Reproductive Health Services Uptake in Private vs Public Health Facility in Benin Republic: Accessing Differences in Access and Use through a Qualitative Study

Justin Dansou, Université de Parakou
Alphonse Mingnimon Affo, Université Abomey Calavi
Adeyemi O. Adekunle, University of Ibadan
Ayodele Arowojolu, University College Hospital, Ibadan

This study attempts to clarify the underlying reasons behind differences in access and use of reproductive health services according to the type of services ~ public vs private health facilities. Data were gathered from in-depth interviews of participants and focus groups discussion. A total of 199 participants were interviewed. Data were analysed using content analysis methods. Among themes emerged from interviews and discussions are poor attitudes of health providers toward patients and lack of skills of some health providers. Themes pertaining to the physical treatment of users from arrival to the departure from health facilities emerged. In addition, differences in financial level appeared to be the most important deterrent for preferences in private vs public health facility use. Public health facilities were reportedly more affordable than private ones. The present study suggests the need to strengthen actions to address health providers’ poor attitudes toward health service users.