Background

In urban Ethiopia, there are substantial

gaps in maternal health service utilization

rates. In urban areas of Ethiopia:

Only 50% of pregnant women

received the recommended four or

more antenatal care (ANC) visits.

Only 51% of pregnant women

delivered with a skilled birth

attendant (SBA).

Understanding inequities in service use, and

socio-demographic factors related to these

inequities will help guide urban health

program efforts.

Methods

Using data from the 2011 Ethiopian

Demographic and Health Survey, we

investigated associations between women’s

use of maternal health services and

socio-demographic factors.

Findings

There are substantial inequities in maternal health service utilization use in urban

Ethiopia. The most prominent socio-demographic factors tied to service usage rates

are wealth and education.*

Determinants of Maternal Health Service

Utilization in Urban Ethiopia

Zelalem Geletu, MSc, John Snow, Inc. Marc Cunningham, MPH, John Snow, Inc.

Sophia Magalona, MPH, John Snow, Inc.

Interpretation

Inequalities in wealth and education affect maternal health service utilization in urban

Ethiopia.

To improve maternal health outcomes, programs should focus

on the poor and less-educated

segments of urban populations.

Acknowledgements This study and poster were made possible by the generous support of the

American people through the United States Agency for International

Development (USAID), through the Maternal and Child Health Integrated

Program. This analysis was conducted in part to inform the USAID Urban

Health Extension Program in Ethiopia. The authors’ views do not necessarily

reflect the views of the United States Agency for International Development

or the United States Government.

John Snow, Inc. Promoting & Improving Health