Department of Community Health and Behavioural Science, Makerere University School of Public Health, Kampala, Uganda.
Research and Innovation, Makerere University Research and Innovations Fund, Kampala, Uganda.
Glob Public Health. 2024 Jan;19(1):2387445. doi: 10.1080/17441692.2024.2387445. Epub 2024 Aug 20.
Integration has emerged as a key strategy for promoting equitable access to health services for refugees and host populations. This study explored the perceptions and experiences of stakeholders on the integration of health services for refugees and host populations in two purposefully selected refugee-hosting districts of Adjumani and Obongi in the West Nile region, Uganda. This study used a case study design. Key informant interviews were conducted with 28 purposefully selected respondents. Data were analysed thematically. Quirkos software was used to manage and analyse data. Respondents indicated that integration is enhancing health services, providing an opportunity to strengthen them and improve coverage and access for refugees and host populations. Factors affecting integration include gaps in policy and implementation, ineffective systems and structures for service delivery, inadequate coordination and management and inadequate funding. At the service level challenges including inadequate infrastructure, shortage of health workers and stock out of medicines and essential supplies affect the integration of health services. Overall, structural and systemic issues continue to affect the integration of health services. It is important to strengthen policy implementation and build the capacity of districts to support the integration of health services.
整合已成为促进难民和收容社区公平获得卫生服务的关键战略。本研究探讨了利益相关者对乌干达西尼罗地区阿朱马尼和奥邦吉两个专门选定的难民收容区难民和收容社区卫生服务整合的看法和经验。本研究采用案例研究设计。通过有针对性地选择 28 名受访者进行了关键知情人访谈。对数据进行了主题分析。Quirkos 软件用于管理和分析数据。受访者表示，整合正在增强卫生服务，为加强服务和提高难民和收容社区的覆盖率和可及性提供了机会。影响整合的因素包括政策和执行方面的差距、服务提供的系统和结构无效、协调和管理不足以及资金不足。在服务层面，基础设施不足、卫生工作者短缺以及药品和基本用品短缺等挑战影响了卫生服务的整合。总体而言，结构和系统问题继续影响卫生服务的整合。加强政策执行和建设地区能力以支持卫生服务整合非常重要。
