Inclusion of Persons with Disabilities in Primary Health Care Services in the Western Region of Nepal: An Explorative Study of Perceived Barriers

Background: Compared to people in the general population, persons with disabilities face additional barriers to access primary health care services, especially in developing countries. Consequently, they have a greater vulnerability and a higher prevalence of secondary conditions, which are preventa...

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Format:	Technical Report
Language:	en_US
Published:	2016
Subjects:	health care providers perceived barriers persons with disabilities primary health care services
Online Access:	http://103.69.126.140:8080/handle/123456789/148
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spelling	oai:103.69.126.140:123456789-1482022-11-08T10:29:25Z Inclusion of Persons with Disabilities in Primary Health Care Services in the Western Region of Nepal: An Explorative Study of Perceived Barriers Communicable/Infectious diseases health care providers perceived barriers persons with disabilities primary health care services Background: Compared to people in the general population, persons with disabilities face additional barriers to access primary health care services, especially in developing countries. Consequently, they have a greater vulnerability and a higher prevalence of secondary conditions, which are preventable physical, mental and social disorders resulting directly or indirectly from an initial disabling condition. With a focus on vulnerability, accessibility and exclusion to health services, this study aims to explore the perceived barriers of persons with disabilities to access primary health care services in the Western region of Nepal. Based on the Institute Of Medicine framework, Health belief model and a stigma-related model, perceptions on structural, financial and personal/cultural barriers are explored. Methods: 21 semi-structured interviews were conducted with health care providers and persons with disabilities (with locomotive or visual impairments) in the hilly and lower areas. Results: Structural barriers were transportation, poor quality of care in general and for disability specific needs and the lack of governmental support. Financial barriers were lack of funds for health expenses mainly due to problems in generating an income by persons with disabilities themselves. Furthermore, personal/cultural barriers were reported, as in being unaware of existing health facilities, preference of other health facilities (private or traditional medicine) and stigma by family members and the community. Furthermore, self-stigma highly influenced the family’s attitude and the motivation to seek for health care. Lastly, poor public awareness of the society about their needs was reported. Conclusions: Programs and policies should focus on the inclusion of disabled persons, within health education, and promotion and income generating activities. Activities to reduce stigma of persons with disabilities should take place, with emphasis on the attitude of families and reduction of self stigma. Training should be provided to mainstream health organizations, especially the governmental services. Keywords: health care providers; perceived barriers; persons with disabilities; primary health care services. 2016-11-11T00:05:38Z 2022-11-08T10:10:37Z 2016-11-11T00:05:38Z 2022-11-08T10:10:37Z 2013 Technical Report http://103.69.126.140:8080/handle/123456789/148 en_US application/vnd.openxmlformats-officedocument.wordprocessingml.document
institution	My University
collection	DSpace
language	en_US
topic	health care providers perceived barriers persons with disabilities primary health care services
spellingShingle	health care providers perceived barriers persons with disabilities primary health care services Inclusion of Persons with Disabilities in Primary Health Care Services in the Western Region of Nepal: An Explorative Study of Perceived Barriers
description	Background: Compared to people in the general population, persons with disabilities face additional barriers to access primary health care services, especially in developing countries. Consequently, they have a greater vulnerability and a higher prevalence of secondary conditions, which are preventable physical, mental and social disorders resulting directly or indirectly from an initial disabling condition. With a focus on vulnerability, accessibility and exclusion to health services, this study aims to explore the perceived barriers of persons with disabilities to access primary health care services in the Western region of Nepal. Based on the Institute Of Medicine framework, Health belief model and a stigma-related model, perceptions on structural, financial and personal/cultural barriers are explored. Methods: 21 semi-structured interviews were conducted with health care providers and persons with disabilities (with locomotive or visual impairments) in the hilly and lower areas. Results: Structural barriers were transportation, poor quality of care in general and for disability specific needs and the lack of governmental support. Financial barriers were lack of funds for health expenses mainly due to problems in generating an income by persons with disabilities themselves. Furthermore, personal/cultural barriers were reported, as in being unaware of existing health facilities, preference of other health facilities (private or traditional medicine) and stigma by family members and the community. Furthermore, self-stigma highly influenced the family’s attitude and the motivation to seek for health care. Lastly, poor public awareness of the society about their needs was reported. Conclusions: Programs and policies should focus on the inclusion of disabled persons, within health education, and promotion and income generating activities. Activities to reduce stigma of persons with disabilities should take place, with emphasis on the attitude of families and reduction of self stigma. Training should be provided to mainstream health organizations, especially the governmental services. Keywords: health care providers; perceived barriers; persons with disabilities; primary health care services.
format	Technical Report
title	Inclusion of Persons with Disabilities in Primary Health Care Services in the Western Region of Nepal: An Explorative Study of Perceived Barriers
title_short	Inclusion of Persons with Disabilities in Primary Health Care Services in the Western Region of Nepal: An Explorative Study of Perceived Barriers
title_full	Inclusion of Persons with Disabilities in Primary Health Care Services in the Western Region of Nepal: An Explorative Study of Perceived Barriers
title_fullStr	Inclusion of Persons with Disabilities in Primary Health Care Services in the Western Region of Nepal: An Explorative Study of Perceived Barriers
title_full_unstemmed	Inclusion of Persons with Disabilities in Primary Health Care Services in the Western Region of Nepal: An Explorative Study of Perceived Barriers
title_sort	inclusion of persons with disabilities in primary health care services in the western region of nepal: an explorative study of perceived barriers
publishDate	2016
url	http://103.69.126.140:8080/handle/123456789/148
_version_	1761500928866779136

Inclusion of Persons with Disabilities in Primary Health Care Services in the Western Region of Nepal: An Explorative Study of Perceived Barriers

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