State of inequality in malaria intervention coverage in sub-Saharan African countries.

ABSTRACT:

Background

Scale-up of malaria interventions over the last decade have yielded a significant reduction in malaria transmission and disease burden in sub-Saharan Africa. We estimated economic gradients in the distribution of these efforts and of their impacts within and across endemic countries.

Methods

Using Demographic and Health Surveys we computed equity metrics to characterize the distribution of malaria interventions in 30 endemic countries proxying economic position with an asset-wealth index. Gradients were summarized in a concentration index, tabulated against level of coverage, and compared among interventions, across countries, and against respective trends over the period 2005-2015.

Results

There remain broad differences in coverage of malaria interventions

SUBMITTER: Galactionova K 

PROVIDER: S-EPMC5646111 | biostudies-literature | 2017 Oct

REPOSITORIES: biostudies-literature