Socioeconomic Disparities in Health Outcomes and Access to Health Care across Three Islands in Comoros

• Published in: Journal of health care for the poor and underserved Vol. 28; no. 3; pp. 1116 - 1140
• Main Authors: Kassim, Said Abasse, Alolga, Raphael Nammahime, Kassim, Said Mohamed, Assanhou, Assogba Gabin, Hongchao, Li, Aixia, Ma
• Format: Journal Article
• Language: English
• Published: United States Johns Hopkins University Press 2017
• Subjects: Births; Child Health; Child mortality; Children & youth; Childrens health; Clinical outcomes; Comoros; Data processing; Demographics; Geography; Health care; Health care access; Health care policy; Health disparities; Health services; Health Services Accessibility; Health Status; Health Status Disparities; Health surveys; Healthcare Disparities - statistics & numerical data; Humans; Indicators; Inequalities; Infant mortality; International organizations; Islands; Malaria; Maternal & child health; Maternal characteristics; Maternal Health; Maternal mortality; Maternal-Child Health Services - organization & administration; Maternal-Child Health Services - utilization; Midwifery; Polls & surveys; Population number; Poverty; Public health; Rural areas; Rural communities; Rural Population - statistics & numerical data; Rural urban differences; Social groups; Socioeconomic Factors; Surveillance; Trends; Urban areas; Urban Population - statistics & numerical data; Womens health; Africa; Comoro Islands
• DOI: 10.1353/hpu.2017.0101
• ISSN: 1049-2089; 1548-6869

The purpose of this paper is two-fold. First, to give an overview of the size and measure trends in health inequalities in the Comoros islands (Comoros) since 1996. Second, to assess the wide differences in health and health care across rural/urban areas and islands in Comoros, by using available and comparable leading indicators, in order to promote regular monitoring of policy goals. This assessment is aimed at reducing health inequalities and providing adequate or equal access to health care between islands. Data from the Demographic and Health Survey, Multiple Indicators Cluster Surveys from 1996, 2000 and 2012, the World Health Organization, the World Bank, the African Development Bank data sources, were analyzed for a population health-oriented approach characterized by measuring health differences from the population average, taking account of the population size of the social groups on both relative and absolute scales. The results showed that there exist geographic disparities in health in Comoros, mainly in maternal and child health.