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Barriers and Facilitators to Accessing Health Services: A Qualitative Study Amongst People with Disabilities in Cameroon and India

Background: Article 25 of the UNCRPD stipulates the right of people with disabilities to the highest attainable standard of health, and the timely uptake of appropriate health and rehabilitation services. This study seeks to explore the factors which influence access to health care among adults with...

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Autores principales: Zuurmond, Maria, Mactaggart, Islay, Kannuri, Nanda, Murthy, Gudlavalleti, Oye, Joseph Enyegue, Polack, Sarah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6480147/
https://www.ncbi.nlm.nih.gov/pubmed/30934813
http://dx.doi.org/10.3390/ijerph16071126
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author Zuurmond, Maria
Mactaggart, Islay
Kannuri, Nanda
Murthy, Gudlavalleti
Oye, Joseph Enyegue
Polack, Sarah
author_facet Zuurmond, Maria
Mactaggart, Islay
Kannuri, Nanda
Murthy, Gudlavalleti
Oye, Joseph Enyegue
Polack, Sarah
author_sort Zuurmond, Maria
collection PubMed
description Background: Article 25 of the UNCRPD stipulates the right of people with disabilities to the highest attainable standard of health, and the timely uptake of appropriate health and rehabilitation services. This study seeks to explore the factors which influence access to health care among adults with disabilities in Cameroon and India. Methods: A total of 61 semi-structured interviews were conducted with a purposive sample of adults with vision, hearing or musculoskeletal impairments, using data from an earlier cross-sectional disability survey. In addition, 30 key informants were interviewed to provide contextual information about the local services and context. Results: Key themes included individual-level factors, understanding and beliefs about an impairment, and the nature of the impairment and interaction with environmental factors. At the community and household level, key themes were family dynamics and attitudes, economic factors, social inclusion and community participation. Intersectionality with gender and age were cross-cutting themes. Trust and acceptability of health service providers in India and poor understanding of referral processes in both countries were key service-level themes. Conclusions: The interaction of environmental and personal factors with the impairment and their levels of participation and inclusion in community structures, all contributed to the take up of services. This study illustrated the need for a multi-faceted response to improve access to health services for people with disabilities.
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spelling pubmed-64801472019-04-29 Barriers and Facilitators to Accessing Health Services: A Qualitative Study Amongst People with Disabilities in Cameroon and India Zuurmond, Maria Mactaggart, Islay Kannuri, Nanda Murthy, Gudlavalleti Oye, Joseph Enyegue Polack, Sarah Int J Environ Res Public Health Article Background: Article 25 of the UNCRPD stipulates the right of people with disabilities to the highest attainable standard of health, and the timely uptake of appropriate health and rehabilitation services. This study seeks to explore the factors which influence access to health care among adults with disabilities in Cameroon and India. Methods: A total of 61 semi-structured interviews were conducted with a purposive sample of adults with vision, hearing or musculoskeletal impairments, using data from an earlier cross-sectional disability survey. In addition, 30 key informants were interviewed to provide contextual information about the local services and context. Results: Key themes included individual-level factors, understanding and beliefs about an impairment, and the nature of the impairment and interaction with environmental factors. At the community and household level, key themes were family dynamics and attitudes, economic factors, social inclusion and community participation. Intersectionality with gender and age were cross-cutting themes. Trust and acceptability of health service providers in India and poor understanding of referral processes in both countries were key service-level themes. Conclusions: The interaction of environmental and personal factors with the impairment and their levels of participation and inclusion in community structures, all contributed to the take up of services. This study illustrated the need for a multi-faceted response to improve access to health services for people with disabilities. MDPI 2019-03-29 2019-04 /pmc/articles/PMC6480147/ /pubmed/30934813 http://dx.doi.org/10.3390/ijerph16071126 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Zuurmond, Maria
Mactaggart, Islay
Kannuri, Nanda
Murthy, Gudlavalleti
Oye, Joseph Enyegue
Polack, Sarah
Barriers and Facilitators to Accessing Health Services: A Qualitative Study Amongst People with Disabilities in Cameroon and India
title Barriers and Facilitators to Accessing Health Services: A Qualitative Study Amongst People with Disabilities in Cameroon and India
title_full Barriers and Facilitators to Accessing Health Services: A Qualitative Study Amongst People with Disabilities in Cameroon and India
title_fullStr Barriers and Facilitators to Accessing Health Services: A Qualitative Study Amongst People with Disabilities in Cameroon and India
title_full_unstemmed Barriers and Facilitators to Accessing Health Services: A Qualitative Study Amongst People with Disabilities in Cameroon and India
title_short Barriers and Facilitators to Accessing Health Services: A Qualitative Study Amongst People with Disabilities in Cameroon and India
title_sort barriers and facilitators to accessing health services: a qualitative study amongst people with disabilities in cameroon and india
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6480147/
https://www.ncbi.nlm.nih.gov/pubmed/30934813
http://dx.doi.org/10.3390/ijerph16071126
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