Access Barriers to Health Care among People with Disabilities in the Kumasi Metropolis of Ghana

Badu, Eric; Agyei‐Baffour, Peter; Opoku, Maxwell Peprah

doi:10.15353/cjds.v5i2.275

Cited by 49 publications

(73 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Earlier studies also conclude that people with disabilities faced numerous physical structural and environmental barriers in seeking care, including for SRH services. 7,8,11,12,14,39,40 This study underscores the need to reassess and improve the physical structure of health facilities, taking into consideration different disabilities.…”

Section: Affordabilitymentioning

confidence: 80%

“…Published papers from LMICs have concluded that women with disabilities have limited understanding of SRH services and care and are thus less likely to access services and care due to a lack of inclusive and accessible information and communication. 8,11,13,14 Women with disabilities face numerous access barriers in accessing SRH services and care compared with the general population. [7][8][9][10][11][12][13] These barriers are interrelated and similar across different settings 15 and can be categorised broadly into those related to physical structure, transportation, finance, communication and stigmatising attitudes.…”

Section: Introductionmentioning

confidence: 99%

“…9,11,16 Examples of unfriendly physical structure include the lack of ramps, inaccessible doors, hospital beds and toilet facilities and difficult to read medical labels. 8,11,13,14 The cost of seeking SRH services and care is high and women with disabilities usually have limited income sources due to unemployment. 12,17,18 In Nepal, for instance, the perceived high cost of seeking care influenced women with disabilities to opt for SRH care in the home.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Enablers and barriers in accessing sexual and reproductive health services among visually impaired women in the Ashanti and Brong Ahafo Regions of Ghana

Badu

Gyamfi

Opoku

et al. 2018

Reproductive Health Matters

Self Cite

View full text Add to dashboard Cite

The need to improve the sexual and reproductive health (SRH) and rights of women with disabilities is increasingly acknowledged. Unfortunately, women with disabilities in low-and middle-income settings, including Ghana, face several barriers (including structural, financial, physical, social and attitudinal) to accessing SRH services and care. This paper explores the enablers and barriers to accessing SRH services and care among visually impaired women in the Ashanti and Brong Ahafo Regions of Ghana. Qualitative data from in-depth interviews and focus group discussions were collected from 21 visually impaired women, selected through purposive and snowballing sampling techniques. Thematic analysis was used to develop codes, and data were further grouped into emerging themes. The barriers to accessing SRH services and care were financial difficulties and lack of preferential treatment. The enablers which facilitated access to SRH services and care were the support provided by caregivers and friendly relationships with health providers. To address these challenges and promote access, SRH related policies, services and programmes should be inclusive of the needs of visually impaired women, and measures to remove financial challenges to service utilisation and foster positive relationships with health workers, church and community members should be adopted.

show abstract

Section: Affordabilitymentioning

confidence: 80%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Enablers and barriers in accessing sexual and reproductive health services among visually impaired women in the Ashanti and Brong Ahafo Regions of Ghana

Badu

Gyamfi

Opoku

et al. 2018

Reproductive Health Matters

Self Cite

View full text Add to dashboard Cite

show abstract

“…A number of factors such as prohibitive cost and limited availability of health care services, physical barriers to visiting health care facilities, inadequate knowledge and skills on the part of health care providers and perceived discrimination have a negative impact on PWPDs and prevent them from seeking health care [6–8]. Socio-demographic characteristics such as age, socio-economic status, education and place of residence also have a strong influence on health care seeking behaviour of PWPDs [8, 9].…”

Section: Introductionmentioning

confidence: 99%

Primary health care seeking behaviour of people with physical disabilities in Bangladesh: a cross-sectional study

2018

View full text Add to dashboard Cite

BackgroundPeople with disabilities constitute about 10% of the total population of Bangladesh. They are more likely to experience poor health than those without disabilities. However, there is a lack of evidence on their primary health care (PHC) seeking behaviour for their general illness. The aim of this study was to understand the PHC seeking behaviour of people with physical disabilities (PWPDs), and to investigate the determinants of such behaviours.MethodsWe surveyed 282 PWPDs, aged ≥18 years, using a structured questionnaire. Participants were recruited from the out-patient department of a rehabilitation centre in Dhaka between November and December 2014. We explored PHC seeking behaviour using frequency distribution. We performed logistic regression to investigate the factors that determined their PHC seeking behaviours for general illness. In our logistic regression model, the outcome variable was whether PWPDs received treatment from a formal health care provider. The predictors were socio-demographic characteristics and clinical characteristics such as type of impairment and type of illness experienced.ResultsAmong 282 participants, 85% suffered from general illness in the past 6 months. The participants in the higher age group, for example, age group 31–45 years (OR = 3.9, [95% CI 1.2 to 13.4]), 46–59 years (OR = 13.6, [95% CI 2.9 to 63.7) and 60+ years (OR = 12.5, [95% CI 1.7 to 93.0]) were more likely to seek treatment from formal health care providers than the age group 18–30 years. The educational attainment of the primary income earning family member (OR = 3.2, [CI 1.1 to 9.6]), religion (OR = 0.3, [95% CI 0.1 to 0.98]) and mobility aid used (OR = 4.0, [95% CI 1.2 to 13]) were determinants for seeking health care from a formal health care provider. Moreover, the type of illness suffered by participant was a strong predictor of their decision to seek treatment from a formal health care provider. The participants who suffered from urinary tract infections (OR = 10.3, [95% CI 2.3 to 46.6]), ulcers (OR = 13.1, [95% CI 2.11 to 79.3]) and pain (OR = 3.6, [95% CI 1.4 to 9.4]) were more likely to seek treatment from formal health care provider than who suffered from fever.ConclusionsAge, religion, earning member’s education, type of mobility aids used and type of illness suffered were explicative determinants of PHC seeking behaviour of PWPDs. The results suggest that these factors should be considered when devising interventions for this population. Moreover, accessibility, quality of care and expertise of the providers in treating disabled people were among the other factors reported by PWPDs which influence their decision to seek health care. In order to provide inclusive health services, primary health centres need to consider these determinants.

show abstract

“…Recently, several empirical studies have been undertaken on access to health services for people with disabilities. These studies have largely focused on the barriers to accessing health services for people with physical disabilities [17][18][19]. However, little empirical evidence is known about SRH services and care information.…”

Section: Introductionmentioning

confidence: 99%

Knowledge and sources of accessing sexual and reproductive health information among visually impaired women in Ghana

Badu

Mensah

Gyamfi

et al. 2019

Preprint

Self Cite

View full text Add to dashboard Cite

Objective: This study explores the knowledge and sources of information in accessing sexual and reproductive health services and care information among visually impaired women in Ghana. Qualitative data involving In-depth Interviews and Focus Group Discussions were conducted among 21 visually impaired women, selected through purposive and snowballing sampling techniques. Thematic Analysis was used to analyse the data. Results: The study identified fives themes – knowledge, the relevance of accessing SRH services and care information, sources and content of the information as well as barriers to accessing such information. The study showed that visually impaired women were knowledgeable about the relevance of SRH services and care information. However, they had limited knowledge about the group of individuals that uses such services. The source of accessing information was formal and informal. Barriers to accessing information on SRH services and care was the lack of family caregivers and support services. The study recommends that current policies and programmes on SRH services and care should be made inclusive of visually impaired women. The advocacy and awareness campaigns on SRH services and care should educate visually impaired women, communities and family caregivers about services for individual gender groups as well as support services.

show abstract

Access Barriers to Health Care among People with Disabilities in the Kumasi Metropolis of Ghana

Cited by 49 publications

References 13 publications

Enablers and barriers in accessing sexual and reproductive health services among visually impaired women in the Ashanti and Brong Ahafo Regions of Ghana

Enablers and barriers in accessing sexual and reproductive health services among visually impaired women in the Ashanti and Brong Ahafo Regions of Ghana

Primary health care seeking behaviour of people with physical disabilities in Bangladesh: a cross-sectional study

Knowledge and sources of accessing sexual and reproductive health information among visually impaired women in Ghana

Contact Info

Product

Resources

About