ArticleBMC women's health2022
Socioeconomic inequality in barriers for accessing health care among married reproductive aged women in sub-Saharan African countries: a decomposition analysis.
Article in BMC women's health, 2022. 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, 47 citations in OpenAlex.
- Trial
- Infertility service availability, geographic accessibility, and use: results from linked facility-female cross-sectional data in Burkina Faso, Côte d'Ivoire, Niger, and Uganda.BMC health services research · 2026Article
- Socioeconomic Inequalities in Health Service Utilization in the Peruvian Population: A National Population-Based Study.Healthcare (Basel, Switzerland) · 2026Article
- Financial barriers to healthcare access among reproductive-age women in Sierra Leone: evidence from demographic health surveys of 2008, 2013, and 2019.Reproductive health · 2026Article
- Poverty during pregnancy as a health inequality: pregnant women's experiences in accessing primary health services.BMC pregnancy and childbirth · 2026Article
- Health economics in Africa: historical perspectives, current challenges, and policy recommendations for sustainable healthcare financing and resource allocation.Cost effectiveness and resource allocation : C/E · 2026Review
- Wealth-related inequalities in HIV testing and counselling during antenatal care among reproductive age women in Ethiopia: a decomposition analysis.BMJ public health · 2026Article
- Association of household wealth and education with hypertension among adults in Lesotho: Evidence from a propensity score-based study.PLOS global public health · 2026Article
- Barriers to healthcare access among women in sub-Saharan Africa: A pooled analysis of multi-country DHS data (2019-2023).PloS one · 2026Article
- Sex-related differences in treatment outcomes of chronic hepatitis C with direct-acting antivirals.World journal of hepatology · 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 acute respiratory infections in a community population in Southwest China during the 2021-2023 influenza seasons.BMC infectious diseases · 2025Article
- COVID-19 Vaccine Uptake and Socioeconomic Disparities in Tanzania: A Population-Based Cross-Sectional Study Amid High Hesitancy.Health science reports · 2025Article
- Inequity in access to medications among communities in Eastern Ethiopia: a decomposition analysis.BMC health services research · 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
- Barriers to healthcare access among female youths in Mozambique: a mixed-effects and spatial analysis using DHS 2022/23 data.BMC public health · 2025Article
- Cross-Country Inequalities in Disease Burden and Quality of Care of Stroke, 1990-2021: A Systematic Analysis of the Global Burden of Disease Study 2021.European journal of neurology · 2025Article
- Wealth-related inequality in women healthcare-seeking behaviour for under-five children illness in Afghanistan: evidence from 2022 Afghanistan Multiple Indicator Cluster Survey.BMC health services research · 2025Article
- Parental preferences for sex of children in Nigeria: Cultural influences and family structure.PloS one · 2025Article
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9 authors at 2 institutions in 1 country.
Funding
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Abstract
backgroundAccessibility of health care is an essential for promoting healthy life, preventing diseases and deaths, and enhancing health equity for all. Barriers in accessing health care among reproductive-age women creates the first and the third delay for maternal mortality and leads to the occurrence of preventable complications related to pregnancy and childbirth. Studies revealed that barriers for accessing health care are concentrated among individuals with poor socioeconomic status which creates health inequality despite many international organizations top priority is enhancing universal health coverage. Therefore, this study aimed to assess the presence of socioeconomic inequality in barriers for accessing health care and its contributors in Sub-Saharan African countries.
methodsThe most recent DHS data of 33 sub-Saharan African countries from 2010 to 2020 were used. A total sample of 278,501 married reproductive aged were included in the study. Erreygers normalized concentration index (ECI) and its concentration curve were used while assessing the socioeconomic-related inequality in barriers for accessing health care. A decomposition analysis was performed to identify factors contributing for the socioeconomic-related inequality.
resultsThe weighted Erreygers normalized Concentration Index (ECI) for barriers in accessing health care was - 0.289 with Standard error = 0.005 (P value < 0.0001); indicating that barriers in accessing health care was disproportionately concentrated among the poor. The decomposition analysis revealed that wealth index (42.58%), place of residency (36.42%), husband educational level (5.98%), women educational level (6.34%), and mass media exposure (3.07%) were the major contributors for the pro-poor socioeconomic inequalities in barriers for accessing health care.
conclusionIn this study, there is a pro-poor inequality in barriers for accessing health care. There is a need to intensify programs that improve wealth status, education level of the population, and mass media coverage to tackle the barriers for accessing health care among the poor.
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