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严重急性呼吸综合征冠状病毒2(Sars-Cov-2)对残疾人获得医疗保健服务的影响。

Impact of Sars-Cov-2 on access to healthcare by person with disabilities.

作者信息

Botha Nkosi Nkosi, Atsu Fortune Selase, Ansah Edward Wilson, Segbedzi Cynthia Esinam, Annim Sarah

机构信息

Department of Health, Physical Education and Recreation (HPER), University of Cape Coast, Cape Coast, Ghana.

Air Force Medical Centre, Air Force Base, Takoradi, Ghana.

出版信息

PLOS Glob Public Health. 2023 Mar 28;3(3):e0001465. doi: 10.1371/journal.pgph.0001465. eCollection 2023.

Abstract

The Sars-Cov-2 pandemic has ravaged societies at their very core and deepened pre-existing inequalities. Meanwhile, persons with disabilities (PwDs), the most oppressed group in Ghana that live in poor and deplorable conditions are most like to be negatively impacted by the Sars-Cov-2 crisis. Therefore, the aim of this study is to explore how the Sars-Cov-2 pandemic is influencing access to healthcare by PwDs in the Sekondi-Takoradi Metropolis (STM). We collected data from 17 participants, nine from the Ghana Blind Union (GBU), five from Ghana Society for the Physically Challenged (GSPC), and three from the Ghana National Association of the Deaf (GNAD). An interview guide containing 25 items was used to gather data from the participants and we employed Phenomenological Analysis (PA) approach in making sense of the data. PWDs encounter many different barriers like; i) stigma and discrimination, ii) cost and availability of transport, iii) poor attitude of healthcare staff, iv) poor communication, v) hospital environment and equipment, vi) handwashing and sanitizing facilities, vii) unsuitable washrooms, viii) cost of healthcare, ix) registration and renewal of NHIS cards, and x) loss of income as they attempt to seek healthcare during this Covid-19 era in the STM. Covid-19 pandemic has widened the disproportionate and inequality gaps against PWDs in the STM when they attempt to seek healthcare. in the face of this, STM may lead Ghana to lag in achieving the Sustainable Development Goal (SDG) 3.8, which entreats nations to provide quality healthcare for all persons including PWDs. PWDs need education and empowerment to enable them demand for their rights when accessing healthcare. The findings highlight existing gaps in the implementation of the disability law by healthcare facilities in STM and, re-focus the attention of hospital managers in STM to the healthcare needs of PWDs in STM.

摘要

新冠疫情对社会核心造成了严重破坏,并加剧了既有的不平等现象。与此同时,残疾人是加纳最受压迫的群体,生活在贫困和恶劣的条件下,他们最有可能受到新冠危机的负面影响。因此,本研究的目的是探讨新冠疫情如何影响塞康第 - 塔科拉迪大都会(STM)的残疾人获得医疗保健的情况。我们从17名参与者那里收集了数据,其中9名来自加纳盲人联盟(GBU),5名来自加纳身体残疾者协会(GSPC),3名来自加纳全国聋人协会(GNAD)。我们使用了一份包含25个条目的访谈指南来收集参与者的数据,并采用现象学分析(PA)方法来理解这些数据。残疾人面临许多不同的障碍,例如:i)污名化和歧视;ii)交通成本和可及性;iii)医护人员态度恶劣;iv)沟通不畅;v)医院环境和设备;vi)洗手和消毒设施;vii)不合适的洗手间;viii)医疗保健费用;ix)国家健康保险计划(NHIS)卡的登记和续期;x)在STM的这个新冠时代,他们试图寻求医疗保健时的收入损失。在STM,当残疾人试图寻求医疗保健时,新冠疫情扩大了针对他们的不成比例和不平等差距。面对这种情况,STM可能会导致加纳在实现可持续发展目标(SDG)3.8方面滞后,该目标要求各国为包括残疾人在内的所有人提供优质医疗保健。残疾人需要教育和赋权,以便在获得医疗保健时能够要求自己的权利。研究结果突出了STM的医疗机构在实施残疾法方面存在的现有差距,并将STM医院管理人员的注意力重新聚焦到STM残疾人的医疗保健需求上。

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