Breaking Barriers to Healthcare Access: A Multilevel Analysis of Individual- and Community-Level Factors Affecting Women’s Access to Healthcare Services in Benin
<i>Background:</i> In low-income countries such as Benin, most people have poor access to healthcare services. There is scarcity of evidence about barriers to accessing healthcare services in Benin. Therefore, we examined the magnitude of the problem of access to healthcare services and...
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doaj-0d102bfa8d324cc88b568c1856d05d102021-01-18T00:00:42ZengMDPI AGInternational Journal of Environmental Research and Public Health1661-78271660-46012021-01-011875075010.3390/ijerph18020750Breaking Barriers to Healthcare Access: A Multilevel Analysis of Individual- and Community-Level Factors Affecting Women’s Access to Healthcare Services in BeninBetregiorgis Zegeye0Ziad El-Khatib1Edward Kwabena Ameyaw2Abdul-Aziz Seidu3Bright Opoku Ahinkorah4Mpho Keetile5Sanni Yaya6HaSET Maternal and Child Health Research Program, Shewarobit Field Office, Shewarobit P.O. Box 127, EthiopiaDepartment of Global Public Health, Karolinska Institutet, SE-171 77 Stockholm, SwedenSchool of Public Health, Faculty of Health, University of Technology Sydney, Sydney, NSW 2007, AustraliaDepartment of Population and Health, University of Cape Coast, Cape Coast, PMB 0494, GhanaSchool of Public Health, Faculty of Health, University of Technology Sydney, Sydney, NSW 2007, AustraliaDepartment of Population Studies, Faculty of Social Sciences, University of Botswana, Private Bag UB 0022, Gaborone, BotswanaSchool of International Development and Global Studies, University of Ottawa, Ottawa, ON K1N 6N5, Canada<i>Background:</i> In low-income countries such as Benin, most people have poor access to healthcare services. There is scarcity of evidence about barriers to accessing healthcare services in Benin. Therefore, we examined the magnitude of the problem of access to healthcare services and its associated factors. <i>Methods:</i> We utilized data from the 2017–2018 Benin Demographic and Health Survey (n = 15,928). We examined the associations between the demographic and socioeconomic characteristics of women using multilevel logistic regression. The outcome variable for the study was problem of access to healthcare service. Adjusted odds ratios (AORs) with 95% confidence intervals (95% CI) were estimated. <i>Results:</i> Overall, 60.4% of surveyed women had problems in accessing healthcare services. Partner’s education (AOR = 0.70; 95% CI; 0.55–0.89), economic status (AOR = 0.59; 95% CI; 0.47–0.73), marital status (AOR = 0.44; 95% CI; 0.39–0.51), and parity (AOR = 1.85; 95% CI; 1.45–2.35) were significant individual-level factors associated with problem of access to healthcare. Region (AOR = 5.24; 95% CI; 3.18–8.64) and community literacy level (AOR = 0.69; 95% CI; 0.51–0.94) were the main community-level risk factors. <i>Conclusions:</i> Enhancing husband education through adult education programs, economic empowerment of women, enhancing national education coverage, and providing priority for unmarried and multipara women need to be considered. Additionally, there is the need to ensure equity-based access to healthcare services across regions.https://www.mdpi.com/1660-4601/18/2/750accesshealthcare servicesbarriersrisk factorsglobal healthreproductive health |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Betregiorgis Zegeye Ziad El-Khatib Edward Kwabena Ameyaw Abdul-Aziz Seidu Bright Opoku Ahinkorah Mpho Keetile Sanni Yaya |
spellingShingle |
Betregiorgis Zegeye Ziad El-Khatib Edward Kwabena Ameyaw Abdul-Aziz Seidu Bright Opoku Ahinkorah Mpho Keetile Sanni Yaya Breaking Barriers to Healthcare Access: A Multilevel Analysis of Individual- and Community-Level Factors Affecting Women’s Access to Healthcare Services in Benin International Journal of Environmental Research and Public Health access healthcare services barriers risk factors global health reproductive health |
author_facet |
Betregiorgis Zegeye Ziad El-Khatib Edward Kwabena Ameyaw Abdul-Aziz Seidu Bright Opoku Ahinkorah Mpho Keetile Sanni Yaya |
author_sort |
Betregiorgis Zegeye |
title |
Breaking Barriers to Healthcare Access: A Multilevel Analysis of Individual- and Community-Level Factors Affecting Women’s Access to Healthcare Services in Benin |
title_short |
Breaking Barriers to Healthcare Access: A Multilevel Analysis of Individual- and Community-Level Factors Affecting Women’s Access to Healthcare Services in Benin |
title_full |
Breaking Barriers to Healthcare Access: A Multilevel Analysis of Individual- and Community-Level Factors Affecting Women’s Access to Healthcare Services in Benin |
title_fullStr |
Breaking Barriers to Healthcare Access: A Multilevel Analysis of Individual- and Community-Level Factors Affecting Women’s Access to Healthcare Services in Benin |
title_full_unstemmed |
Breaking Barriers to Healthcare Access: A Multilevel Analysis of Individual- and Community-Level Factors Affecting Women’s Access to Healthcare Services in Benin |
title_sort |
breaking barriers to healthcare access: a multilevel analysis of individual- and community-level factors affecting women’s access to healthcare services in benin |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1661-7827 1660-4601 |
publishDate |
2021-01-01 |
description |
<i>Background:</i> In low-income countries such as Benin, most people have poor access to healthcare services. There is scarcity of evidence about barriers to accessing healthcare services in Benin. Therefore, we examined the magnitude of the problem of access to healthcare services and its associated factors. <i>Methods:</i> We utilized data from the 2017–2018 Benin Demographic and Health Survey (n = 15,928). We examined the associations between the demographic and socioeconomic characteristics of women using multilevel logistic regression. The outcome variable for the study was problem of access to healthcare service. Adjusted odds ratios (AORs) with 95% confidence intervals (95% CI) were estimated. <i>Results:</i> Overall, 60.4% of surveyed women had problems in accessing healthcare services. Partner’s education (AOR = 0.70; 95% CI; 0.55–0.89), economic status (AOR = 0.59; 95% CI; 0.47–0.73), marital status (AOR = 0.44; 95% CI; 0.39–0.51), and parity (AOR = 1.85; 95% CI; 1.45–2.35) were significant individual-level factors associated with problem of access to healthcare. Region (AOR = 5.24; 95% CI; 3.18–8.64) and community literacy level (AOR = 0.69; 95% CI; 0.51–0.94) were the main community-level risk factors. <i>Conclusions:</i> Enhancing husband education through adult education programs, economic empowerment of women, enhancing national education coverage, and providing priority for unmarried and multipara women need to be considered. Additionally, there is the need to ensure equity-based access to healthcare services across regions. |
topic |
access healthcare services barriers risk factors global health reproductive health |
url |
https://www.mdpi.com/1660-4601/18/2/750 |
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