FOR TEST OF STATISTICALLY SIGNIFICANT DIFFERENCE (HO: — DIFFERENCE = 0 IF p > 0.05)
ANC service utilization*3.640.290.0140.0010.090.0001
Good knowledge of ANC service*4.020.150.0150.0010.150.001
Positive attitude toward ANC service2.110.040.020.030-0.010.884

[i] * Indicates significant at p < 0.05.

agh-89-1-4101-g1.png
Figure 1

Concentration curve of ANC utilization by wealth quantiles between golden hand and non-golden hand women in the Kembata Tembaro zone, 2021.

agh-89-1-4101-g2.png
Figure 2

Generalized Lorenz curve showing inequality in ANC service utilization between golden hand and non-golden hand women in the Kembata Tembaro zone, 2021.

Table 4

Overall logistic multivariate decomposition analysis of ANC service utilization in the Kembata Tembaro zone, Southern Ethiopia, 2021.

DECOMPOSITIONANTENATAL CARE (ANC)
COEFFICIENTPCT
Endowments (E)0.27 (0.17, 0.36)*39.47
Coefficients (C)0.41 (0.31, 0.52)**60.23
Gap (E+C)0.68 (0.65, 0.72)*100

[i] Note: * p < 0.05, ** p < 0.01.

DOI: https://doi.org/10.5334/aogh.4101 | Journal eISSN: 2214-9996
Language: English
Submitted on: Mar 2, 2023
Accepted on: Sep 26, 2023
Published on: Oct 20, 2023
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2023 Dejene Ermias Mekango, Sisay Moges, Bereket Abrham Lajore, Alula Seyum Buda, Tekle Ejajo, Desta Erkalo, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.