Haitian Americans With HIV/AIDS: A Qualitative Study of Facilitators and Barriers to Access to Health Care

2017 ◽  
Author(s):  
Allan Edward Barsky
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Access To Health Care ◽  
Barriers To Access ◽  
Access To Health ◽  
Facilitators And Barriers ◽  
Haitian Americans ◽  
Hiv Aids

What does 'access to health care' mean?

2002 ◽  
Vol 7 (3) ◽  
pp. 186-188 ◽  
Author(s):  
Martin Gulliford ◽  
Jose Figueroa-Munoz ◽  
Myfanwy Morgan ◽  
David Hughes ◽  
Barry Gibson ◽  
...  
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Cultural Barriers ◽  
Complex Concept ◽  
Barriers To Access ◽  
Access To Health ◽  
Equity Of Access ◽  
Diverse Groups ◽  
Physical Accessibility ◽  
Gain Access

Facilitating access is concerned with helping people to command appropriate health care resources in order to preserve or improve their health. Access is a complex concept and at least four aspects require evaluation. If services are available and there is an adequate supply of services, then the opportunity to obtain health care exists, and a population may 'have access' to services. The extent to which a population 'gains access' also depends on financial, organisational and social or cultural barriers that limit the utilisation of services. Thus access measured in terms of utilisation is dependent on the affordability, physical accessibility and acceptability of services and not merely adequacy of supply. Services available must be relevant and effective if the population is to 'gain access to satisfactory health outcomes'. The availability of services, and barriers to access, have to be considered in the context of the differing perspectives, health needs and material and cultural settings of diverse groups in society. Equity of access may be measured in terms of the availability, utilisation or outcomes of services. Both horizontal and vertical dimensions of equity require consideration.

scholarly journals Barriers and Facilitators to Accessing Health Care Services among Married Women in Ethiopia: a Multi-level Analysis of the Ethiopia Demographic and Health Survey

2021 ◽  
Vol 5 (2) ◽  
pp. 183-196
Author(s):  
Betregiorgis Zegeye ◽  
Nicholas Kofi Adjei ◽  
Bright Opoku Ahinkorah ◽  
Edward Kwabena Ameyaw ◽  
Eugene Budu ◽  
...  
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Health Care Services ◽  
Married Women ◽  
Community Level ◽  
Factors Associated ◽  
Care Services ◽  
Barriers To Access ◽  
Access To Health ◽  
The Individual

Background and Objective: Access to health care services is a major challenge to women and children in many developing countries such as Ethiopia. In this study, we investigated the individual- and community-level factors associated with barriers to accessing health care services among married women in Ethiopia. Methods: Data from the 2016 Ethiopia demographic and health survey on 9,824 married women of reproductive age (15-49 years) were analyzed. Multilevel logistic regression models were used to assess individual- and community-level factors associated with barriers to access health care services. Regression analysis results revealed adjusted odds ratios at 95% confidence intervals. Results: Over two-thirds (71.8%) of married women in Ethiopia reported barriers to accessing health care services. Some of the individual-level factors that were associated with lower odds of reporting barriers to access health care services include: having secondary education (aOR=0.49, 95% CI: 0.32-0.77), being in the richest quintile (aOR=0.34, 95% CI: 0.22-0.54), and indicating wife-beating as unjustified (aOR=0.66, 95% CI:0.55-0.81). Among the community-level factors, high community-level literacy (aOR=0.56, 95% CI: 0.34-0.92) and moderate community socioeconomic status (aOR=0.62, 95% CI: 0.45-0.85) were significantly associated with lower odds of reporting barriers to access health care services. Conclusion and Implications for Translation: The findings revealed high barriers to access health care services, and both individual- and community-level factors were significant contributing predictors. Therefore, it is important to consider multidimensional strategies and interventions to facilitate access to health care services in Ethiopia.   Copyright © Zegeye et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.

scholarly journals Improving access to multilingual health information for newcomers to Canada

2007 ◽  
Vol 28 (1) ◽  
pp. 15 ◽  
Author(s):  
Victoria Gallo Stampino
Keyword(s):  
Health Care ◽  
Health Information ◽  
Web Sites ◽  
Access To Health Care ◽  
Information Needs ◽  
Health Care Organizations ◽  
Specific Information ◽  
Barriers To Access ◽  
Access To Health ◽  
Immigrant And Refugee

Canada's immigrant and refugee population is a vulnerable group in our health care system with specific information needs. Newcomers to Canada face certain socioeconomic, cultural–linguistic, and systemic barriers to access to health care that government, social agencies, and health care organizations work to overcome. To address some of the communication barriers, many health organizations develop information resources such as online brochures and education handouts. Several organizations offer specifically tailored multilingual publications to meet newcomers' information needs and write them using cross-cultural approaches. However, multilingual health information may be hard to locate and is not readily available through major Canadian consumer Web sites. This article discusses the advantages of sharing multilingual publications online and asks whether a central portal or repository is a possible solution for making publications more widely available across Canada.

Access to health care services – an English policy perspective

2009 ◽  
Vol 4 (2) ◽  
pp. 195-208 ◽  
Author(s):  
MARIA GODDARD
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Health Care Services ◽  
Policy Perspective ◽  
Care Services ◽  
Barriers To Access ◽  
Access To Health ◽  
Sociological Literature ◽  
Equity Of Access ◽  
Improve Access

Abstract:The English government has given a commitment to improving access to health care services for particular groups perceived as being under-served, or served inappropriately, by existing services. In this article four examples of policies aimed at improving access are considered: enhancing the supply of services to under-served areas, changing the organization of services, setting targets to improve access, and empowering people to make choices. Policies aimed at improving access will work only if they address the source of inequities, which means identifying the key barriers to access and these barriers are unlikely to be uniform across sectors, services, and groups of people. Evidence on the success of these four types of intervention in terms of influencing access and equity of access is discussed, borrowing some concepts from the sociological literature that enable us to understand the importance of how barriers to access may arise for different services and different population groups. It is clear that some policies may not work as well as we would hope, or may even exacerbate inequities of access, because they fail to recognize the source of the particular barriers faced by some groups.

Access to Health Care and Geographic Mobility of HIV/AIDS Patients

1995 ◽  
Vol 9 (6) ◽  
pp. 297-302 ◽  
Author(s):  
Robert S. Hogg ◽  
Martin T. Schechter ◽  
Arn Schilder ◽  
Rick Le ◽  
Steffanie A. Strathdee ◽  
...  
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Geographic Mobility ◽  
Aids Patients ◽  
Access To Health ◽  
Hiv Aids

scholarly journals The Health of Nepali Migrants in India: A Qualitative Study of Lifestyles and Risks

2019 ◽  
Vol 16 (19) ◽  
pp. 3655 ◽  
Author(s):  
Pramod R. Regmi ◽  
Edwin van Teijlingen ◽  
Preeti Mahato ◽  
Nirmal Aryal ◽  
Navnita Jadhav ◽  
...  
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Migrant Workers ◽  
Access To Health Care ◽  
Health Care Facilities ◽  
Service Utilisation ◽  
Limited Access ◽  
Work Related ◽  
Access To Health ◽  
Care Facilities

Background: Most health research on Nepali migrant workers in India is on sexual health, whilst work, lifestyle and health care access issues are under-researched. Methods: The qualitative study was carried out in two cities of Maharashtra State in 2017. Twelve focus group discussions (FGDs) and five in-depth interviews were conducted with Nepali male and female migrant workers. Similarly, eight interviews were conducted with stakeholders, mostly representatives of organisations working for Nepali migrants in India using social capital as a theoretical foundation. Results: Five main themes emerged from the analysis: (i) accommodation; (ii) lifestyle, networking and risk-taking behaviours; (iii) work environment; (iv) support from local organisations; and (v) health service utilisation. Lack of basic amenities in accommodation, work-related hazards such as lack of safety measures at work or safety training, reluctance of employers to organise treatment for work-related accidents, occupational health issues such as long working hours, high workload, no/limited free time, discrimination by co-workers were identified as key problems. Nepali migrants have limited access to health care facilities due to their inability to prove their identity. Health system of India also discriminates as some treatment is restricted to Indian nationals. The strength of this study is the depth it offers, its limitations includes a lack of generalizability, the latter is a generic issue in such qualitative research. Conclusion: This study suggests risks to Nepali migrant workers’ health in India range from accommodation to workplace and from their own precarious lifestyle habit to limited access to health care facilities. We must conduct a quantitative study on a larger population to establish the prevalence of the above mentioned issues and risks. Furthermore, the effectiveness of Nepali migrant support organisations in mitigating these risks needs to be researched.

Barriers to access to health care for newly resettled sub‐Saharan refugees in Australia

2006 ◽  
Vol 185 (11-12) ◽  
pp. 594-597 ◽  
Author(s):  
Mohamud Sheikh‐Mohammed ◽  
C Raina MacIntyre ◽  
Nicholas J Wood ◽  
Julie Leask ◽  
David Isaacs
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Barriers To Access ◽  
Access To Health ◽  
Sub Saharan
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