Measuring Coverage in MNCH
Determining and Interpreting Inequalities in Coverage of Maternal, Newborn, and Child Health Interventions
Bibliographic Data
| ID | 23382135 |
|---|---|
| Authors | Aluísio J D Barros (0000-0002-2022-8729, Universidade Federal de Pelotas, corresponding author), Cesar G Victora (0000-0002-2465-2180, Universidade Federal de Pelotas) |
| Editors | Nyovani Madise (0000-0002-2813-5295) |
| Year | 2013 |
| Volume | 10 |
| Issue | 5 |
| Pages | e1001390 |
| Publication date | 2013-05-07 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | PLoS Medicine (JOURNAL) |
| Journal identifiers | ISSN: 1549-1277 • E-ISSN: 1549-1676 |
| Publisher | Public Library of Science (PLoS) (PUBLISHER) |
| DOI | 10.1371/journal.pmed.1001390 |
| PMID | 23667332 |
| PMCID | PMC3646214 |
| OpenAlex | W1981910462 |
| Language | EN |
| Citations received | 131 |
| References cited | 29 |
To monitor progress towards the Millennium Development Goals, it is essential to monitor the coverage of health interventions in subgroups of the population, because national averages can hide important inequalities. In this review, we provide a practical guide to measuring and interpreting inequalities based on surveys carried out in low- and middle-income countries, with a focus on the health of mothers and children. Relevant stratification variables include urban/rural residence, geographic region, and educational level, but breakdowns by wealth status are increasingly popular. For the latter, a classification based on an asset index is the most appropriate for national surveys. The measurement of intervention coverage can be made by single indicators, but the use of combined measures has important advantages, and we advocate two summary measures (the composite coverage index and the co-coverage indicator) for the study of time trends and for cross-country comparisons. We highlight the need for inequality measures that take the whole socioeconomic distribution into account, such as the relative concentration index and the slope index of inequality, although simpler measures such as the ratio and difference between the richest and poorest groups may also be presented for non-technical audiences. Finally, we present a framework for the analysis of time trends in inequalities, arguing that it is essential to study both absolute and relative indicators, and we provide guidance to the joint interpretation of these results.
Composite index · Composite indicator · Demographic economics · Econometrics · Economics · Environmental health · Geography · Index (typography) · Inequality · Population · Psychological intervention · Residence · Socioeconomic status · Child Nutrition and Water Access · Computer Science · Global Maternal and Child Health · Healthcare Systems and Reforms · Mathematics · Medicine
Socioeconomic Inequalities in Maternal Health Care Utilization and Delivery Channels in Nigeria
Mothers' Preventive Health Care Practices and Children's Survival in Burkina Faso
Changes in mortality inequalities over two decades
Co‐Coverage of Essential Interventions Across the Health System Continuum of Care for Improving Child Nutrition in Ethiopia
Co‐coverage of reproductive, maternal, newborn and child health interventions shows wide inequalities and is associated with child nutritional outcomes in Ethiopia (2005–2019)
Construction of Development Scores to Analyze Inequalities in Childhood Immunization Coverage
Estimating family planning coverage from contraceptive prevalence using national household surveys
The impact of eliminating within-country inequality in health coverage on maternal and child mortality
Desigualdades socioeconômicas no consumo alimentar da população idosa brasileira
Desigualdades socioeconômicas associadas ao excesso de peso e sedentarismo em adolescentes brasileiros
Desigualdades na cobertura da assistência pré-natal no Brasil
Social inequalities between neighborhoods and cardiovascular disease
Tendências temporais das desigualdades no acúmulo de fatores de risco comportamentais nas capitais do Brasil, 2008-2018
Economic-related inequalities in child health interventions
Inequalities in child immunization coverage
Socioeconomic inequalities in health problems in the first two years of life
Measuring health inequalities
Tendências e desigualdades nos comportamentos de risco em adolescentes
Inequalities in the access to healthy urban structure and housing
Tendências e desigualdades na insegurança alimentar durante a pandemia de Covid-19
Countdown to 2030
Educational inequality in the occurrence of abdominal obesity
Focus and coverage of Bolsa Família Program in the Pelotas 2004 birth cohort
Water fluoridation in Brazilian cities at the first decade of the 21st century
Existe desigualdade socioeconômica na multimorbidade entre adultos brasileiros
Prenatal care in Southern Brazil
The trend of full vaccination coverage in infants and inequalities by wealth quintile and maternal education
Changes over time in HIV testing and counselling uptake and associated factors among youth in Zambia
Equity in the continuum of hypertension care
Association Between Maternal Work and Exclusive Breastfeeding in Countries of Latin America and Caribbean
Measuring Coverage in MNCH
Countdown to 2015
Every Newborn
Maternal and child undernutrition and overweight in low-income and middle-income countries
Prevalence, patterns, and predictors of diarrhea
Neonatal Mortality and Inequalities in Bangladesh
Coverage of continuum of Maternal, Newborn and Child Health (MNCH) care in a nationally representative sample of 40,687 mother–child dyads of India
Observed trends in the magnitude of socioeconomic and area-based inequalities in use of caesarean section in Ethiopia
Wealth and education-related inequalities in the utilisation of reproductive, maternal, newborn, and child health interventions within scheduled tribes in India
Inequalities in access to medicines for diabetes and hypertension across the capitals in different regions of Brazil
Coverage and inequalities in maternal and child health interventions in Afghanistan
The impact of equity factors on receipt of timely appropriate care for children with suspected malaria in eastern Uganda
There Is No Link Between Resource Allocation and Use of Local Data”
Temporal trends in spatial inequalities of maternal and newborn health services among four east African countries, 1999–2015
Geographic inequalities, and social-demographic determinants of reproductive, maternal and child health at sub-national levels in Kenya
Unveiling Disparities and Missed Opportunities in Vitamin A Supplementation Among Children Under Five in Ethiopia
Examining national and district-level trends in neonatal health in Peru through an equity lens
Trends in utilisation and inequality in the use of reproductive health services in Sub-Saharan Africa
Do girls wash dishes and boys play sports? Gender inequalities in physical activity and in the use of screen-based devices among schoolchildren from urban and rural areas in Brazil
Progress and inequalities in infant and young child feeding practices in India between 2006 and 2016
Income-related health inequality among rural residents in western China
Are the poorest poor being left behind? Estimating global inequalities in reproductive, maternal, newborn and child health
District-level health system strengthening for universal health coverage
Women, children and adolescents in conflict countries
Missed opportunities for delivering nutrition interventions in first 1000 days of life in India
Effective coverage for reproductive, maternal, neonatal and newborn health
A framework for identifying and learning from countries that demonstrated exemplary performance in improving health outcomes and systems
Intimate partner violence in 46 low-income and middle-income countries
Inequalities in effective coverage measures
Tracking progress towards universal health coverage for essential health services in China, 2008–2018
A vulnerability index for Covid-19
Leaving no one behind
Inequities in birth registration, violent discipline, and child labour by disability status and sex
Health services for women, children and adolescents in conflict affected settings
Wealth-based equity in maternal, neonatal, and child health services utilization
A decade of improvements in equity of access to reproductive and maternal health services in Cambodia, 2000–2010
Trends in socioeconomic inequalities in stunting prevalence in Latin America and the Caribbean countries
Socioeconomic inequalities in physical activity in Brazil
Coverage and equity in reproductive and maternal health interventions in Brazil
Ethnic inequalities in child stunting and feeding practices
Inequities and their determinants in coverage of maternal health services in Burkina Faso
Who and where are the uncounted children? Inequalities in birth certificate coverage among children under five years in 94 countries using nationally representative household surveys
Assessing inequalities in publicly funded health insurance scheme coverage and out-of-pocket expenditure for hospitalization
Socioeconomic inequalities in the use of caesarean section delivery in Ghana
Exacerbation of antenatal care inequities as coverage recommendations rise in Brazil
An intersectional analysis of the composite index of anthropometric failures in India
Paving the way for universal family planning coverage in Ethiopia
Reducing the equity gap in child health care and health system reforms in Latin America
Ethnic inequalities and trends in stunting prevalence among Guatemalan children
Recent trends in maternal and child health inequalities in Latin America and the Caribbean
Equity in reproductive and maternal health services in Bangladesh
Inequalities in antenatal care coverage and quality
The impact Covid-19 pandemic on coverage and inequalities in childhood immunization in Peru
Educational inequalities in hypertension
Time trends in ethnic inequalities in child health and nutrition
National and subnational coverage and inequalities in reproductive, maternal, newborn, child, and sanitary health interventions in Ecuador
Socioeconomic inequalities in newborn care during facility and home deliveries
Inequalities in financial risk protection in Bangladesh
Systematic review and meta-analysis of the association between dimensions of inequality and a selection of indicators of Reproductive, Maternal, Newborn and Child Health (RMNCH)
Early childhood suspected developmental delay in 63 low- and middle-income countries
Assessing the joint effects of education, economic status, empowerment, and employment (4Es) disparities on the co-coverage of maternal, newborn and child health care services in sub-Saharan Africa
Equity in antenatal care visits among adolescent mothers
Is women’s empowerment associated with coverage of RMNCH interventions in low- and middle-income countries? An analysis using a survey-based empowerment indicator, the SWPER
Inequalities in disease burden and care quality of chronic obstructive pulmonary disease, 1990–2021
Comprehensive review of the evidence regarding the effectiveness of community–based primary health care in improving maternal, neonatal and child health
Gender bias in careseeking practices in 57 low– and middle–income countries
Evidence from household surveys for measuring coverage of newborn care practices
Children of more empowered women are less likely to be left without vaccination in low- and middle-income countries
Social protection and the level and inequality of child mortality in 101 low- and middle-income countries
Time trends in demand for family planning satisfied
Analyzing Health Equity Using Household Survey Data
Socioeconomic inequalities in health
How changes in coverage affect equity in maternal and child health interventions in 35 Countdown to 2015 countries
Equity in maternal, newborn, and child health interventions in Countdown to 2015
The Concepts and Principles of Equity and Health
Measuring socio-economic position for epidemiological studies in low- and middle-income countries
Applying an equity lens to child health and mortality
Implicit Value Judgments in the Measurement of Health Inequalities
Money, schooling, and health
Measuring Social Class in US Public Health Research
Mind the Gap! Widening Child Mortality Disparities
Assessing Asset Indices
Counting the World's Poor
Guidelines for Constructing Consumption Aggregates for Welfare Analysis
Measuring health inequality among children in developing countries
Measuring the magnitude of socio-economic inequalities in health
Validity of rapid estimates of household wealth and income for health surveys in rural Africa
A glossary for health inequalities
Research on Health Inequalities in Latin America and the Caribbean
Assessing Asset Indices
Estimating wealth effects without expenditure data—or tears
On the measurement of inequalities in health
Social inequalities in health within countries
| Unique citing works | 131 |
|---|---|
| Citations per year | 10,08 |
| Citation span | 2013 - 2026 (14) |
| Citation velocity | current |
| Highly cited | Yes |
| Citation types | Neutral: 105 |