Bulletin of the World Health Organization

Towards universal health coverage: the role of within-country wealth-related inequality in 28 countries in sub-Saharan Africa

Ahmad Reza Hosseinpoor, Cesar G Victora, Nicole Bergen, Aluisio JD Barros & Ties Boerma

Volume 89, Number 12, December 2011, 881-890

Table 3. Health service coverage gap for measles immunization, DPT3 immunization, treatment of acute respiratory infection in children under 5 years of age and family planning services, national average versus within-country inequality in 28 sub-Saharan African countries, 2000–2008

Country Measles immunization
 DPT3 immunization
 Treatment of acute respiratory infection in children under 5 years of age
 Family planning services
Coverage gap (%)
 PARa (percentage points) PAR%b Coverage gap (%)
 PARa (percentage points) PAR%b Coverage gap (%)
 PARa (percentage points) PAR%b Coverage gap (%)
 PARa (percentage points) PAR%b
National In richest quintile National In richest quintile National In richest quintile National In richest quintile
Benin 38 23 15 40 33 13 20 60 64 52 13 20 64 44 20 31
Burkina Faso 43 29 15 34 43 28 15 35 64 27 37 58 68 41 27 40
Cameroon 34 16 18 53 34 21 13 38 59 48 12 20 44 26 18 40
Chad 77 61 16 21 80 58 22 27 80 61 19 24 88 70 18 20
Congo 33 15 18 55 31 9 22 70 53 43 10 19 27 20 7 27
Democratic Republic of the Congo 36 14 22 62 54 26 28 51 58 46 12 21 54 38 16 30
Ethiopia 63 46 17 27 68 51 16 24 81 67 14 18 69 39 30 44
Gabon 44 27 18 40 64 50 14 22 39 32 7 17 46 35 11 25
Ghana 10 5 5 46 11 7 4 40 51 24 27 54 60 44 17 28
Guinea 48 39 9 19 48 37 12 24 57 39 18 31 70 57 13 18
Kenya 27 12 15 56 27 27 1 3 51 36 15 29 37 24 13 35
Lesotho 15 15 0 0 17 10 7 41 40 27 13 33 45 26 19 42
Liberia 36 13 24 65 49 26 23 47 40 12 28 69 76 61 15 20
Madagascar 41 16 25 61 38 9 29 76 52 34 18 35 47 25 22 47
Malawi 21 12 9 43 18 10 8 45 63 54 9 14 45 34 11 24
Mali 30 20 10 33 31 21 10 32 62 40 22 36 79 64 15 19
Mozambique 23 4 20 84 28 3 25 88 45 38 7 16 42 31 11 26
Namibia 15 5 11 70 16 6 10 64 33 17 16 50 27 13 14 51
Niger 52 26 26 51 60 37 23 38 53 34 19 36 58 50 9 15
Nigeria 58 25 33 58 64 24 40 63 50 31 19 38 58 34 24 41
Rwanda 14 12 2 16 12 12 0 0 72 56 16 22 69 52 17 25
Senegal 26 19 7 28 21 16 6 28 53 39 14 26 73 54 19 26
Sierra Leone 39 32 8 20 39 27 11 29 49 45 4 8 77 57 20 26
Swaziland 8 7 1 14 8 11 0 0 43 41 2 4 32 22 10 33
United Republic of Tanzania 20 9 11 54 64 62 2 3 40 33 7 19 44 25 19 44
Uganda 32 27 5 16 83 81 3 3 26 19 8 29 63 36 28 44
Zambia 15 6 10 63 79 69 10 13 35 39 0 0 39 26 13 34
Zimbabwe 34 26 8 24 38 31 7 18 74 52 22 30 17 10 8 45
Median 33 16 13 42 38 25 11 33 52 39 14 25 56 35 16 30
95% CI of the median 24–39 12–25 9–18 27–55 29–52 12–30 7–19 24–44 46–59 33–45 10–18 19–33 44–67 26–44 13–19 26–40

CI, confidence interval; DPT3, three doses of vaccine against diphtheria, pertussis and tetanus; PAR, population attributable risk.

a Absolute inequality.

b Relative inequality, calculated by dividing population attributable risk by the national health service coverage gap.

Note: Figures may be affected by rounding.