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“But what happens to the poor?”- Economic inequality in preventive aspects of maternal and child health care in rural Nigeria

Sumit Mazumdar, International Institute for Population Sciences (IIPS)
Papiya Guha Mazumdar, International Institute for Population Sciences (IIPS)

Few studies have considered the aspect of health inequalities in Africa, having a substantial proportion of population in poverty and examined within-country inequalities in preventive health care aspects like immunization of children or antenatal care for pregnant women. The present paper seeks to examine the extent of economic inequalities in preventive aspects of maternal and child health care in rural Nigeria from the Nigeria Demographic and Health Survey 2003. Multilevel logit models were applied to examine community level differentials in health care access and summary indices of inequality like the Gini Coefficient and Lorenz curve examined to reflect the extent of inequality. Results suggest substantial economic inequality and community level effects on access and utilization of preventive services for the poorer households. We argue in this paper that, in fact there exists sufficient disparities in access and use of preventive services within Nigeria based on the economic capabilities of households.

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Presented in Poster Session 4