'When I don't have money to buy the drugs, I just manage.'-Exploring the lived experience of persons with physical disabilities in accessing primary health care services in rural Ghana

Social Science & Medicine
Ebenezer DassahColleen Davison

Abstract

The United Nations Convention on the Rights of Persons with Disabilities recognizes the rights of persons with disabilities' access to health care, including primary health care (PHC). However, growing evidence indicates that individuals in rural areas generally experience health access issues, and these issues are even worse for those with physical disabilities. Knowledge about such experiences is critical for policy design and clinical practice to promote PHC access for persons with physical disabilities in rural areas. This study seeks to explore the experiences of persons with physical disabilities in accessing PHC services in the predominantly rural Upper West Region of Ghana. We conducted semi-structured interviews with 18 participants living with physical disabilities, and used both deductive and inductive approaches to analyze the data. Participants shared experiences at three broad levels: the health system level, individual level and health-seeking behaviors level. Within the health system level, we identified three main categories: service availability (presence of health facilities, deficient drug supply and lack of providers), acceptability (positive and negative attitudes of providers and perceived high and low qu...Continue Reading

Citations

Aug 19, 2020·Disability and Rehabilitation·Reshma Parvin NuriAhmed Shafiqul Huque
Aug 18, 2020·Primary Health Care Research & Development·Ebenezer DassahColleen Davison
Aug 14, 2020·Revista brasileira de enfermagem·Daiane ZeniIsabel Cristina Dos Santos Colomé
Jan 24, 2021·The Journal of Clinical Hypertension·Onoja M AkpaUNKNOWN SIREN Study as part of the H3Africa Consortium

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