Use of maternal health services in Mali: socioeconomic factors

Abstract

Introduction: To achieve universal health coverage in ​​maternal health, it is necessary to assess the progress made in the indicators in terms of inequity. The purpose of our article is to analyze trends in inequity in the use of maternal health services.
Methods: We used a secondary analysis of data from the Mali Demographic and Health Survey of 2006 and 2013-2013. We have the curve and the concentration index to measure the inequity related to the wealth index of households. Results. A relative increase of approximately 14% in achievement of at least 4 ante natal visit, 33% in the achievement of at least one ante natal visit performed by a qualified provider, 46% of delivery by a qualified provider and 67% Caesarean section delivery from 2006 to 2012-2013. We found perfect inequity in the use of maternal health services from 2006 to 2012-2013. Conclusion: The existence of inequity in the use of health services can hinder the reduction of maternal mortality. Despite improvements in maternal health indicators, there may still be inequities in the use of services.