Socioeconomic and geographic variations in antenatal care coverage in Angola: further analysis of the 2015 demographic and health survey
- Shibre, Gebretsadik, Zegeye, Betregiorgis, Idriss-Wheeler, Dina, Ahinkorah, Bright Opoku, Oladimeji, Olanrewaju, Yaya, Sanni
- Authors: Shibre, Gebretsadik , Zegeye, Betregiorgis , Idriss-Wheeler, Dina , Ahinkorah, Bright Opoku , Oladimeji, Olanrewaju , Yaya, Sanni
- Date: 2023
- Subjects: Prenatal care , Mothers -- Mortality , Health surveys
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/4489 , vital:44125 , https://doi.org/10.1186/s12889-020-09320-1
- Description: In African countries, including Angola, antenatal care (ANC) coverage is suboptimal and maternal mortality is still high due to pregnancy and childbirth-related complications. There is evidence of disparities in the uptake of ANC services, however, little is known about both the socio-economic and geographic-based disparity in the use of ANC services in Angola. The aim of this study was to assess the extent of socio-economic, urban-rural and subnational inequality in ANC coverage in Angola. We analyzed data from the 2015 Angola Demographic and Health Survey (ADHS) using the World Health Organization (WHO) Health Equity Assessment Toolkit (HEAT) software. The analysis consisted of disaggregated ANC coverage rates using four equity stratifiers (economic status, education, residence, and region) and four summary measures (Difference, Population Attributable Risk, Ratio and Population Attributable Fraction). To measure statistical significance, an uncertainty interval (UI) of 95% was constructed around point estimates. The study showed both absolute and relative inequalities in coverage of ANC services in Angola. More specifically, inequality favored women who were rich (D = 54.2, 95% UI; 49.59, 58.70, PAF = 43.5, 95% UI; 40.12, 46.92), educated (PAR = 19.9, 95% UI; 18.14, 21.64, R = 2.14, 95% UI; 1.96, 2.32), living in regions such as Luanda (D = 51.7, 95% UI; 43.56, 59.85, R = 2.64, 95% UI; 2.01, 3.26) and residing in urban dwellings (PAF = 20, 95% UI; 17.70, 22.38, PAR = 12.3, 95% UI; 10.88, 13.75). The uptake of ANC services were lower among poor, uneducated, and rural residents as well as women from the Cuanza Sul region. Government policy makers must consider vulnerable subpopulations when designing needed interventions to improve ANC coverage in Angola to achieve the 2030 Sustainable Development Goal of reducing global maternal mortality ratio to 70 deaths per 100,000 live births.
- Full Text:
- Date Issued: 2023
- Authors: Shibre, Gebretsadik , Zegeye, Betregiorgis , Idriss-Wheeler, Dina , Ahinkorah, Bright Opoku , Oladimeji, Olanrewaju , Yaya, Sanni
- Date: 2023
- Subjects: Prenatal care , Mothers -- Mortality , Health surveys
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/4489 , vital:44125 , https://doi.org/10.1186/s12889-020-09320-1
- Description: In African countries, including Angola, antenatal care (ANC) coverage is suboptimal and maternal mortality is still high due to pregnancy and childbirth-related complications. There is evidence of disparities in the uptake of ANC services, however, little is known about both the socio-economic and geographic-based disparity in the use of ANC services in Angola. The aim of this study was to assess the extent of socio-economic, urban-rural and subnational inequality in ANC coverage in Angola. We analyzed data from the 2015 Angola Demographic and Health Survey (ADHS) using the World Health Organization (WHO) Health Equity Assessment Toolkit (HEAT) software. The analysis consisted of disaggregated ANC coverage rates using four equity stratifiers (economic status, education, residence, and region) and four summary measures (Difference, Population Attributable Risk, Ratio and Population Attributable Fraction). To measure statistical significance, an uncertainty interval (UI) of 95% was constructed around point estimates. The study showed both absolute and relative inequalities in coverage of ANC services in Angola. More specifically, inequality favored women who were rich (D = 54.2, 95% UI; 49.59, 58.70, PAF = 43.5, 95% UI; 40.12, 46.92), educated (PAR = 19.9, 95% UI; 18.14, 21.64, R = 2.14, 95% UI; 1.96, 2.32), living in regions such as Luanda (D = 51.7, 95% UI; 43.56, 59.85, R = 2.64, 95% UI; 2.01, 3.26) and residing in urban dwellings (PAF = 20, 95% UI; 17.70, 22.38, PAR = 12.3, 95% UI; 10.88, 13.75). The uptake of ANC services were lower among poor, uneducated, and rural residents as well as women from the Cuanza Sul region. Government policy makers must consider vulnerable subpopulations when designing needed interventions to improve ANC coverage in Angola to achieve the 2030 Sustainable Development Goal of reducing global maternal mortality ratio to 70 deaths per 100,000 live births.
- Full Text:
- Date Issued: 2023
Sociodemographic inequities associated with participation in leisure-time physical activity in sub-Saharan Africa: an individual participant data meta-analysis
- Longo-Mbenza, Benjamin, Barr, Anna Louise, Partap, Uttara, Young, Elizabeth H, Agoudavi, Kokou, Balde, Naby, Kagaruki, Gibson B, Mayige, Mary T, Mutungi, Gerald, Mwalim, Omar, Wesseh, Chea S, Bahendeka, Silver K, Guwatudde, David, Jørgensen, Jutta M Adelin, Bovet, Pascal, Motala, Ayesha A, Sandhu, Manjinder S
- Authors: Longo-Mbenza, Benjamin , Barr, Anna Louise , Partap, Uttara , Young, Elizabeth H , Agoudavi, Kokou , Balde, Naby , Kagaruki, Gibson B , Mayige, Mary T , Mutungi, Gerald , Mwalim, Omar , Wesseh, Chea S , Bahendeka, Silver K , Guwatudde, David , Jørgensen, Jutta M Adelin , Bovet, Pascal , Motala, Ayesha A , Sandhu, Manjinder S
- Date: 2020-06-15
- Subjects: Recreation. Use of leisure time , Occupational therapy , Health surveys
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/3378 , vital:43337 , https://doi.org/10.1186/s12889-020-08987-w
- Description: Leisure-time physical activity (LTPA) is an important contributor to total physical activity and the focus of many interventions promoting activity in high-income populations. Little is known about LTPA in subSaharan Africa (SSA), and with expected declines in physical activity due to rapid urbanisation and lifestyle changes we aimed to assess the sociodemographic differences in the prevalence of LTPA in the adult populations of this region to identify potential barriers for equitable participation. A two-step individual participant data meta-analysis was conducted using data collected in SSA through 10 population health surveys that included the Global Physical Activity Questionnaire. For each sociodemographic characteristic, the pooled adjusted prevalence and risk ratios (RRs) for participation in LTPA were calculated using the random effects method. Between-study heterogeneity was explored through meta-regression analyses and tests for interaction. Across the 10 populations (N = 26,022), 18.9% (95%CI: 14.3, 24.1; I2 = 99.0%) of adults (≥ 18 years) participated in LTPA. Men were more likely to participate in LTPA compared with women (RR for women: 0.43; 95%CI: 0.32, 0.60; P less than 0.001; I2 = 97.5%), while age was inversely associated with participation. Higher levels of education were associated with increased LTPA participation (RR: 1.30; 95%CI: 1.09, 1.55; P = 0.004; I2 = 98.1%), with those living in rural areas or self-employed less likely to participate in LTPA. These associations remained after adjusting for time spent physically active at work or through active travel. In these populations, participation in LTPA was low, and strongly associated with sex, age, education, self-employment and urban residence. Identifying the potential barriers that reduce participation in these groups is necessary to enable equitable access to the health and social benefits associated with LTPA.
- Full Text:
- Date Issued: 2020-06-15
- Authors: Longo-Mbenza, Benjamin , Barr, Anna Louise , Partap, Uttara , Young, Elizabeth H , Agoudavi, Kokou , Balde, Naby , Kagaruki, Gibson B , Mayige, Mary T , Mutungi, Gerald , Mwalim, Omar , Wesseh, Chea S , Bahendeka, Silver K , Guwatudde, David , Jørgensen, Jutta M Adelin , Bovet, Pascal , Motala, Ayesha A , Sandhu, Manjinder S
- Date: 2020-06-15
- Subjects: Recreation. Use of leisure time , Occupational therapy , Health surveys
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/3378 , vital:43337 , https://doi.org/10.1186/s12889-020-08987-w
- Description: Leisure-time physical activity (LTPA) is an important contributor to total physical activity and the focus of many interventions promoting activity in high-income populations. Little is known about LTPA in subSaharan Africa (SSA), and with expected declines in physical activity due to rapid urbanisation and lifestyle changes we aimed to assess the sociodemographic differences in the prevalence of LTPA in the adult populations of this region to identify potential barriers for equitable participation. A two-step individual participant data meta-analysis was conducted using data collected in SSA through 10 population health surveys that included the Global Physical Activity Questionnaire. For each sociodemographic characteristic, the pooled adjusted prevalence and risk ratios (RRs) for participation in LTPA were calculated using the random effects method. Between-study heterogeneity was explored through meta-regression analyses and tests for interaction. Across the 10 populations (N = 26,022), 18.9% (95%CI: 14.3, 24.1; I2 = 99.0%) of adults (≥ 18 years) participated in LTPA. Men were more likely to participate in LTPA compared with women (RR for women: 0.43; 95%CI: 0.32, 0.60; P less than 0.001; I2 = 97.5%), while age was inversely associated with participation. Higher levels of education were associated with increased LTPA participation (RR: 1.30; 95%CI: 1.09, 1.55; P = 0.004; I2 = 98.1%), with those living in rural areas or self-employed less likely to participate in LTPA. These associations remained after adjusting for time spent physically active at work or through active travel. In these populations, participation in LTPA was low, and strongly associated with sex, age, education, self-employment and urban residence. Identifying the potential barriers that reduce participation in these groups is necessary to enable equitable access to the health and social benefits associated with LTPA.
- Full Text:
- Date Issued: 2020-06-15
- «
- ‹
- 1
- ›
- »