Background: Barriers to healthcare access among people with reduced mobility contribute to complex and suboptimal care pathways. In Benin, the factors influencing these pathways remain insufficiently documented. Objective: The objective was to identify the factors contributing to suboptimal healthcare pathways for these individuals. Study Framework: The study was conducted in public hospitals in Cotonou, Porto-Novo and Parakou in Benin. Methods: A cross-sectional analytical study was conducted with 497 participants in Cotonou, Porto-Novo, and Parakou. Data were collected via questionnaire and then analyzed using Stata 11.0. Associations were investigated using bivariate and multivariate logistic regression at a significance level of 5%. Results: Suboptimal healthcare pathways accounted for 86.72% of cases. Five factors remained significantly associated: illness-related cultural beliefs and practices (p < 0.001), patient education (p = 0.04), type of disease (p = 0.04), chronicity of the illness (p < 0.001), and the patient’s social position (p = 0.04). Sociocultural, informational, clinical, and socioeconomic factors strongly influence treatment choices and continuity of care. Conclusion and Contribution: Optimizing care pathways for people with reduced mobility requires strengthening patient education, reducing social and financial inequalities in access to care, and better consideration of sociocultural realities.
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