Inequality in maternal healthcare utilization remains a significant global health challenge, particularly in low- and middle-income countries (LMICs). Although the Sustainable Development Goals (SDGs) aim to reduce maternal mortality and ensure equitable access to care by 2030, achieving universal and fair access to maternal healthcare services continues to be a major challenge. 

Improving and protecting maternal health is widely recognised as a global priority, yet significant gaps persist in access to essential services. Particularly, nearly two-thirds of women in LMICs still encounter barriers when trying to obtain maternal healthcare. In addition to individual levels, several factors impacted women’s ability to access care. These include age, level of education, marital status, household wealth, family size, exposure to media, previous birth experiences, and access to health insurance. Women who are younger, less educated, or economically disadvantaged are often less likely to use maternal health services. Similarly, those without insurance coverage or reliable health information face greater challenges in seeking timely care. 

 Takeaways 

Addressing both the individual and contextual barriers to maternal healthcare is critical to improving maternal and child health outcomes. Progress will require coordinated efforts to expand access, reduce inequalities, and support women in seeking timely care.  These efforts will help build  a more just and equitable future while advancing SDG-3 on good health and well-being.  

Further reads

Key barriers to the provision and utilization of maternal health services in low-and lower-middle-income countries; a scoping review 

Inequality in Utilization of Maternal Healthcare Services in Low‑ and Middle‑Income Countries: A Scoping Review of the Literature