Individual and contextual factors associated with barriers to accessing healthcare among women in Papua New Guinea: insights from a nationwide demographic and health survey

Abdul Aziz SEIDU*, Ebenezer AGBAGLO, Louis Kobina DADZIE, Bright Opoku AHINKORAH, Edward Kwabena AMEYAW, Justice Kanor TETTEH

*Corresponding author for this work

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

4 Citations (Scopus)

Abstract

Background

This study sought to assess the individual and contextual factors associated with barriers to accessing healthcare among women in Papua New Guinea.

Methods

The study was conducted among 14 653 women aged 15–49 y using data from the 2016–2018 Papua New Guinea Demographic and Health Survey. The outcome variable was barriers to accessing healthcare. Descriptive and multilevel logistic regression analyses were conducted. Statistical significance was declared at P < 0.05.

Results

Women aged 15–19 y were more likely to experience at least one barrier compared with those aged 40–49 y (adjusted OR [AOR]=1.48; 95% CI 1.18 to 1.86). Women with secondary/higher education (AOR=0.68; 95% CI 0.57 to 0.81), women in the richest wealth quintile (AOR=0.36; 95% CI 0.28 to 0.46) and those in the least disadvantaged socioeconomic status (AOR=0.46; 95% CI 0.33 to 0.64) had lower odds of having challenges with at least one barrier to healthcare. However, living in rural areas increased the odds of facing at least one barrier to healthcare (AOR=1.87; 95% CI 1.27 to 2.77).

Conclusions

This study has demonstrated that both individual and contextual factors are associated with barriers to healthcare accessibility among women in Papua New Guinea. To enhance the achievement of the Sustainable Development Goals 3.1, 3.7 and 3.8, it is critical to deem these factors necessary and reinforce prevailing policies to tackle barriers to accessing healthcare among women in Papua New Guinea.

Original languageEnglish
Pages (from-to)573-585
Number of pages13
JournalInternational Health
Volume13
Issue number6
Early online date5 Dec 2020
DOIs
Publication statusPublished - Nov 2021
Externally publishedYes

Bibliographical note

We are grateful to the MEASURE DHS project for giving us free access to the original data.

Keywords

  • barriers
  • global health
  • healthcare
  • Papua New Guinea
  • public health
  • women's health

Fingerprint

Dive into the research topics of 'Individual and contextual factors associated with barriers to accessing healthcare among women in Papua New Guinea: insights from a nationwide demographic and health survey'. Together they form a unique fingerprint.

Cite this