Barriers to health care in rural Mozambique: a rapid ethnographic assessment of planned mobile health clinics for ART

Global Health, Science and Practice
Amee SchwittersKebba Jobarteh

Abstract

In Mozambique, 1.6 million people are living with HIV, and over 60% of the population lives in rural areas lacking access to health services. Mobile health clinics, implemented in 2013 in 2 provinces, are beginning to offer antiretroviral therapy (ART) and basic primary care services. Prior to introduction of the mobile health clinics in the communities, we performed a rapid ethnographic assessment to understand barriers to accessing HIV care and treatment services and acceptability and potential use of the mobile health clinics as an alternative means of service delivery. We conducted assessments in Gaza province in January 2013 and in Zambezia Province in April-May 2013 in districts where mobile health clinic implementation was planned. Community leaders served as key informants, and chain-referral sampling was used to recruit participants. Interviews were conducted with community leaders, health care providers, traditional healers, national health system patients, and traditional healer patients. Interviewees were asked about barriers to health services and about mobile health clinic acceptance. In-depth interviews were conducted with 117 participants (Gaza province, n = 57; Zambezia Province, n = 60). Barriers to accessing ...Continue Reading

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Citations

Oct 11, 2016·Reproductive Health·Helena BoeneUNKNOWN CLIP Feasibility Working Group
Oct 16, 2016·Current HIV/AIDS Reports·Joia S MukherjeePaul E Farmer
Apr 2, 2017·Journal of the International AIDS Society·Cristin Q FritzC William Wester
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Sep 28, 2018·Alcohol·Milton WainbergCarolyn M Audet

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Methods Mentioned

BETA
contraception

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