Examining the Social and Cultural Barriers Present for Women Seeking Healthcare in Rural Communities of Karachi, Pakistan

Abstract

Study was an interview-based cross-sectional survey with an objective of investigating if there are any social or cultural factors present in rural areas, which makes it difficult for women living in these communities to seek proper health care services. The subjects of this study were rural women who came to receive treatment for their gestation and related complications at Koohi Goth Hospital in Karachi, Pakistan. The variables that were explored included the level of education, socioeconomic status, social/family support, and level of awareness regarding proper birth care. Data collection included interviewing these women who were admitted to the outpatient department (O.P.D.) of the hospital and asking them questions concerning these variables. Much of the participants who were included for the study were conceiving for the 3rd and 4th time and they were in 3rd week of gestational period. The result of this study showed that women living in the rural areas were less educated due to their low socioeconomic status. Disproportionate number of women claimed that learning about maternal health and related issues were never included in education they received.

Understanding the role of lady health workers in improving access to eye health services in rural Pakistan – findings from a qualitative study

“…In addition, many barriers to the uptake of referrals identified in this study were system-related and could not be addressed by the LHW referral programme alone. Similar to other rural contexts in South Asia [ 29 , 30 ], we identified user fees and long distances to the facilities as major factors affecting patients’ decision-making. Also, in this specific context, the perceived poor quality and dissatisfaction with services in government hospitals were a major barrier.…”

“…Gender inequities are deeply entrenched in Pakistan. The underlying gender structures which offer men numerous material benefits and decision-making authority contribute to women’s relatively lower uptake of health services [ 30 , 33 ]. Previous studies in the country have shown that even those who have some source of income to facilitate travel to the hospital often choose not to – reflecting the values and ideals of being a good wife and putting the family first [ 33 – 35 ].…”