A path toward disability-inclusive health in Zimbabwe Part 2: A qualitative study on the national response to COVID-19.
A path toward disability-inclusive health in Zimbabwe Part 2: A qualitative study on the national response to COVID-19.
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DOI：
10.4102/ajod.v11i0.991
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发表时间：
2022
影响因子：
1.7
通讯作者：
Rusakaniko S
中科院分区：
文献类型：
--
作者：
Smythe T;Mabhena T;Murahwi S;Kujinga T;Kuper H;Rusakaniko S
残疾人出现 2019 年冠状病毒病 (COVID-19) 不良后果的风险较高。此外，缓解 COVID-19 传播的措施影响了卫生服务的提供和获取，这可能对残疾人尤其不利。探讨津巴布韦残疾人在大流行期间获得卫生服务的观点和经验，确定包容性卫生的明显挑战和促进因素以及改善无障碍环境的关键行动。我们对 24 名残疾人（通过有目的抽样确定）和 10 名关键信息提供者（根据专家推荐）进行了深入访谈，以探讨 COVID-19 对获得医疗保健的影响。采访内容经过转录、编码和主题分析。我们使用包容残疾人的健康“缺失的十亿”框架来绘制和告知 COVID-19 期间包容性医疗保健的障碍以及残疾人所面临的结果差异。残疾人对 COVID-19 缓解策略表现出良好的认识，但在获取 COVID-19 信息和卫生服务方面面临困难。实施 COVID-19 指南面临的挑战与个人的功能障碍和财务能力有关。供应方的一个主要制约因素是人们认为康复服务的优先级不高。对获得医疗服务和康复的进一步限制降低了个人的功能能力并加剧了原有疾病。 COVID-19 大流行对津巴布韦残疾人的直接健康和财务影响非常严重。政府部门应通过双轨方式将残疾人纳入与疫情相关的所有沟通和活动，这意味着将残疾人纳入主流活动，并在必要时针对具体干预措施。
People with disabilities are at higher risk of adverse coronavirus disease 2019 (COVID-19) outcomes. Additionally, measures to mitigate COVID-19 transmission have impacted health service provision and access, which may particularly disadvantage people with disabilities. To explore the perspectives and experiences of people with disabilities in accessing health services in Zimbabwe during the pandemic, to identify perceived challenges and facilitators to inclusive health and key actions to improve accessibility. We used in-depth interviews with 24 people with disabilities (identified through purposive sampling) and with 10 key informants (from expert recommendation) to explore the impact of COVID-19 on access to health care. Interviews were transcribed, coded and thematically analysed. We used the disability-inclusive health ‘Missing Billion’ framework to map and inform barriers to inclusive health care during COVID-19 and disparities in outcomes faced by people with disabilities. People with disabilities demonstrated good awareness of COVID-19 mitigation strategies, but faced difficulties accessing COVID-19 information and health services. Challenges to the implementation of COVID-19 guidelines related to a person’s functional impairment and financial ability to do so. A key supply-side constraint was the perceived de-prioritisation of rehabilitation services. Further restrictions on access to health services and rehabilitation decreased an individual’s functional ability and exacerbated pre-existing conditions. The immediate health and financial impacts of the COVID-19 pandemic on people with disabilities in Zimbabwe were severe. Government departments should include people with disabilities in all communications and activities related to the pandemic through a twin-track approach, meaning inclusion in mainstream activities and targeting with specific interventions where necessary.
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DOI：
10.1016/s2468-2667(21)00069-4
发表时间：
2021-06
期刊：
The Lancet. Public health
影响因子：
--
作者：
Steptoe A;Di Gessa G
通讯作者：
Di Gessa G
影响因子：
3.6
作者：
Sharpe D;Rajabi M;Chileshe C;Joseph SM;Sesay I;Williams J;Sait S
通讯作者：
Sait S
影响因子：
--
作者：
Kuper, Hannah;Banks, Lena Morgon;Shakespeare, Tom
通讯作者：
Shakespeare, Tom
DOI：
10.1016/s0140-6736(21)00625-5
发表时间：
2021-04-10
期刊：
Lancet (London, England)
影响因子：
--
作者：
Shakespeare T;Ndagire F;Seketi QE
通讯作者：
Seketi QE
DOI：
10.4102/safp.v63i1.5226
发表时间：
2021-07-19
期刊：
South African family practice : official journal of the South African Academy of Family Practice/Primary Care
影响因子：
--
作者：
McKinney EL;McKinney V;Swartz L
通讯作者：
Swartz L