HomeJournal of Interdisciplinary Perspectivesvol. 3 no. 7 (2025)

Exploring the Intersection of Financial and Maternal Health Literacy among Women

Jaysone Christopher M. Bancoro | Josette M. Bancoro

Discipline: social sciences (non-specific)

 

Abstract:

Maternal health literacy and financial capacity are universally recognized as crucial determinants of maternal and child health outcomes across the globe. In recent years, research from every continent has converged on the finding that both knowledge and economic means critically shape women’s access to, and utilization of, maternal health services. This qualitative phenomenological study explores the intersection of financial and maternal health literacy among women in Barangay Batinguel, Dumaguete City, Philippines. Twelve (12) women participated in in-depth interviews, revealing how financial constraints and limited health literacy jointly shape maternal healthcare access and decision-making. Thematic analysis identified five (5) primary themes: 1.) Financial Barriers Restrict Access to Maternal Care; 2.) Maternal Health Literacy Gaps Amplify Vulnerability; 3.) Financial Realities Dictate Health Decisions; 4.) Coping Strategies Highlight Resilience and Systemic Gaps; and 5.) Demand for Integrated, Hyper-Local Solutions. Findings reveal a cyclical relationship between poverty and health literacy, where limited resources restrict information access, and poor health decisions exacerbate economic strain. The study highlights the resilience of women navigating these challenges but underscores systemic gaps in policy and service delivery. Recommendations include subsidizing indirect costs, enhancing frontline health worker training, and leveraging digital platforms for culturally adapted education. These insights advocate for dual-pronged interventions to break the poverty-health illiteracy cycle and advance maternal equity in low-resource settings.



References:

  1. Abdi, K. A., K, J. M., & Adem, M. (2024). The nexus between poverty and maternal healthcare utilization with a focus on antenatal care visits and choice of place of birth in Somaliland. Frontiers in Public Health, 12. https://doi.org/10.3389/fpubh.2024.1417883
  2. Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179–211. https://doi.org/10.1016/0749-5978(91)90020-T
  3. Arrighi, E., Ruiz de Castilla, E. M., Peres, F., Mejia, R. M., & Sørensen, K. (2021). Scoping health literacy in Latin America. Global Health Promotion, 29(2), 78–87. https://doi.org/10.1177/17579759211016802
  4. Belciña, M. T. (2017). Health services utilization of 4Ps beneficiaries in Negros Oriental. Silliman University. Retrieved from https://tinyurl.com/3bce4v3v
  5. Biratu, T. D., Demie, T. G., Gessese, G. T., Handebo, S., & Woldeamanuel, B. T. (2023). Effect of women’s literacy status on maternal healthcare services utilisation in Ethiopia: A stratified analysis of the 2019 mini Ethiopian Demographic and Health Survey. BMJ Open, 13(11), e076869. https://doi.org/10.1136/bmjopen-2023-076869
  6. Bustillo, T. Q., Oracion, E. G., & Pyponco, C. G. (2021). Health problems, financial capacity, and access to healthcare of older persons in Metro Dumaguete, Negros Oriental, Philippines. Philippine Social Science Journal, 4(4), 1-16. https://philssj.org/index.php/main/article/download/430/231/
  7. Cagayan, M. S. F. S., Nisperos, G. A., Facun, G.-M. G., Cagayan, B. S. S., Castro, M. C. R., & Silverio, C. E. (2022). Mothers’ perspectives on utilization of maternal health services in rural health units in Luzon: A qualitative study. Acta Medica Philippina, 56(16). https://doi.org/10.47895/amp.v56i16.5761
  8. Gaglio, B., Glasgow, R. E., & Bull, S. S. (2012). Do patient preferences for health information vary by health literacy or numeracy? A qualitative assessment. Journal of Health Communication, 17(sup3), 109–121. https://doi.org/10.1080/10810730.2012.712616
  9. G-Watch. (2023). Barangays are put to task, indigenous people enfranchised in monitoring health. Retrieved from https://tinyurl.com/fj9ctd8y
  10. Hussain, R., & Ashraf, M. (2024). Empowering mothers: Advancing maternal health literacy through visual tools. PMC.
  11. Kavanaugh, M., & Morrison, S. (2024). Maternal health literacy and empowerment in the United States: A scoping review. Medical Research Archives, 12(12). https://esmed.org/MRA/mra/article/view/6182
  12. Melwani, S., Cleland, V., Patterson, K., & Nash, R. (2024). Health literacy profiles of pregnant women and mothers in Tasmania: A cluster analysis. Health Promotion Journal of Australia, 35(4), 1206–1216. https://doi.org/10.1002/hpja.854
  13. MSD for Mothers. (2024). Improving maternal health across Europe: Program report. Merck & Co., Inc. Retrieved from https://tinyurl.com/58xmx7px
  14. National Economic and Development Authority Region VII. (2018). Central Visayas Regional Development Report 2018. Retrieved from https://tinyurl.com/bdfe3puj
  15. Ningrum, E. W., Lusmilasari, L., Huriyati, E., Marthias, T., & Hasanbasri, M. (2024). Improving maternal health literacy among low-income pregnant women: A systematic review. Narra J, 4(2), e886. https://doi.org/10.52225/narra.v4i2.886
  16. Philippine Statistics Authority. (2023). 2022 National Demographic and Health Survey (NDHS) key indicators: Maternal care and child health. https://tinyurl.com/2ss2p5bp
  17. Putri, A. P., Irawan, A. A. M., & Lu, Y. Y. (2023). Development of maternal health literacy measurements: A scoping review. International Journal of Nursing and Health Services, 6(2), 154–161. https://doi.org/10.35654/ijnhs.v6i2.706
  18. Salvatore, B. (2023). Investing in maternal health: Economic benefits and policy implications. Journal of Contemporary Medical Education, 13(9). https://tinyurl.com/2pxk4a3m
  19. Santos, M. C. (2025). Looking back on a life serving and empowering rural communities in Negros Oriental. CoverStory.ph. https://tinyurl.com/2m3n9ffj
  20. Sen, A. (2001). Development as freedom. Oxford University Press. https://tinyurl.com/5cx49yjk
  21. Situation of Children Philippines. (2023). Maternal, newborn and child health. Retrieved from https://situationofchildren.org/maternal-newborn-and-child-health
  22. UNESCO. (2024). Supporting maternal and child health improvement and building literate environments (SMILE) Mindanao. Retrieved from https://tinyurl.com/mr2fwuns.
  23. WHO. (2023). DOH, WHO, KOICA partnership empowers local authorities in improving the health of mothers, children, and teens in the Philippines. Retrieved from https://tinyurl.com/3zn9aw75