Breaking Barriers to Healthcare Access: A Multilevel Analysis of Individual- and Community-Level Factors Affecting Women’s Access to Healthcare Services in Benin

Betregiorgis ZEGEYE, Ziad EL-KHATIB, Edward Kwabena AMEYAW, Abdul Aziz SEIDU, Bright Opoku AHINKORAH, Mpho KEETILE, Sanni YAYA*

*Corresponding author for this work

Research output: Journal PublicationsJournal Article (refereed)peer-review

10 Citations (Scopus)

Abstract

Background: 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. Methods: 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. Results: 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. Conclusions: 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. 

Original languageEnglish
Article number750
Number of pages15
JournalInternational Journal of Environmental Research and Public Health
Volume18
Issue number2
Early online date17 Jan 2021
DOIs
Publication statusPublished - Jan 2021
Externally publishedYes

Bibliographical note

The authors thank the MEASURE DHS project for their support and for free
access to the original data.

Keywords

  • Access
  • Barriers
  • Global health
  • Healthcare services
  • Reproductive health
  • Risk factors

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