Individual and contextual factors associated with barriers to accessing healthcare among women in Papua New Guinea: Insights from a nationwide demographic and health survey
Seidu, Abdul-Aziz, Agbaglo, Ebenezer, Dadzie, Louis Kobina, Ahinkorah, Bright Opoku, Ameyaw, Edward Kwabena, and Tetteh, Justice (2021) Individual and contextual factors associated with barriers to accessing healthcare among women in Papua New Guinea: Insights from a nationwide demographic and health survey. International Health, 13 (6). pp. 573-585.
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Abstract
Background: This study sought to assess the individual and contextual factors associated with barriers to accessing healthcare among women in Papua New Guinea.
Methods: The study was conducted among 14 653 women aged 15-49 y using data from the 2016-2018 Papua New Guinea Demographic and Health Survey. The outcome variable was barriers to accessing healthcare. Descriptive and multilevel logistic regression analyses were conducted. Statistical significance was declared at P < 0.05.
Results: Women aged 15-19 y were more likely to experience at least one barrier compared with those aged 40-49 y (adjusted OR [AOR]=1.48; 95% CI 1.18 to 1.86). Women with secondary/higher education (AOR=0.68; 95% CI 0.57 to 0.81), women in the richest wealth quintile (AOR=0.36; 95% CI 0.28 to 0.46) and those in the least disadvantaged socioeconomic status (AOR=0.46; 95% CI 0.33 to 0.64) had lower odds of having challenges with at least one barrier to healthcare. However, living in rural areas increased the odds of facing at least one barrier to healthcare (AOR=1.87; 95% CI 1.27 to 2.77).
Conclusions: This study has demonstrated that both individual and contextual factors are associated with barriers to healthcare accessibility among women in Papua New Guinea. To enhance the achievement of the Sustainable Development Goals 3.1, 3.7 and 3.8, it is critical to deem these factors necessary and reinforce prevailing policies to tackle barriers to accessing healthcare among women in Papua New Guinea.
| Item ID: | 72884 |
|---|---|
| Item Type: | Article (Research - C1) |
| ISSN: | 1876-3405 |
| Keywords: | barriers, global health, healthcare, Papua New Guinea, public health, women's health |
| Copyright Information: | © The Author(s) 2020. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
| Date Deposited: | 20 Apr 2022 01:26 |
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