A path toward disability-inclusive health in Zimbabwe Part 1: A qualitative study on access to healthcare.
A path toward disability-inclusive health in Zimbabwe Part 1: A qualitative study on access to healthcare.
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DOI：
10.4102/ajod.v11i0.990
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发表时间：
2022
影响因子：
1.7
通讯作者：
Rusakaniko, Simbarashe
中科院分区：
文献类型：
--
作者：
Smythe, Tracey;Mabhena, Thubelihle;Murahwi, Shepherd;Kujinga, Tapiwanashe;Kuper, Hannah;Rusakaniko, Simbarashe
平均而言，残疾人有更大的保健需求，但在获得保健方面面临一系列障碍。我们的目标是探索残疾人在获得护理方面的经验，并确定在津巴布韦设计纳入卫生系统的机会。在2021年5月至6月期间，对24名残疾人（通过有目的抽样确定）和10名来自地方和国家卫生当局的关键线人（通过专家建议确定）进行了深入的定性访谈。采访探讨了在2019年冠状病毒病（COVID-19）大流行之前获得医疗保健的经历。采访记录、编码和主题分析。我们使用残疾人包容性医疗“失踪的十亿人”框架来绘制和告知包容性医疗的障碍和残疾人面临的结果差异。在2019冠状病毒病之前，津巴布韦残疾人难以获得卫生服务。这些经历受到卫生知识普及、自我耻辱和服务可负担性的影响，这些因素限制了需求。保健服务的供应受到限制，因为人们认为保健工作者治疗残疾人的能力差，而且存在歧视。诊所工作人员支持残疾人通过转介到教会医院和私人诊所获得药物，以及残疾人组织的游说，促进了包容性。促进残疾纳入医疗保健的战略包括有意义地让残疾人参与进来，投资于残疾人组织，保护残疾纳入的资金，收集和分析按残疾分列的数据，以及加强提供保健服务的双轨办法。
On average, people with disabilities have greater healthcare needs, yet face a range of barriers in accessing care. Our objectives were to explore the experiences of people with disabilities in accessing care and identify opportunities for the health system to be designed for inclusion in Zimbabwe. In-depth qualitative interviews were conducted between May and June 2021 with 24 people with disabilities (identified through purposive sampling) and with 10 key informants from local and national health authorities (identified through expert recommendations). Interviews explored the experience of accessing healthcare prior to the coronavirus disease 2019 (COVID-19) pandemic. Interviews were transcribed, coded and thematically analysed. We used the disability-inclusive health ‘Missing Billion’ framework to map and inform barriers to inclusive healthcare and disparities in outcomes faced by people with disabilities. People with disabilities experienced difficulties accessing health services in Zimbabwe prior to COVID-19. These experiences were shaped by health literacy, self-stigma and affordability of services, which limited demand. Supply of health services was constrained by the perceived poor capacity of health workers to treat people with disabilities and discrimination. Inclusion was facilitated by clinic staff support of people with disabilities’ access to medication through referral to mission hospitals and private clinics, and the lobbying of organisations of people with disabilities. Strategies to promote disability inclusion in healthcare include meaningfully engaging people with disabilities, investing in organisations of people with disabilities, protecting funding for disability inclusion, collecting and analysing disability-disaggregated data and strengthening a twin-track approach to health service provision.
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DOI：
10.3390/ijerph15030514
发表时间：
2018-03-01
影响因子：
--
作者：
Kuper, Hannah;Smythe, Tracey;Duttine, Antony
通讯作者：
Duttine, Antony
影响因子：
2.6
作者：
Werfalli, Mahmoud;Kassanjee, Reshma;Levitt, Naomi S.
通讯作者：
Levitt, Naomi S.
DOI：
10.23736/s1973-9087.17.04746-3
发表时间：
2017-04-01
影响因子：
4.5
作者：
Gimigliano, Francesca;Negrini, Stefano
通讯作者：
Negrini, Stefano
影响因子：
--
作者：
Prynn JE;Dube A;Mwaiyeghele E;Mwiba O;Geis S;Koole O;Nyirenda M;Kuper H;Crampin AC
通讯作者：
Crampin AC
影响因子：
--
作者：
Peta, Christine
通讯作者：
Peta, Christine