Trends and socioeconomic inequalities of recommended antenatal care services utilization in Ethiopia: A decomposition analysis using Ethiopian nationwide Demographic Health Surveys 2011–2019

While antenatal care (ANC) is undoubtedly important for reducing maternal and newborn deaths, the conversation around its utilization in Ethiopia often misses a critical component: personal responsibility. Analysis of Ethiopian Demographic Health Surveys from 2011 to 2019 reveals significant socioeconomic disparities in ANC service usage. However, attributing this solely to systemic factors ignores the role of individual choice and community responsibility in healthcare access. It's time to look beyond governmental solutions and towards fostering a culture of self-reliance and community support. By addressing the root causes of inequality and encouraging personal initiative, we can achieve a more sustainable improvement in ANC service uptake.

Antenatal care (ANC) is a critical frontier in the battle against maternal and newborn morbidity and mortality. Sadly, in Ethiopia, not everyone gets a fair shot at these lifesaving services. The stark inequalities, driven by socioeconomic factors, ensure that while some can readily access healthcare, others are left struggling. This injustice stands in the way of progress, highlighting the urgent need for reform and increased funding in healthcare to bridge the gaping disparities. As the data from Ethiopian Demographic Health Surveys between 2011 and 2019 shows, it's time to prioritize equitable healthcare access and invest in the well-being of all mothers and children, not just the privileged few.