Barriers to access health facilities: a self-reported cross-sectional study of women in India

Abstract

Background: Accessing healthcare facilities by the women is one of the biggest challenges in the low- and middle-income countries. The present study aimed to understand the barriers to access health facilities for women in India and examine the various determinants that interplay healthcare accessing behaviour among women in India.   Methods: The study utilised the Indian National Family Health Survey 4 data from all the 29 member states and seven union territories and performed cross-tabulations with chi-square tests and multivariate logistic regression.   Results: The disparity in access to health facilities for Indian women still exists for minorities and lower-income groups. Women aged 40+, living in urban areas, belonging to rich families, and women who hold bank accounts have shown better access to healthcare facilities. Women’s education was an important factor for accessing healthcare facilities.   Conclusions: This significant difference in the rate of healthcare utilization among women suggests that it may contribute to more prevalent and severe health decrements among the disadvantaged group. It is also worth mentioning that the cultural and educational differences in health measures may further explain women's low utilization of healthcare facilities. Women's experiences regarding access to healthcare facilities raise essential questions about policymakers’ priorities that increasingly allow women and their families to bear the brunt of poverty and poor health.