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. 2020 Jun 16;17(12):4292.
doi: 10.3390/ijerph17124292.

Barriers to Accessing Maternal Care in Low Income Countries in Africa: A Systematic Review

Rana Dahab  1 , Dikaios Sakellariou  2
Affiliations

Barriers to Accessing Maternal Care in Low Income Countries in Africa: A Systematic Review

Rana Dahab et al. Int J Environ Res Public Health. .

Abstract

The new Sustainable Development Goals (SDGs) to 2030 aim to reduce maternal mortality and provide equitable access to maternal healthcare. Compromised access to maternal health facilities in low-income countries, and specifically in Africa, contribute to the increased prevalence of maternal mortality. We conducted a systematic review to investigate access barriers to maternal health in low-income countries in Africa since 2015, from the perspective of both community members and health providers. The findings show that the most important barriers to maternal health are transportation barriers to health facilities, economic factors, and cultural beliefs, in addition to lack of family support and poor quality of care. Further research is required to guide policymakers towards firm multi-sectoral action to ensure appropriate and equitable access to maternal health in line with the SDGs to 2030.

Keywords: access to maternal care; low-income countries; maternal health; maternal mortality; sustainable development goals.

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Conflict of interest statement

The authors declare no conflict of interest.

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References

    1. Girum T., Wasie A. Correlates of maternal mortality in developing countries: An ecological study in 82 countries. Matern. Health Neonatol. Perinatol. 2017;3 doi: 10.1186/s40748-017-0059-8. - DOI - PMC - PubMed
    1. Suellen Miller S., Belizán J.M. The true cost of maternal death: Individual tragedy impacts family, community and nations. Reprod. Health. 2015;12 doi: 10.1186/s12978-015-0046-3. - DOI - PMC - PubMed
    1. MDG Monitor Millennium Development Goals. [(accessed on 23 March 2020)]; Available online: https://www.mdgmonitor.org/millennium-development-goals/
    1. World Health Organization Maternal Health. [(accessed on 23 March 2020)]; Available online: https://www.who.int/maternal-health/en.
    1. Black R., Laxminarayan R., Temmerman M., Walker N. Reproductive, Maternal, Newborn, and Child Health. Disease Control Priorities. The International Bank for Reconstruction and Development, The World Bank; Washington, DC, USA: 2016. [(accessed on 23 March 2020)]. Available online: https://openknowledge.worldbank.org/handle/10986/23833. - PubMed

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