Equity in Healthcare: Status, Barriers, and Challenges

Qidwai, Waris; Ashfaq, Tabinda; Khoja, Tawfik; Merchant, Ketki

doi:10.5742/mejfm.2011.96035

Cited by 4 publications

(7 citation statements)

References 13 publications

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“…Each doctor had to provide care for 30 to 50 patients with chronic conditions in an average clinic day (5 hours). Globally, the lack of primary care physicians and time constraint are barriers to effectively addressing the multiple complex problems presented by patients in primary care settings (Qidwai, Ashfaq, Khoja, & Merchant, 2011).…”

Section: Discussionmentioning

confidence: 99%

Perceptions, Awareness, and Attitudes of Primary Health Care Workers Towards Management of Type-2 Diabetes in Jordan: A Qualitative Study

Al-Sahouri¹,

Merrell²

2021

GJHS

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OBJECTIVE: This study aimed to explore health care workers’ perceptions, awareness and attitudes towards the factors that contribute to poor glycemic control among patients with Type-2 diabetes in Jordan. MATERIAL & METHODS: A qualitative study was conducted to seek rich, in-depth data about health care workers’ perceptions and attitudes regarding Type-2 diabetes. Ten semi-structured interviews were conducted with primary health care workers: four nurses, physician, dietitian, pharmacist, lab technician, dentist and receptionist who were recruited using purposive sampling. All interviews were audio recorded, transcribed and uploaded to the qualitative data analysis software package NVivo 12. Thematic analysis was used to analyze the data. RESULTS: Four themes were derived from the interview analysis: lack of knowledge of patients regarding diabetes and its management; influence of socio-cultural factors on patients’ diabetes management behaviors included eating pattern and physical activity; challenges related to the health care system including medication insecurity and health insurance policies and challenges related to staff shortages and poor patient-staff communication. CONCLUSION: The findings suggest that medical and nursing practice could usefully move away from a task-oriented medical model towards a more holistic approach in diabetes management. Health promotion should be delivered in a wider context to target the population in different age groups to raise awareness of diabetes amongst the general population in Jordan. Nurses’ skills and knowledge could be utilized to rectify patients’ misconceptions and beliefs regarding diabetes treatment.

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Section: Discussionmentioning

confidence: 99%

Perceptions, Awareness, and Attitudes of Primary Health Care Workers Towards Management of Type-2 Diabetes in Jordan: A Qualitative Study

Al-Sahouri¹,

Merrell²

2021

GJHS

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“…It is not an injustice if good health is unattainable, though it would be unfortunate; however, the presence of health inequalities, where they are avoidable, is inequity. 3 Qidwai et al 4 describe equity in health care as when health resources are allocated and health care services are received according to need. This is irrespective of social status or influence, instead concentrating on those with poor health status, greater disease burden and lesser resources.…”

Section: Inequalities In Healthmentioning

confidence: 99%

“…This is irrespective of social status or influence, instead concentrating on those with poor health status, greater disease burden and lesser resources. 4 Equal healthcare access for everyone in need requires both economic and political input. 4 The economic situation of any nation plays a key role in the financing of health in that country.…”

Section: Inequalities In Healthmentioning

confidence: 99%

“… 4 Equal healthcare access for everyone in need requires both economic and political input. 4 The economic situation of any nation plays a key role in the financing of health in that country. 5 Health funding in its many facets plays a central role in early detection of diseases.…”

Section: Inequalities In Healthmentioning

confidence: 99%

“…Even though evidence shows great health disparities between social classes within countries, the international focus remains largely on reducing the disparities between nations which are better and worse off. 4 This only points to the fact that the task of lessening the gaps of inequality within countries falls on the indigenous government’s ability to make and implement policies that benefit populations across all social groups, one of which is health insurance. Macha et al 17 advocate that to reduce out-of-pocket payments and thus break down financial barriers to access to healthcare among the poor, insurance coverage should be expanded exponentially.…”

Section: The Situation In Nigeriamentioning

confidence: 99%

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Inequalities in health: the role of health insurance in Nigeria

Chukwudozie

2015

J Public Health Afr

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Health financing is a core necessity for sustainable healthcare delivery. Access inequalities due to financial restrictions in low-middle income countries, and in Africa especially, significantly affect disease rates and health statistics in these regions. This paper focuses on the role of a national health insurance cover as a funding medium in Nigeria, highlighting the theoretical premise of health insurance, its driving forces, key benefits and key limitations particular to the country under scrutiny. Emphasis is laid on its overall effect on the pressing public health issue of health inequality.

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A critical analysis of the extent to which social determinant of health explains health inequalities regarding maternal mortality in Nigeria

James¹,

Miteu²

2022

GSC Adv. Res. Rev.

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This article critically analyzes and quantified the extent to which social determinants of health explains health inequalities regarding maternal mortality in Nigeria. Evidence suggests that maternal mortality is predominant in developing countries. This formed the rationale in using Nigeria as a case study for critical analysis. This study showed the relationship between social status/determinants, health inequalities and maternal mortality outcomes in Nigeria. Using a critical analytical approach, this study shows that access to a good health care by maternal patients depends on a number of social determinants (such as education/awareness, income level/unemployment, cultural beliefs, insecurity, environmental conditions and healthcare decline/lackadaisical attitude displayed by some health workers in some parts of Nigeria) which can be linked to explain health inequalities that results in maternal mortality in Nigeria. To tackle inequalities, this study recommends targeted social policy reforms and maternal program/education for affected populace in Nigeria.

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Equity in Healthcare: Status, Barriers, and Challenges

Cited by 4 publications

References 13 publications

Perceptions, Awareness, and Attitudes of Primary Health Care Workers Towards Management of Type-2 Diabetes in Jordan: A Qualitative Study

Perceptions, Awareness, and Attitudes of Primary Health Care Workers Towards Management of Type-2 Diabetes in Jordan: A Qualitative Study

Inequalities in health: the role of health insurance in Nigeria

A critical analysis of the extent to which social determinant of health explains health inequalities regarding maternal mortality in Nigeria

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