SCHOOLS AND EDUCATION regarding access to medicine While 41.0% of the respondents were satisfied with schooling and education in the Maldives, 40.0% were disappointed. This is an improvement from 2011 where 34.1% seemed satisfied with the education provided and 44.0% were dissatisfied. People from urban areas (52.4%) appeared relatively more satisfied about education and schools than those living in the outer islands where 45.2% of respondents reported being dissatisfied with the quality of education and schools in their islands. Most (23.3%) of the respondents felt better qualified and trained teachers in schools would improve the quality of education and 16.7% thought improving education by easing access to education in higher grades of the outer islands would positively affect education in general. Although the number of respondents with this opinion has declined since 2005, both surveys conducted in 2005 and 2011 found people have been consistently saying improvement in these factors are imperative for overall improvement in education. Similar views were expressed regarding the quality of hospitals with the majority of people being dissatisfied (64.4%). More women (69.1%) than men (55.7%) were not satisfied with the quality of hospitals. Respondents from urban regions (65.9%) appeared to be slightly more dissatisfied with the quality of hospitals than those from the outer islands (63.5%) Table 57: Perception of areas of improvement in the health system, by region Outer islands Urban More health centres 9.07% 8.66% Better services at health centres 27.94% 16.23% More hospitals at a regional level 13.32% 12.36% Better services at hospitals 31.36% 31.53% Others 8.79% 24.11% RF 1.02% 0.00% DK/NA 8.51% 7.11% Table 58: Perception of areas of improvement in the health system, by gender Table 56: Perception of areas of the education system in need of improvement, by region Male Female More health centres 9.87% 8.44% Better services at health centres 20.74% 25.07% Outer islands Urban Total Education to higher grade on islands 18.87% 11.66% 16.69% Better trained and qualified teachers 24.90% 19.43% 23.25% More hospitals at a regional level 13.88% 12.44% Better facilities, such as library, laboratory 15.36% 8.83% 13.39% Better services at hospitals 28.09% 33.24% Better qualified Principals 15.13% 5.12% 12.11% Others 15.89% 13.87% Better monitoring systems 9.93% 11.31% 10.35% Others 5.04% 26.50% 11.52% RF 0.84% 0.00% 0.59% DK/NA 9.93% 17.14% 12.11% ACCESS TO HEALTHCARE Three components were assessed to understand how people felt about access to healthcare services, overall health services, access to medicines and quality of hospitals. The majority (63.6%) of the people were dissatisfied with overall health services and especially those from outer islands (62.3%). More women reported being unhappy with health services across the regions (67.9%). More than half of the people were not happy with access to medicines (57.4%), most of whom were women (62.1%). Slightly more people from the outer islands (58.0%) were more dissatisfied than respondents from urban regions (56.4%) RF DK/NA 0.84% 10.70% 0.53% 6.40% The overall dissatisfaction manifested around the three components of health are synonymous with the 2011 findings highlighting that people do not feel health services have improved over the years. Close to a third of respondents (31.4%) believed improving services at the hospitals would enhance access to healthcare in general. This is a significant decline from 2011 where 71.4% of respondents said the same. Interestingly, in 2019, there is an increase in the number of people who seem to think that improving services in health centres at island level, would help to provide better health services and access (23.6%). This shift indicates support for decentralized services. 49

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