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Cited by 28Public Health and Social InequalitiesGlobal Maternal and Child HealthHealthcare Systems and Reforms

The DOI matches its Crossref record; 35 of the 35 references it cites were found in a registry or an index.

Factors associated with barriers to healthcare access among ever-married women of reproductive age in Bangladesh: Analysis from the 2017–2018 Bangladesh Demographic and Health Survey

Open access
Hinata, Hitomi, Lwin, Kaung Suu, Eguchi, Akifumi, Ghaznavi, Cyrus, Hashizume, Masahiro, Nomura, Shuhei·2024·PLOS ONE
DOI 10.1371/journal.pone.0289324PMC PMC10769052
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Abstract

Background: Globally, women experience healthcare inequalities, which may contribute to excessive mortality rates at various stages of their lives. Though Bangladesh has achieved excellent progress in providing healthcare, the country still has some critical challenges that need immediate attention. The objective of this study is to examine the association between social determinants and barriers to accessing healthcare among ever-married women aged 15–49 in Bangladesh. Methods: The study was conducted among 20,127 women aged 15–49, using data from the 2017–2018 Bangladesh Demographic and Health Survey. Four barriers to healthcare were considered: whether women face problems with permission, obtaining money, distance, and companionship. The multivariable logistic regression analysis was used, with a broad array of independent variables (such as age, and educational level) to identify the determinants of barriers to healthcare access. The associations were expressed as adjusted odds ratios (AOR) with a 95% confidence interval (CI). Results: More than two-thirds (66.3%) of women reported having at least one perceived barrier to accessing healthcare. Women with a higher level of education (AOR = 0.49, 95% CI: 0.41–0.57), owning a mobile telephone (AOR = 0.78, 95% CI: 0.73–0.84), and those in the richest wealth quintile (AOR = 0.45, 95% CI: 0.38–0.52) had lower odds of having barriers to accessing healthcare. In addition, widowed (AOR = 1.53, 95% CI: 1.26–1.84), divorced (AOR = 1.91, 95% CI:1.47–2.48), or separated (AOR = 1.98, 95% CI: 1.46–2.69) women had higher odds of having a money barrier to accessing healthcare, than married women. Conclusions: This study shows that individual-, household-, and community-level factors are associated with barriers to healthcare accessibility. To improve the state of women’s health in Bangladesh, it is vital to consider these socio-economic factors and implement fundamental measures, such as supporting the national health policy, empowering women’s socio-economic situation, and spreading the flexible way of healthcare access.

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Research works printed but not linked: 9

  1. World Health Organization, 2022, Gender and health.
  2. Government of the People’s Republic of Bangladesh, Ministry of Health and Family Welfare, 2019, Bangladesh National Strategy for Maternal Health 2019–2030.
  3. United Nations Inter-agency Group for Child Mortality Estimation, 2021, Levels & Trends in Child Mortality Report 2021.
  4. National Institute of Population Research and Training, ICF, 2020, Bangladesh DHS, 2017–18—Final Report Dhaka,
  5. United Nations Development Programme, 2019, GENDER INEQUALITY INDEX (GII)
  6. United Nations Development Programme, 2020, Gender Development Index (GDI) New York City, United of Stats of America
  7. Bangladesh Bureau of Statistics, Statistics and Informative Division, 2013, Report on Violence Against Women Survey 2011 Dhaka: Ministry of Planning, Government of the People’s Republic of Bangladesh
  8. United Nations Educational, Scientific and Cultural Organization, 2021, Literacy rate, youth female (% of females ages 15–24)—Bangladesh
  9. Fund IM, 2013, Bangladesh: Poverty Reduction Strategy Paper

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Metadata

Authors
Hinata, H., Lwin, K. S., Eguchi, A., Ghaznavi, C., Hashizume, M., & Nomura, S.
Affiliations
  • The University of Tokyo (JP)
  • Chiba University (JP)
  • University of California, San Francisco (US)
  • Keio University (JP)
Corresponding author
Hinata, Hitomi
ORCID
Venue
PLOS ONE
Publisher
Public Library of Science (PLoS)
Published
2024-01-05
Volume
19
Issue
1
Pages
e0289324
ISSN
1932-6203 (ISSN-L)
DOI
10.1371/journal.pone.0289324
PMC
PMC10769052
OpenAlex
W4390604452
Cited by
28
References
35
Citations by year
2026: 12 · 2025: 16
FWCI
12.70
Type
journal article
Language
en
Open access
Licence
Locations
  • PLoS ONE (publishedVersion, cc-by)
  • Research Square (acceptedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Ministry of Education, Culture, Sports, Science and Technology of Japan (21H03203)
Topics
  • Social Sciences › Health › Public Health and Social Inequalities
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Systems and Reforms
Keywords
barriers, health care access, women's health, women of reproductive age, social determinants of health, financial barriers to care, distance to health facility, marital status, widowhood, divorce, educational attainment, wealth status, mobile phone ownership, Bangladesh, health disparities, women's empowerment, health policy, maternal and child health services, family planning services, reproductive health services, sexual and reproductive health services
MeSH terms
Bangladesh, Educational Status, Female, Health Services Accessibility, Humans, Interpersonal Relations, Healthcare Disparities

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