Inequality in maternal and child healthcare service utilization in Nigeria

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Chinwe, Nnenna
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The study is an attempt to ascertain the determinants as well as the extent of inequality in maternal and child healthcare utilization in Nigeria. The study set to firstly, identify the socio economic determinant of antenatal care utilization and child vaccination in Nigeria and secondly, to ascertain if there is inequality in the utilization of antenatal health care in Nigeria. The Binary logistic model and concentration index were utilized to achieve these set objectives of the research work. Data on antenatal care and child vaccination, household wealth index and other socio economic variables were sourced from the Nigeria demographic health survey 2018. Findings from the estimated models reveal the following. The study found that Socio economic variables like household wealth quintile, Mothers literacy, availability of health insurance, Employment status of mother, urban residency improves access to antenatal utilization and child vaccination while household size, female headed households and rural residence have significant negative impact on antenatal care utilization and child vaccination in Nigeria . The study also established there exists a significant inequality in antenatal care utilization amongst women across different wealth quintiles with significant positive bias towards the rich.
inequality, maternal, child, healthcare, utilization, master program