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Healthcare service utilization of hill tribe children in underserved communities in thailand: Barriers to access
BACKGROUND: Hill tribe children, an ethnic minority group in Thailand, experience wide-ranging social and health inequalities. Previous reports indicate that hill tribe children, especially age under 5 years, face social health disadvantages but little is known about the underlying causes. Exploring...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9438234/ https://www.ncbi.nlm.nih.gov/pubmed/36050759 http://dx.doi.org/10.1186/s12913-022-08494-1 |
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author | Moonpanane, Katemanee Pitchalard, Khanittha Thepsaw, Jintana Singkhorn, Onnalin Potjanamart, Chomnard |
author_facet | Moonpanane, Katemanee Pitchalard, Khanittha Thepsaw, Jintana Singkhorn, Onnalin Potjanamart, Chomnard |
author_sort | Moonpanane, Katemanee |
collection | PubMed |
description | BACKGROUND: Hill tribe children, an ethnic minority group in Thailand, experience wide-ranging social and health inequalities. Previous reports indicate that hill tribe children, especially age under 5 years, face social health disadvantages but little is known about the underlying causes. Exploring healthcare utilization among hill tribe children is therefore essential and it may well provide some insight. METHODS: A qualitative study was conducted using purposive sampling techniques to recruit participants based on our criteria. In-depth interviews and focus-group discussions were employed to explore the experiences of parents (n = 20), community leaders (n = 20), and healthcare providers (n = 20) when caring for children aged under 5 years. Interview transcripts were coded, and thematic analysis was then performed. RESULTS: The participants shared their experiences with accessing healthcare services in underserved areas. Barriers to access was the central theme identified. Sub-themes included: (1) distance matters, (2) education and socioeconomic deprivation, (3) lack of cultural sensitivity, (4) communication problems, (5) tradition, beliefs, and differences in cultural practice, (6) lack of child health professionals, and (7) bureaucratic hurdles. CONCLUSIONS: Healthcare services and environments must be transformed to provide healthcare services, education, and information appropriate to the cultures and beliefs prevalent in the hill tribe population. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-022-08494-1. |
format | Online Article Text |
id | pubmed-9438234 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-94382342022-09-03 Healthcare service utilization of hill tribe children in underserved communities in thailand: Barriers to access Moonpanane, Katemanee Pitchalard, Khanittha Thepsaw, Jintana Singkhorn, Onnalin Potjanamart, Chomnard BMC Health Serv Res Research BACKGROUND: Hill tribe children, an ethnic minority group in Thailand, experience wide-ranging social and health inequalities. Previous reports indicate that hill tribe children, especially age under 5 years, face social health disadvantages but little is known about the underlying causes. Exploring healthcare utilization among hill tribe children is therefore essential and it may well provide some insight. METHODS: A qualitative study was conducted using purposive sampling techniques to recruit participants based on our criteria. In-depth interviews and focus-group discussions were employed to explore the experiences of parents (n = 20), community leaders (n = 20), and healthcare providers (n = 20) when caring for children aged under 5 years. Interview transcripts were coded, and thematic analysis was then performed. RESULTS: The participants shared their experiences with accessing healthcare services in underserved areas. Barriers to access was the central theme identified. Sub-themes included: (1) distance matters, (2) education and socioeconomic deprivation, (3) lack of cultural sensitivity, (4) communication problems, (5) tradition, beliefs, and differences in cultural practice, (6) lack of child health professionals, and (7) bureaucratic hurdles. CONCLUSIONS: Healthcare services and environments must be transformed to provide healthcare services, education, and information appropriate to the cultures and beliefs prevalent in the hill tribe population. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-022-08494-1. BioMed Central 2022-09-02 /pmc/articles/PMC9438234/ /pubmed/36050759 http://dx.doi.org/10.1186/s12913-022-08494-1 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Moonpanane, Katemanee Pitchalard, Khanittha Thepsaw, Jintana Singkhorn, Onnalin Potjanamart, Chomnard Healthcare service utilization of hill tribe children in underserved communities in thailand: Barriers to access |
title | Healthcare service utilization of hill tribe children in underserved communities in thailand: Barriers to access |
title_full | Healthcare service utilization of hill tribe children in underserved communities in thailand: Barriers to access |
title_fullStr | Healthcare service utilization of hill tribe children in underserved communities in thailand: Barriers to access |
title_full_unstemmed | Healthcare service utilization of hill tribe children in underserved communities in thailand: Barriers to access |
title_short | Healthcare service utilization of hill tribe children in underserved communities in thailand: Barriers to access |
title_sort | healthcare service utilization of hill tribe children in underserved communities in thailand: barriers to access |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9438234/ https://www.ncbi.nlm.nih.gov/pubmed/36050759 http://dx.doi.org/10.1186/s12913-022-08494-1 |
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