Shahinoor Akter1,2,3, Kate Davies4, Jane Louise Rich4,5,6, Kerry Jill Inder7,5. 1. School of Medicine and Public Health, The University of Newcastle, Newcastle, Australia. Shahinoor.Akter@uon.edu.au. 2. Department of Anthropology, Jagannath University, 9-10, Chittaranjan Ave, Dhaka, 1100, Bangladesh. Shahinoor.Akter@uon.edu.au. 3. Hunter Medical Research Institute, New Lambton Heights, Newcastle, NSW 2305, Australia. Shahinoor.Akter@uon.edu.au. 4. School of Medicine and Public Health, The University of Newcastle, Newcastle, Australia. 5. Hunter Medical Research Institute, New Lambton Heights, Newcastle, NSW 2305, Australia. 6. Centre for Research, Health and Safety, The University of Newcastle, Newcastle, NSW, Australia. 7. School of Nursing and Midwifery, The University of Newcastle, Newcastle, NSW, 2308, Australia.
Abstract
OBJECTIVES: Globally, Indigenous people have lower-health status compared to non-Indigenous people due to unequal access to health care. Barriers or enablers to accessing maternal health services by Indigenous women are not well researched. This review aims to determine accessibility and utilisation of maternal primary healthcare services among Indigenous women in lower- and middle-income countries. METHODS: We conducted a systematic integrative review of published and grey literature published between 2000 and 2017. Studies on maternal healthcare service utilisation by Indigenous women in lower- and middle-income countries were included. From 3092 articles identified, 10 met the eligibility criteria. RESULTS: The most prominent barrier to accessing maternal primary healthcare services was the top-down nature of intervention programmes, which made programmes culturally unfriendly for Indigenous women. Distance, cost, transport, accommodation, language barriers and lack of knowledge about existing services also impacted access. CONCLUSIONS: Findings provided insights into understanding the gaps in existing policies for Indigenous women and their access to maternal health services. Results suggested that efforts be made to ensure appropriate programmes for Indigenous women's maternal health right.
OBJECTIVES: Globally, Indigenous people have lower-health status compared to non-Indigenous people due to unequal access to health care. Barriers or enablers to accessing maternal health services by Indigenous women are not well researched. This review aims to determine accessibility and utilisation of maternal primary healthcare services among Indigenous women in lower- and middle-income countries. METHODS: We conducted a systematic integrative review of published and grey literature published between 2000 and 2017. Studies on maternal healthcare service utilisation by Indigenous women in lower- and middle-income countries were included. From 3092 articles identified, 10 met the eligibility criteria. RESULTS: The most prominent barrier to accessing maternal primary healthcare services was the top-down nature of intervention programmes, which made programmes culturally unfriendly for Indigenous women. Distance, cost, transport, accommodation, language barriers and lack of knowledge about existing services also impacted access. CONCLUSIONS: Findings provided insights into understanding the gaps in existing policies for Indigenous women and their access to maternal health services. Results suggested that efforts be made to ensure appropriate programmes for Indigenous women's maternal health right.
Entities:
Keywords:
Accessibility; Healthcare services; Indigenous women; Lower- and middle-income countries; Maternal health care
Authors: Martin Gulliford; Jose Figueroa-Munoz; Myfanwy Morgan; David Hughes; Barry Gibson; Roger Beech; Meryl Hudson Journal: J Health Serv Res Policy Date: 2002-07
Authors: Md Golam Hasnain; John R Attia; Shahinoor Akter; Tabassum Rahman; Alix Hall; Isobel J Hubbard; Christopher R Levi; Christine L Paul Journal: Implement Sci Date: 2020-11-04 Impact factor: 7.327