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International Journal for Equity in Health
Published in: International Journal for Equity in Health 1/2015

Open Access 01-12-2015 | Research

Paving the way for universal family planning coverage in Ethiopia: an analysis of wealth related inequality

Authors: Muluneh Yigzaw, David Zakus, Yehualashet Tadesse, Muluked Desalegn, Mesganaw Fantahun

Published in: International Journal for Equity in Health | Issue 1/2015

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Abstract

Background

Family planning plays a significant role in reducing maternal and child mortality and ultimately in achieving national and international development goals. It also has an important role in reducing new pediatric HIV infections by preventing unwanted pregnancies among HIV positive women. Investing in family planning is one of the smart investments for development as population dynamics have a fundamental influence on the pillars of sustainable development, including that of a sustainable environment.

Objective

To identify and quantify wealth related differences in family planning use between poor and rich Ethiopian women based on the Demographic and Health Survey asset based wealth quintiles.

Methods

The proportion of women who used contraceptives during implementation of the 2011 and 2005 Ethiopia Demographic and Health Surveys was calculated across wealth quintiles. Data were stratified for place of residence to analyze and determine inequalities in family planning use separately for rural and urban women. Socioeconomic inequalities according to wealth were measured using the slope index of inequality and the relative index of inequality.

Result

The absolute difference of contraceptive prevalence between poorest and richest women was over 25.3 percentage points (95 % CI = 18.9-31.7) in 2011. Contraceptive use was more than twice (RII: 2.6, 95 % CI = 2.0 - 3.3) as prevalent among the richest compared with the poorest.

Conclusion

Despite efforts to provide contraceptives for free at all public health facilities, wealth based inequalities still prevail in Ethiopia. People at lower socioeconomic strata should be empowered more to avoid the root causes of inequality and to achieve national Health Sector Development Program Goals.
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Metadata
Title
Paving the way for universal family planning coverage in Ethiopia: an analysis of wealth related inequality
Authors
Muluneh Yigzaw
David Zakus
Yehualashet Tadesse
Muluked Desalegn
Mesganaw Fantahun
Publication date
01-12-2015
Publisher
BioMed Central
Published in
International Journal for Equity in Health / Issue 1/2015
Electronic ISSN: 1475-9276
DOI
https://doi.org/10.1186/s12939-015-0214-7

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