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

Int J Environ Res Public Health. 2020 Jun 16;17(12):4292. doi: 10.3390/ijerph17124292.

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.

Publication types

  • Systematic Review

MeSH terms

  • Adult
  • Africa
  • Cross-Sectional Studies
  • Developing Countries
  • Female
  • Health Facilities
  • Health Services Accessibility*
  • Humans
  • Infant, Newborn
  • Maternal Health Services*
  • Pregnancy
  • Young Adult