Analysis of the sources of inequalities in pregnant women's access to essential medicines in Cameroon: A decomposition approach

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Abstract This article aims to identify the sources of inequalities in pregnant women's access to essential medicines in Cameroon. We mobilize data from the fifth Cameroon Demographic and Health Survey (CDHS) (2018), conducted by the National Institute of Statistics (INS). After measuring the degree of inequality through the concentration index, we used the decomposition method of Wagstaff et al. (2003). The results show that the CI calculations by groups of individuals reveal the existence of important determinants of inequality in access to essential medicines to the disadvantage of pregnant women in poor households and contribute to shares that vary between 24.25% and 69.57%. The factors that contribute most to reducing these inequalities are the level of education, insurance coverage and marital status of pregnant women at 69.57%, 56.81% and 22.33% respectively. In other words, if wealth had been distributed equally, inequalities in pregnant women's access to essential medicines would remain largely due to inequalities related to education, insurance uptake and marital status of pregnant women.

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