ArticleRisk management and healthcare policy2020
Determinants of Access to Health Care Among Women in East African Countries: A Multilevel Analysis of Recent Demographic and Health Surveys from 2008 to 2017.
Article in Risk management and healthcare policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
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32 citing papers in PubMed, 35 citations in OpenAlex.
- Health Care Access Barriers Among Reproductive-Age Women in East Africa: Development and Validation of Machine Learning Prediction Models Using DHS Data.JMIR medical informatics · 2026Article
- Multilevel modified Poisson regression analysis of barriers to healthcare access among pregnant women in high and very high maternal mortality sub-Saharan African countries: insights from demographic and health surveys data.Archives of public health = Archives belges de sante publique · 2026Article
- Women's empowerment and barriers to healthcare access in Burkina Faso: an ordinal logistic regression analysis of the 2021 DHS.BMC health services research · 2026Article
- Mapping spatial hotspots and location specific associated factor of diarrhea-wasting multimorbidity among children aged 6-24 months in East Africa: a geographically weighted regression analysis.Scientific reports · 2026Article
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- Barriers to healthcare access among women in sub-Saharan Africa: A pooled analysis of multi-country DHS data (2019-2023).PloS one · 2026Article
- Determinants of healthcare access among women aged 15-49 years in tanzania: a population-based cross-sectional survey.Journal of health, population, and nutrition · 2025Article
- Determinants, barriers, and facilitators of healthcare access for patients with hypertension in rural Ghana: applying the Andersen-Newman model of healthcare utilization.Global health action · 2025Article
- Optimizing machine learning models for predicting health service access and determinants among pregnant women in rural Ethiopia.Scientific reports · 2025Article
- Mapping Geographic Disparities in Healthcare Access Barriers Among Married Women in Pakistan: Evidence from a Nationally Representative Survey.Healthcare (Basel, Switzerland) · 2025Article
- Healthcare-Seeking behavior for sexually transmitted infections among women who initiated sexual intercourse at an early age in 22 Sub-Saharan African Countries: a multilevel analysis of 2018-2024 demographic and health survey data.BMC infectious diseases · 2025Article
- Barriers to healthcare access: a multilevel analysis of individual- and community-level factors affecting female youths' access to healthcare services in Senegal.BMC health services research · 2025Article
- Random forest algorithm for predicting tobacco use and identifying determinants among pregnant women in 26 sub-Saharan African countries: a 2024 analysis.BMC public health · 2025Article
- Barriers to healthcare services utilisation among women in Ghana: evidence from the 2022 Ghana Demographic and Health Survey.BMC health services research · 2025Article
- Barriers to healthcare access among female youths in Mozambique: a mixed-effects and spatial analysis using DHS 2022/23 data.BMC public health · 2025Article
- Determinants of poor access to health care among women of reproductive age in Sierra Leone: a cross-sectional study.BMC health services research · 2025Article
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- Factors influencing the intention of women with perinatal depression and their spouses to seek professional psychological help: a cross-sectional latent profile analysis.Frontiers in public health · 2025Article
- Effect of women empowerment on treatment seeking practice for sexually transmitted infections among women in Ethiopia.BMC infectious diseases · 2024Article
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2 authors at 1 institution in 1 country.
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Abstract
backgroundAccess to essential health care is one of the major factors associated with maternal mortality. In developing countries, improving women's access to health care has significantly reduced maternal death. Therefore, this study aimed to identify the determinants of access to health care among women in East African countries based on 2008 to 2017 Demographic and Health Surveys (DHSs).
methodsThis study used secondary data from 2008 to 2017 DHSs of 12 East African countries. A two-level mixed-effects logistic regression analysis was employed to determine the variables associated with women's access to maternal health care. The adjusted odds ratios (AORs), 95% CI, and P-value were computed. Variables with P<0.05 were considered as determinants of access to maternal health care.
resultsA total of 148,483 study participants were included in this study. Women who accessed health care were 64,218 (42.91%) in the region. The study revealed that access to women's health care was positively associated with factors; being educated women, having an educated husband, being from households with middle and richest wealth status, and living in different countries compared to Comoros. The study also revealed that living in a rural setting and having unplanned pregnancy were barriers to access to health care. CONCLUSION AND RECOMMENDATION: Women in East Africa countries have poor access to maternal health care. Residence, maternal education, husband education, income, and planned pregnancy were the predictors of access to health care. Therefore, there should be a common strategy to enhance the accessibility of health service utilization among women in the region and financial support for the poor that enables women to use health services. For better health care access, increasing the awareness of women and their partners about the significance of utilization of healthcare service focusing on uneducated persons are crucial activities.
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