Cesar Gomes Victora, Gary Joseph, Inacio C. M. Silva, Fatima S. Maia, J. Patrick Vaughan, Fernando C. Barros, Aluisio J. D. Barros
Objectives. To test the inverse equity hypothesis, which postulates that new health interventions are initially adopted by the wealthy and thus increase inequalities-as population coverage increases, only the poorest will lag behind all other groups.Methods. We analyzed the proportion of births occurring in a health facility by wealth quintile in 286 surveys from 89 low-and middle-income countries and developed an inequality pattern index. Positive values indicate that inequality is driven by early adoption …
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