ArticlePloS one2024
Barriers to healthcare access among reproductive age women in extremely high and very high maternal mortality countries: Multilevel mixed effect analysis.
Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- 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
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- Problems with accessing healthcare and associated factors among reproductive-age women in Somaliland: a multilevel analysis of data from the 2020 SLDHS.Frontiers in global women's health · 2026Article
- Financial barriers and inequalities in healthcare access across East Africa: evidence from demographic and health surveys.Frontiers in reproductive health · 2025Article
- The Hidden Burden: Global, Regional, and National Trends in Indirect Cause of Maternal Mortality from 1980 to 2021: A Global Analysis Using the Global Burden of Disease 2021 Data.Women's health reports (New Rochelle, N.Y.)Article
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Authors and funding
15 authors.
Funding
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Abstract
backgroundIt is widely recognized that maternal deaths in low-resource countries are attributed to deprived access to maternal health services. Therefore, the aim of this study was to assess barriers to healthcare access among reproductive age women in extremely high and very high maternal mortality countries.
methodsA community based cross sectional surveys were conducted among 181,472 reproductive age women. Stata version 17.0 was used to analyze the data. Mixed effect binary logistic regression model was analyzed. Odds ratio along with 95% CI was generated to identify factors associated with barriers to healthcare access. A p-value less than 0.05 was declared as statistical significance.
resultsA total of 64.3% (95% CI: 64.06, 64.54) reproductive age women faced barriers to healthcare access. Young age, no formal education, poor wealth index, no media exposure, multiparty, no health insurance coverage, and rural residence were significantly associated with barriers to healthcare access.
conclusionMore than six in ten reproductive age women had barriers to healthcare access in extremely high and very high maternal mortality countries. Increasing extensive health education, minimizing financial hardship by expanding health insurance may minimize barriers to healthcare access with attention to rural resident reproductive age women.
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