HaSET Maternal and Child Health Research Program, Shewarobit Field Office, Shewarobit P.O. Box 127, Ethiopia.
Department of Global Public Health, Karolinska Institutet, SE-171 77 Stockholm, Sweden.
Int J Environ Res Public Health. 2021 Jan 17;18(2):750. doi: 10.3390/ijerph18020750.
In low-income countries such as Benin, most people have poor access to healthcare services. There is scarcity of evidence about barriers to accessing healthcare services in Benin. Therefore, we examined the magnitude of the problem of access to healthcare services and its associated factors. We utilized data from the 2017-2018 Benin Demographic and Health Survey (n = 15,928). We examined the associations between the demographic and socioeconomic characteristics of women using multilevel logistic regression. The outcome variable for the study was problem of access to healthcare service. Adjusted odds ratios (AORs) with 95% confidence intervals (95% CI) were estimated. Overall, 60.4% of surveyed women had problems in accessing healthcare services. Partner's education (AOR = 0.70; 95% CI; 0.55-0.89), economic status (AOR = 0.59; 95% CI; 0.47-0.73), marital status (AOR = 0.44; 95% CI; 0.39-0.51), and parity (AOR = 1.85; 95% CI; 1.45-2.35) were significant individual-level factors associated with problem of access to healthcare. Region (AOR = 5.24; 95% CI; 3.18-8.64) and community literacy level (AOR = 0.69; 95% CI; 0.51-0.94) were the main community-level risk factors. Enhancing husband education through adult education programs, economic empowerment of women, enhancing national education coverage, and providing priority for unmarried and multipara women need to be considered. Additionally, there is the need to ensure equity-based access to healthcare services across regions.
在贝宁等低收入国家，大多数人获得医疗保健服务的机会有限。关于贝宁获取医疗保健服务的障碍，证据稀缺。因此，我们研究了获取医疗保健服务的问题的严重程度及其相关因素。我们利用了 2017-2018 年贝宁人口与健康调查（n=15928）的数据。我们使用多水平逻辑回归分析了妇女的人口统计学和社会经济特征与问题获取医疗保健服务之间的关联。研究的因变量是获取医疗保健服务的问题。使用 95%置信区间（95%CI）调整了优势比（AOR）。总体而言，60.4%的调查妇女在获取医疗保健服务方面存在问题。配偶教育（AOR=0.70；95%CI；0.55-0.89）、经济地位（AOR=0.59；95%CI；0.47-0.73）、婚姻状况（AOR=0.44；95%CI；0.39-0.51）和生育次数（AOR=1.85；95%CI；1.45-2.35）是与获取医疗保健服务问题相关的重要个体水平因素。地区（AOR=5.24；95%CI；3.18-8.64）和社区识字率（AOR=0.69；95%CI；0.51-0.94）是主要的社区层面风险因素。需要考虑通过成人教育计划提高丈夫的教育水平、增强妇女的经济权能、提高国家教育覆盖面，并优先为未婚和多产妇提供服务。此外，需要确保在各个地区公平地获取医疗保健服务。
