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medRxiv PreprintsInternational10 November 2026

Wealth inequalities in timely postnatal care in Malawi: how much do antenatal care and place of delivery explain?

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Background Postnatal care (PNC) is important for maternal and newborn health, but socioeconomic inequalities may limit timely access. In Malawi, evidence on PNC timing and the pathways linking household wealth to PNC is limited. We examined socioeconomic inequalities in timely PNC and whether antenatal care (ANC) and delivery-facility type accounted for part of the wealth gradient. Methodology We analysed 4,726 women with a live birth in the previous 24 months from the 2024 Malawi Demographic and Health Survey. PNC was timely when the first check occurred within two days of birth, delayed when
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