NDLI: Barriers to healthcare utilization among married women in Afghanistan: the role of asset ownership and women’s autonomy

Content Provider	Springer Nature : BioMed Central
Author	Malik, Manzoor Ahmad Sinha, Ratnesh Priya, Angelin Rahman, Mohammad Hifz Ur
Abstract	Women face multiple socio-economic, cultural, contextual, and perceived barriers in health service utilization. Moreover, poor autonomy and financial constraints act as crucial factors to their healthcare accessibility. Therefore, the objective of the present study is to study the association between health care utilization barriers and women empowerment, including asset ownership among currently married women in Afghanistan. Data of 28,661 currently married women from Afghanistan demographic health survey (2015) was used to carry out this study. Barriers to access healthcare were computed based on problems related to permission, money, distance, and companionship, whereas women empowerment and asset ownership were computed as potential covariates along with other socio-economic risk factors. Bivariate and logistic analysis was carried out to study the association and odds of explanatory variables. Our results confirm the significant and strong association between the barriers to access healthcare and various explanatory variables. Women having any decision-making autonomy are less likely to face any odds [(AOR = 0.56, p < 0.001), CI: 0.51–0.61] among the currently married women than those who don’t have any decision-making authority. Similarly, women who justify their beating for some specific reasons face the greater difficulty of accessing health care [(AOR = 1.76, p < 0.001), CI: 1.61–1.93]. In terms of asset ownership, women having any asset ownership (land or household) are less likely to face any barriers in health services utilization given the lower odds [(AOR = 0.91, p < 0.001), CI: 0.90–0.98]. Accessing maternal health is a crucial policy challenge in Afghanistan. A substantial proportion of women face barriers related to approval, money, distance, and companionship while accessing the health services utilization in Afghanistan. Similarly, women empowerment and asset ownership are significantly associated with health service accessibility. This paper therefore suggests for some policy interventions to strengthen the healthcare needs of women and ensure healthcare accessibility by scaling down these potential barriers like poor autonomy, asset ownership and domestic violence.
Related Links	https://bmcpublichealth.biomedcentral.com/counter/pdf/10.1186/s12889-024-18091-y.pdf
Ending Page	9
Page Count	9
Starting Page	1
File Format	HTM / HTML
ISSN	14712458
DOI	10.1186/s12889-024-18091-y
Journal	BMC Public Health
Issue Number	1
Volume Number	24
Language	English
Publisher	BioMed Central
Publisher Date	2024-02-26
Access Restriction	Open
Subject Keyword	Public Health Medicine Epidemiology Biostatistics Vaccine Environmental Health Maternal health Healthcare Healthcare utilization Health systems Women’s health Afghanistan Medicine/Public Health
Content Type	Text
Resource Type	Article
Subject	Public Health, Environmental and Occupational Health
Journal Impact Factor	3.5/2023
5-Year Journal Impact Factor	3.9/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Empowerment and health care access barriers among currently married women in Myanmar

Optimizing the utilization of maternal and reproductive healthcare services among women in low-resourced Nigerian settings

Barriers to accessing healthcare among women in Ghana: a multilevel modelling

Decision-making autonomy of women and other factors of anemia among married women in Ethiopia: a multilevel analysis of a countrywide survey

Exploring barriers to accessing health care services by young women in rural settings: a qualitative study in Australia, Canada, and Sweden

Do education and living standard matter in breaking barriers to healthcare access among women in Bangladesh?

Dietary diversity and nutritional adequacy among married Filipino immigrant women: The Filipino Women’s Diet and Health Study (FiLWHEL)

Modern contraceptive utilization and its associated factors among married women in Senegal: a multilevel analysis

Association between health insurance enrolment and maternal health care service utilization among women in Ethiopia

Barriers to healthcare utilization among married women in Afghanistan: the role of asset ownership and women’s autonomy

Similar Documents

Empowerment and health care access barriers among currently married women in Myanmar

Optimizing the utilization of maternal and reproductive healthcare services among women in low-resourced Nigerian settings

Barriers to accessing healthcare among women in Ghana: a multilevel modelling

Decision-making autonomy of women and other factors of anemia among married women in Ethiopia: a multilevel analysis of a countrywide survey

Exploring barriers to accessing health care services by young women in rural settings: a qualitative study in Australia, Canada, and Sweden

Do education and living standard matter in breaking barriers to healthcare access among women in Bangladesh?

Dietary diversity and nutritional adequacy among married Filipino immigrant women: The Filipino Women’s Diet and Health Study (FiLWHEL)

Modern contraceptive utilization and its associated factors among married women in Senegal: a multilevel analysis

Association between health insurance enrolment and maternal health care service utilization among women in Ethiopia

Barriers to healthcare utilization among married women in Afghanistan: the role of asset ownership and women’s autonomy