ArticleBMC pregnancy and childbirth2023
Gender inequities in women's access to maternal health care utilisation in Zambia: a qualitative analysis.
Article in BMC pregnancy and childbirth, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Severe maternal outcomes and their underlying causes in Ethiopia. Systematic review and meta-analysis.Women's health (London, England)Pooled it
- Promoting gender equity in a home visits programme: a qualitative study in Northern Nigeria.BMC women's health · 2024Trial
- Husbands' Knowledge of Obstetric Danger Signs, Attitude, and Involvement in the Maternity Continuum of Care in Rural Central Ethiopia: A Community-Based Cross-Sectional Study.Health science reports · 2026Article
- Factors associated with early obstetric ultrasound uptake at a tertiary hospital in Northern Uganda: a cross-sectional study.BMJ open · 2026Article
- Effectiveness of couple-based maternity education on husbands' involvement in maternity continuum of care service utilization in rural communities of Central Ethiopia: Protocol of cluster randomized controlled trial.Contemporary clinical trials communications · 2026Article
- Inequities in maternal healthcare access in the Marrakech-Safi region, Morocco: a cross-sectional study.BMC pregnancy and childbirth · 2026Article
- Unveiling hidden heterogeneity and inequalities in the continuum of care for reproductive, maternal, and child health services in sub-Saharan Africa: A multilevel latent class analysis approach.Global epidemiology · 2026Article
- Gender dynamics affecting women's uptake of maternal health service in agrarian and pastoral settings in Ethiopia: a community-based cross-sectional study.Reproductive health · 2026Article
- Exploring clinical empathy among maternal healthcare providers in Zambia: Does the heart meet the mind? Insights from a qualitative study.Journal of health psychology · 2026Article
- District-level maternal and child health index in Uttar Pradesh: a GIS-based analysis using AHP-TOPSIS on NFHS-5 data.Primary health care research & development · 2026Article
- Beyond Access: Behavior Change and Gendered Realities in the Adoption of Digital Health Tools for Maternal, Newborn, and Child Health in Nigeria.International journal of MCH and AIDS · 2026Review
- Women's postpartum family planning use and intention in Ethiopia: Disparities in the agrarian and pastoral contexts from a community-based cross-sectional study.PLOS global public health · 2026Article
- "It is because we women do not have a voice to be heard" - perceptions of gender-based discrimination and its relevance to health: a qualitative study with women in Burkina Faso, Ghana and Tanzania.International journal for equity in health · 2025Article
- Gender inequity in postpartum hemorrhage: A public health issue.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025Article
- Health conditions of older adults in complex humanitarian settings in low- and middle-income countries: a retrospective analysis of 2019-2025 data from Médecins Sans Frontières-supported inpatient departments.BMJ global health · 2025Article
- Male involvement and its influencing factors in maternal health care: Perspectives of women and husbands from northern India.Journal of family medicine and primary care · 2025Article
- Anaemia and associated factors in people living with HIV on ART in Southern Province of Zambia.PloS one · 2025Article
- Gender disparities and barriers to access and use of essential health services in Ethiopia: Designing primary health care through gender lens.PLOS global public health · 2025Article
- Determinant of women's autonomy in sexual and reproductive health decision-making in Tanzania: a multilevel analysis of 2022 demographic and health survey.Frontiers in reproductive health · 2025Article
- Cultural and religious structures influencing the use of maternal health services in Nigeria: a focused ethnographic research.Reproductive health · 2024Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe role of gender inequities in women's ability to access maternal health care has mainly been analysed from either women's or men's perspective only. In this article, we explore the role of gender inequities in maternal health care utilisation from both men's and women's perspectives.
methodsThirty-six interviews were conducted with reproductive age women (n = 24), and men whose wives/partners gave birth within the last three years prior to our study in Zambia (n = 12). Our study sought to improve understanding of the normative environment in which women and men make decisions on maternal health care utilisation in Zambia.
resultsWe found that men and women had different expectations regarding their gender roles in maternal health care utilisation, which created inequities reinforced by societal norms and traditions. Men make most household decisions including those related to reproductive health and they often have the major say in access to maternal health services despite not having holistic maternal health information which creates challenges in maternal health care utilisation.
conclusionThe study highlights the need for maternal health care utilisation decisions to be made by both men and women and that men should be fully involved in maternal health care from pregnancy until after child birth. Further, there is urgent need for concerted and sustained efforts to change traditional norms that reinforce these inequities and affect maternal health care utilisation if Zambia is to meet Sustainable Development Goal-3.1.
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