Equity analysis of health care utilization and outcomes: Trend analysis of inequality by wealth quintile and caste/ethnic group from 1996 to 2006

Executive Summary: With the Government of Nepal’s adoption of a targeted health care policy that seeks to assist those most in need of support, it has become necessary to have a better understanding of who exactly that is. While past surveys and studies have lent some insight into inequity, there is...

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Main Author:	Ministry of Health and Population
Format:	Technical Report
Language:	en_US
Published:	Ministry of Health and Population 2013
Subjects:	Health Care Utilization Caste/Ethnic
Online Access:	http://103.69.126.140:8080/handle/123456789/728
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spelling	oai:103.69.126.140:123456789-7282022-11-09T06:35:31Z Equity analysis of health care utilization and outcomes: Trend analysis of inequality by wealth quintile and caste/ethnic group from 1996 to 2006 Ministry of Health and Population Health Care Utilization Caste/Ethnic Executive Summary: With the Government of Nepal’s adoption of a targeted health care policy that seeks to assist those most in need of support, it has become necessary to have a better understanding of who exactly that is. While past surveys and studies have lent some insight into inequity, there is virtually no information on the trends of health care service utilisation and outcomes acrosscastes/ethnicities and income groups. Using the national demographic health surveys from 1996, 2001, and 2006, the data were analysed to reveal the trends in health service utilisation and outcomes over the last decade in specific areas indicative of health care provision: family planning, maternal health, child health, under-five, infant and neonatal mortality, and birth weight or size at birth. Unequal access and utilisation have decreased significantly for some services and health outcomes have improved. However, not all citizens of Nepal have equal access to health centres or routinely scheduled services. Between 1996 and 2006, differences between castes, ethnicities, and wealth quintiles decreased in contraceptive use, childhood immunisation, diarrhoeal disease control, and treatment for acute respiratory infection. Differences in underfive and infant mortality rates between castes, ethnic groups and wealth quintiles decreased. Disparities between castes, ethnic groups, and wealth quintiles in birth weight or size at birth have also diminished. However, disparities increased in antenatal care and deliveries attended by skilled birth attendants. At the same time, differences in neonatal mortality rates between Brahmins/Chhetris and Dalits, and between Newars and Janajatis have increased. 2013-08-20T21:45:27Z 2022-11-08T10:19:09Z 2013-08-20T21:45:27Z 2022-11-08T10:19:09Z 2008 Technical Report http://103.69.126.140:8080/handle/123456789/728 en_US application/pdf Ministry of Health and Population
institution	My University
collection	DSpace
language	en_US
topic	Health Care Utilization Caste/Ethnic
spellingShingle	Health Care Utilization Caste/Ethnic Ministry of Health and Population Equity analysis of health care utilization and outcomes: Trend analysis of inequality by wealth quintile and caste/ethnic group from 1996 to 2006
description	Executive Summary: With the Government of Nepal’s adoption of a targeted health care policy that seeks to assist those most in need of support, it has become necessary to have a better understanding of who exactly that is. While past surveys and studies have lent some insight into inequity, there is virtually no information on the trends of health care service utilisation and outcomes acrosscastes/ethnicities and income groups. Using the national demographic health surveys from 1996, 2001, and 2006, the data were analysed to reveal the trends in health service utilisation and outcomes over the last decade in specific areas indicative of health care provision: family planning, maternal health, child health, under-five, infant and neonatal mortality, and birth weight or size at birth. Unequal access and utilisation have decreased significantly for some services and health outcomes have improved. However, not all citizens of Nepal have equal access to health centres or routinely scheduled services. Between 1996 and 2006, differences between castes, ethnicities, and wealth quintiles decreased in contraceptive use, childhood immunisation, diarrhoeal disease control, and treatment for acute respiratory infection. Differences in underfive and infant mortality rates between castes, ethnic groups and wealth quintiles decreased. Disparities between castes, ethnic groups, and wealth quintiles in birth weight or size at birth have also diminished. However, disparities increased in antenatal care and deliveries attended by skilled birth attendants. At the same time, differences in neonatal mortality rates between Brahmins/Chhetris and Dalits, and between Newars and Janajatis have increased.
format	Technical Report
author	Ministry of Health and Population
author_facet	Ministry of Health and Population
author_sort	Ministry of Health and Population
title	Equity analysis of health care utilization and outcomes: Trend analysis of inequality by wealth quintile and caste/ethnic group from 1996 to 2006
title_short	Equity analysis of health care utilization and outcomes: Trend analysis of inequality by wealth quintile and caste/ethnic group from 1996 to 2006
title_full	Equity analysis of health care utilization and outcomes: Trend analysis of inequality by wealth quintile and caste/ethnic group from 1996 to 2006
title_fullStr	Equity analysis of health care utilization and outcomes: Trend analysis of inequality by wealth quintile and caste/ethnic group from 1996 to 2006
title_full_unstemmed	Equity analysis of health care utilization and outcomes: Trend analysis of inequality by wealth quintile and caste/ethnic group from 1996 to 2006
title_sort	equity analysis of health care utilization and outcomes: trend analysis of inequality by wealth quintile and caste/ethnic group from 1996 to 2006
publisher	Ministry of Health and Population
publishDate	2013
url	http://103.69.126.140:8080/handle/123456789/728
work_keys_str_mv	AT ministryofhealthandpopulation equityanalysisofhealthcareutilizationandoutcomestrendanalysisofinequalitybywealthquintileandcasteethnicgroupfrom1996to2006
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Equity analysis of health care utilization and outcomes: Trend analysis of inequality by wealth quintile and caste/ethnic group from 1996 to 2006

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