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Perceived barriers to utilization of maternal health services in rural Cambodia

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  • Matsuoka, Sadatoshi
  • Aiga, Hirotsugu
  • Rasmey, Lon Chan
  • Rathavy, Tung
  • Okitsu, Akiko

Abstract

Objective The aim of this study was to identify the underlying causes of Cambodian women's non-use of maternal health services provided by skilled birth attendants.Method A qualitative study of 66 reproductive-age women was conducted in Kampong Cham Province, Cambodia. Data were collected through 30 semi-structured interviews and 6 focus groups.Results We identified 5 barriers to the utilization of maternal health services: (i) financial barriers; (ii) physical barriers; (iii) cognitive barriers; (iv) organizational barriers; and (v) psychological and socio-cultural barriers.Conclusions The Cambodian Ministry of Health and its development partners should take these barriers into account when promoting the use of maternal health services. These barriers should be addressed proactively. A successful approach to increasing use of maternal health services should involve changes to both service programs and public education.

Suggested Citation

  • Matsuoka, Sadatoshi & Aiga, Hirotsugu & Rasmey, Lon Chan & Rathavy, Tung & Okitsu, Akiko, 2010. "Perceived barriers to utilization of maternal health services in rural Cambodia," Health Policy, Elsevier, vol. 95(2-3), pages 255-263, May.
    • Handle: RePEc:eee:hepoli:v:95:y:2010:i:2-3:p:255-263
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    2. HakemZadeh, Farimah & Sayin, Firat K. & Neiterman, Elena & Zeytinoglu, Isik Urla & Geraci, Johanna & Plenderleith, Jennifer & Lobb, Derek, 2021. "Does an alignment of employment policies and individual preferences affect intention to stay in the profession? Evidence from Canadian Midwives," Health Policy, Elsevier, vol. 125(4), pages 450-458.
    3. Nguyen, Ha T.H. & Hatt, Laurel & Islam, Mursaleena & Sloan, Nancy L. & Chowdhury, Jamil & Schmidt, Jean-Olivier & Hossain, Atia & Wang, Hong, 2012. "Encouraging maternal health service utilization: An evaluation of the Bangladesh voucher program," Social Science & Medicine, Elsevier, vol. 74(7), pages 989-996.
    4. Zahid Memon & Shehla Zaidi & Atif Riaz, 2016. "Residual Barriers for Utilization of Maternal and Child Health Services: Community Perceptions From Rural Pakistan," Global Journal of Health Science, Canadian Center of Science and Education, vol. 8(7), pages 1-47, July.
    5. Nguyen, Trung Thanh & Do, Truong Lam & Halkos, George & Wilson, Clevo, 2020. "Health shocks and natural resource extraction: A Cambodian case study," Ecological Economics, Elsevier, vol. 169(C).
    6. Sadatoshi Matsuoka & Madhu Kharel & Kyoko Koto-Shimada & Maiko Hashimoto & Hiroyuki Kiyohara & Azusa Iwamoto & Mika Nishihara & Masami Fujita, 2022. "Access to Health-Related Information, Health Services, and Welfare Services among South and Southeast Asian Immigrants in Japan: A Qualitative Study," IJERPH, MDPI, vol. 19(19), pages 1-12, September.
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    8. Yufeng Ouyang & Jiaojiao Zou & Meimei Ji & Yefu Zhang & Tong Yuan & Lina Yang & Qian Lin, 2019. "Study on the Status of Health Service Utilization among 3–5 Years Old Left-Behind Children in Poor Rural Areas of Hunan Province, China: A Cross-Sectional Survey," IJERPH, MDPI, vol. 16(1), pages 1-12, January.

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