Inequalities in women’s and girls’ health opportunities and outcomes: A report from sub-Saharan Africa

by Clara Pons Duran, Andrew Dabalen, Ambar Narayan et al.
Barcelona Institute for Global Health (ISGlobal) and the World Bank Group (WBG), December 2016

140 pp. 13 MB

The report analyzes the extent to which 14 health-related opportunities are equitably available to women of reproductive age in 29 sub-Saharan African countries. For each of the opportunities in all of the 29 countries, a composite metric called the Human Opportunity Index (HOI) was calculated. The HOI takes into account coverage rates and levels of inequality, operationalized as a dissimilarity index (d-index): A higher d-index indicates greater inequality. Coverage varied dramatically among the 29 countries. In general, the greatest levels of inequality were observed for the following opportunities: currently attending school, maternity care package, met need for family planning and delivery with skilled personnel.

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