Coverage and Equitability of Interventions to Prevent Child Mortality in Rural Jimma and West Hararghe Zones; Oromia Region; Ethiopia
Ethiop. med. j. (Online)
; 52: 37-45, 2014.
Artículo
en Inglés
| AIM (África)
| ID: biblio-1261961
Biblioteca responsable:
CG1.1
ABSTRACT
Background:
Interventions to prevent childhood illnesses are important components of the Ethiopian Health Extension Program (HEP). Although the HEP was designed to reduce inequities in access to health care; there is little evidence on equitability of preventive interventions in Ethiopia.Purpose:
This article describes coverage of preventive interventions and how many interventions individual children received. We also examined which factors were associated with the number of preventive interventions received; and assessed the extent to which interventions were equitably distributed.Methods:
We conducted a cross-sectional survey in 3;200 randomly selected households in the rural Jimma and West Hararghe Zones of Ethiopia's Oromia Region. We calculated coverage of 10 preventive interventions and a composite of eight interventions (co-coverage) representing the number of interventions received by children. Multiple linear regressions were used to assess associations between co-coverage and explanatory variables. Finally; we assessed the equitability of preventive interventions by comparing coverage among children in the poorest and the least poor wealth quintiles.Results:
Coverage was less than 50 for six of the 10 interventions. Children received on average only three of the eight interventions included in the co-coverage calculation. Zone; gender; caretaker age; religion; and household wealth were all significantly associated with co-coverage; controlling for key covariates. Exclusive breastfeeding; vaccine uptake; and vitamin A supplementation were all relatively equitable. On the other hand; coverage of insecticide-treated nets or indoor residual spraying (ITN/IRS) and access to safe water were significantly higher among the least poor children compared to children in the poorest quintile.Conclusion:
Coverage of key interventions to prevent childhood illnesses is generally low in Jimma and West Hararghe. Although a number of interventions were equitably distributed; there were marked wealth-based inequities for interventions that are possessed at the household level; even among relatively homogeneous rural communities
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Contexto en salud:
Agenda de Salud Sostenible para las Américas
/
ODS3 - Salud y Bienestar
/
ODS3 - Meta 3.2 Evitar muertes en recién nacidos y niños menores de 5 años
Problema de salud:
Objetivo 11: Desigualdades e inequidades en la salud
/
Meta 3.2: Evitar muertes en recién nacidos y niños menores de 5 años
/
Salud Ambiental
/
Nutrición
Base de datos:
AIM (África)
Asunto principal:
Atención a la Salud
/
Mortalidad del Niño
Tipo de estudio:
Factores de riesgo
Aspecto:
Determinantes sociales de la salud
/
Equidad y inequidad
Idioma:
Inglés
Revista:
Ethiop. med. j. (Online)
Año:
2014
Tipo del documento:
Artículo