Does Areas of Child Residence and Consumption of Child Health Inputs Matter? An Analysis of Child Health Care Inequality in Tanzania

Abstract

This study examines inequalities in child health with focus on inequalities in in areas of child residence as well as inequalities in other health input variables that affect child health such as the use of vaccination services, vitamin A supplementation and
breastfeeding of children on child health. The study used both concentration curves and concentration indices to measure inequalities in child health among households as ranked by living standard measures such as wealth index and real per capita
incomes. The analysis is based on data from the 2004/05 Tanzania Demographic and Health Survey (TDHS). The survey is a nationally representative and is conducted in order to measure levels, patterns, and trends in demographic and health indicators.
The results show that inequalities in all categories of child health were more concentrated among the poor and that they were also statistically significant. But when inequalities were compared between urban and rural areas, it was found that inequalities in child health are more pronounced in rural areas with computed coefficients being statistically significant as well. In terms of policy relevance the findings suggest that policies aimed at combating child health inequalities should aim to reduce both inequalities in areas such as the quality and availability of health services as well as accessibility of health services especially in rural areas where
inequalities are more pronounced