Are maternal healthcare services accessible to vulnerable group? A study among women with disabilities in rural Nepal

PloS One
Hridaya Raj DevkotaNora Groce

Abstract

Studies report that vulnerable groups like people with disabilities have less access to healthcare. This study compares health service access between women with and without disabilities in general and explores the challenges encountered by women with disabilities in accessing maternal healthcare services during pregnancy. A mixed method study was conducted in Rupandehi district of Nepal implementing a cross-sectional survey among 354 women including 79 women with disabilities, supplemented by 43 in-depth interviews. Descriptive and bivariate statistical analysis of quantitative data using Pearson's Chi-square test for association was carried out, while qualitative data were analysed following the theme content analysis using a framework approach. The vast majority of women from both groups, women with and without disabilities (71% vs 74%) reported that the nearest health facility from their location was more than 30 minutes walking distance (P>0.05). Half of the women with disabilities walked to health facilities for ANC check-ups. Over one-third of women without disabilities and a slightly lesser proportion of women with disabilities (29%) used a low-cost means of transport (rikshaw, bi/tri-cycles) (P>0.05). Distribution of he...Continue Reading

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Citations

Jul 3, 2020·PloS One·Reshma Parvin NuriAhmed Shafiqul Huque
Aug 19, 2020·Disability and Rehabilitation·Reshma Parvin NuriAhmed Shafiqul Huque

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Software Mentioned

SPSS
Nepali
Info
AMDA
EPI

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