Understanding The Impact of Patriarchal Norms and Socio-Cultural Factors on Women’s Access to Public Health Care Services in Rural Kerala

Abstract

This research explores the complex effects of patriarchal values and other socio-cultural influences on women's access to public healthcare services in Kerala. Although Kerala is recognized as a leader in healthcare within India, characterized by high literacy rates and a strong health infrastructure, entrenched gender roles and societal expectations still obstruct women's autonomy in making healthcare choices. Utilizing a mixed-methods approach, the study collected quantitative data from women who uses public health services and conducted qualitative interviews with few healthcare professionals to develop a comprehensive understanding of the obstacles and facilitators impacting healthcare access. Few Statistical methods, including regression analysis and Chi-Square tests, were employed to investigate relationships between socio-cultural factors and healthcare use. The research also applied thematic analysis to extract insights from the qualitative data, emphasizing how cultural expectations, family relationships, and infrastructural obstacles influence women's healthcare experiences. The results indicate that patriarchal power, typically exerted by male relatives, restricts women’s ability to pursue medical treatment, especially in rural regions. Nevertheless, the research highlights indications of positive change, with younger, educated women increasingly gaining control over their health care decisions. The study concludes by recommending focused interventions that tackle both systemic and cultural challenges, advocating for certain policies that enhance gender equality, reinforce healthcare infrastructure, and empower women through financial independence and education.