46. Even with great progress in achieving SDGs, access to basic health services including SRH services was not easy, especially for people living in the atolls. 104 Even though access to basic medicine has eased in most islands there was a lack of health care equipment and specialists such as gynaecologists in outer islands.105 47. People, especially from outer islands and mostly women, were dissatisfied with overall health services.106 Women in general do not trust service providers and health facilities due to lack of patient confidentiality especially in smaller communities.107 48. Health care services in the islands remained poor and access to specialized healthcare was limited; OBGYN and paediatricians consult in tertiary and secondary hospitals in cities and administrative islands, pregnant women from remaining islands were required to travel prior to delivery, incurring extra cost for food and accommodation.108 22