Barriers and Facilitators to Accessing Health Care Services among Married Women in Ethiopia: a Multi-level Analysis of the Ethiopia Demographic and Health Survey

Zegeye, Betregiorgis, Adjei, Nicholas Kofi, Ahinkorah, Bright Opoku, Ameyaw, Edward Kwabena, Budu, Eugene, Seidu, Abdul-Aziz, Idriss-Wheeler, Dina and Yaya, Sanni (2021) Barriers and Facilitators to Accessing Health Care Services among Married Women in Ethiopia: a Multi-level Analysis of the Ethiopia Demographic and Health Survey. International Journal of Translational Medical Research and Public Health, 5 (2). pp. 183-196.

Access the full-text of this item by clicking on the Open Access link.

Official URL: http://dx.doi.org/10.21106/ijtmrph.380

Abstract

<jats:p>Background and Objective: Access to health care services is a major challenge to women and children in many developing countries such as Ethiopia. In this study, we investigated the individual- and community-level factors associated with barriers to accessing health care services among married women in Ethiopia. Methods: Data from the 2016 Ethiopia demographic and health survey on 9,824 married women of reproductive age (15-49 years) were analyzed. Multilevel logistic regression models were used to assess individual- and community-level factors associated with barriers to access health care services. Regression analysis results revealed adjusted odds ratios at 95% confidence intervals. Results: Over two-thirds (71.8%) of married women in Ethiopia reported barriers to accessing health care services. Some of the individual-level factors that were associated with lower odds of reporting barriers to access health care services include: having secondary education (aOR=0.49, 95% CI: 0.32-0.77), being in the richest quintile (aOR=0.34, 95% CI: 0.22-0.54), and indicating wife-beating as unjustified (aOR=0.66, 95% CI:0.55-0.81). Among the community-level factors, high community-level literacy (aOR=0.56, 95% CI: 0.34-0.92) and moderate community socioeconomic status (aOR=0.62, 95% CI: 0.45-0.85) were significantly associated with lower odds of reporting barriers to access health care services. Conclusion and Implications for Translation: The findings revealed high barriers to access health care services, and both individual- and community-level factors were significant contributing predictors. Therefore, it is important to consider multidimensional strategies and interventions to facilitate access to health care services in Ethiopia. Copyright © Zegeye et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.</jats:p>

Item Type:	Article
Uncontrolled Keywords:	Contraception/Reproduction, 8.1 Organisation and delivery of services, 8 Health and social care services research, 3 Good Health and Well Being
Divisions:	Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Population Health
Depositing User:	Symplectic Admin
Date Deposited:	15 Dec 2021 10:42
Last Modified:	15 Mar 2024 17:28
DOI:	10.21106/ijtmrph.380
Open Access URL:	https://ijtmrph.org/index.php/IJTMRPH/article/view...
Related URLs:	Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3145400