Access is a whole package with form designers, widgets, scripting, etc. so that you can build an entire distributable app from it. SQLite's a brilliant little DB but it only covers a tiny portion of what Access does.
I kinda loathe access for any number of reasons, but appreciate the dev tools it put into the hands of non-developers. A great many people who'd be passive users on most systems were able to build apps to meet their business and requirements, and although Access was janky as hell, that's very, very cool. I think it's most spiritually similar to HyperCard on Mac: you wouldn't want to write a whole large app in it, and if you're an experienced developer there are any number of tools you'd rather write programs with. But if you weren't a traditional developer (e.g. an office worker or a student or a home computer enthusiast, etc.) it gave you a pleasant hand-holding process for making your ideas come to life. I respect that.
I thought gambas was interesting but I didn't do much with it.