Hossen Abul, Westhues Anne
Faculty of Social Work, Wilfrid Laurier University, Kitchener, Ontario, Canada.
Health Care Women Int. 2011 Dec;32(12):1088-110. doi: 10.1080/07399332.2011.603862.
Our purpose in this study was to provide an in-depth understanding of the health-system-related barriers to utilization of health services by older women living in rural Bangladesh. Interviews were conducted with 17 women in Bibirchar Union, Sherpur district, Bangladesh, in June 2006. Three main barriers were identified: perceived discrimination based on age, class, and gender; structural aspects of the health care delivery system; and quality of care. Recommendations for change in the delivery of health care in the rural regions of Bangladesh are made based on the insights provided by this marginalized group of health care service users.
我们开展这项研究的目的是深入了解孟加拉国农村地区老年女性在利用卫生服务方面所面临的与卫生系统相关的障碍。2006年6月，我们对孟加拉国舍尔布尔县比比尔查尔联合乡的17名女性进行了访谈。确定了三个主要障碍：基于年龄、阶层和性别的感知歧视；医疗服务提供系统的结构方面；以及护理质量。基于这一被边缘化的卫生服务使用者群体所提供的见解，我们对孟加拉国农村地区的医疗服务提供提出了变革建议。
