Inequalities in effective Access to Obstetric Care in Chad

Abstract

This paper aims to fill the gap in the literature regarding the inequalities in effective access to obstetric care in Chad by introducing the decomposition of antenatal care (ANC) consultation in a comprehensive model of obstetric care. The methodology used is the regression decomposition approach in additional to the Probit and negative Binomial Law. The results show that there are significant factors of inequality in effective access to obstetric care. The factors that contribute most to these inequalities are the income of women’s well-being, place of residence and level of education. Combating income inequality, promoting equitable education, and subsidizing transport resources can make the health care system more equitable and significantly reduce unfair inequalities in access to obstetric care. Based on the findings of this study, we propose areas for future research. For instance, it would be interesting to examine women's treatment pathways in their health seeking behaviour. This will make it possible to see women's preference in effective access to obstetric care in Chad.