Limits...
Equity in health and healthcare in Malawi: analysis of trends.

Zere E, Moeti M, Kirigia J, Mwase T, Kataika E - BMC Public Health (2007)

Bottom Line: It is also observed that the publicly provided services for some of the selected interventions (e.g. child delivery) benefit the non-poor more than the poor.To counteract the inequities it is recommended that coverage in poor communities be increased through appropriate targeting mechanisms and effective service delivery strategies.There is also a need for studies to identify which service delivery mechanisms are effective in the Malawian context.

View Article: PubMed Central - HTML - PubMed

Affiliation: World Health Organization, Lilongwe, Malawi. zeyob@yahoo.com

ABSTRACT

Background: Growing scientific evidence points to the pervasiveness of inequities in health and health care and the persistence of the inverse care law, that is the availability of good quality healthcare seems to be inversely related to the need for it in developing countries. Achievement of the Millennium Development Goals is likely to be compromised if inequities in health/healthcare are not properly addressed.

Objective: This study attempts to assess trends in inequities in selected indicators of health status and health service utilization in Malawi using data from the Demographic and Health Surveys of 1992, 2000 and 2004.

Methods: Data from Demographic and Health Surveys of 1992, 2000 and 2004 are analysed for inequities in health/healthcare using quintile ratios and concentration curves/indices.

Results: Overall, the findings indicate that in most of the selected indicators there are pro-rich inequities and that they have been widening during the period under consideration. Furthermore, vertical inequities are observed in the use of interventions (treatment of diarrhoea, ARI among under-five children), in that the non-poor who experience less burden from these diseases receive more of the treatment/interventions, whereas the poor who have a greater proportion of the disease burden use less of the interventions. It is also observed that the publicly provided services for some of the selected interventions (e.g. child delivery) benefit the non-poor more than the poor.

Conclusion: The widening trend in inequities, in particular healthcare utilization for proven cost-effective interventions is likely to jeopardize the achievement of the Millennium Development Goals and other national and regional targets. To counteract the inequities it is recommended that coverage in poor communities be increased through appropriate targeting mechanisms and effective service delivery strategies. There is also a need for studies to identify which service delivery mechanisms are effective in the Malawian context.

Show MeSH

Related in: MedlinePlus

The concentration curve.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC1884146&req=5

Figure 1: The concentration curve.

Mentions: Inequities are represented by concentration curves that are relatively easier to understand compared to the concentration indices. The concentration curve plots the cumulative proportion of the individuals under consideration ranked by wealth against the cumulative proportion of the health/healthcare variable (e.g. stunting, under-five mortality rate, use of modern contraception etc.) being measured. To demonstrate the use of the concentration curve, the case of underweight (low weight-for-age) in under-five year old children is presented in Figure 1.


Equity in health and healthcare in Malawi: analysis of trends.

Zere E, Moeti M, Kirigia J, Mwase T, Kataika E - BMC Public Health (2007)

The concentration curve.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC1884146&req=5

Figure 1: The concentration curve.
Mentions: Inequities are represented by concentration curves that are relatively easier to understand compared to the concentration indices. The concentration curve plots the cumulative proportion of the individuals under consideration ranked by wealth against the cumulative proportion of the health/healthcare variable (e.g. stunting, under-five mortality rate, use of modern contraception etc.) being measured. To demonstrate the use of the concentration curve, the case of underweight (low weight-for-age) in under-five year old children is presented in Figure 1.

Bottom Line: It is also observed that the publicly provided services for some of the selected interventions (e.g. child delivery) benefit the non-poor more than the poor.To counteract the inequities it is recommended that coverage in poor communities be increased through appropriate targeting mechanisms and effective service delivery strategies.There is also a need for studies to identify which service delivery mechanisms are effective in the Malawian context.

View Article: PubMed Central - HTML - PubMed

Affiliation: World Health Organization, Lilongwe, Malawi. zeyob@yahoo.com

ABSTRACT

Background: Growing scientific evidence points to the pervasiveness of inequities in health and health care and the persistence of the inverse care law, that is the availability of good quality healthcare seems to be inversely related to the need for it in developing countries. Achievement of the Millennium Development Goals is likely to be compromised if inequities in health/healthcare are not properly addressed.

Objective: This study attempts to assess trends in inequities in selected indicators of health status and health service utilization in Malawi using data from the Demographic and Health Surveys of 1992, 2000 and 2004.

Methods: Data from Demographic and Health Surveys of 1992, 2000 and 2004 are analysed for inequities in health/healthcare using quintile ratios and concentration curves/indices.

Results: Overall, the findings indicate that in most of the selected indicators there are pro-rich inequities and that they have been widening during the period under consideration. Furthermore, vertical inequities are observed in the use of interventions (treatment of diarrhoea, ARI among under-five children), in that the non-poor who experience less burden from these diseases receive more of the treatment/interventions, whereas the poor who have a greater proportion of the disease burden use less of the interventions. It is also observed that the publicly provided services for some of the selected interventions (e.g. child delivery) benefit the non-poor more than the poor.

Conclusion: The widening trend in inequities, in particular healthcare utilization for proven cost-effective interventions is likely to jeopardize the achievement of the Millennium Development Goals and other national and regional targets. To counteract the inequities it is recommended that coverage in poor communities be increased through appropriate targeting mechanisms and effective service delivery strategies. There is also a need for studies to identify which service delivery mechanisms are effective in the Malawian context.

Show MeSH
Related in: MedlinePlus