Department of Public Health, College of Medicine and Health Sciences, Dire Dawa University, 1362, Dire Dawa, Ethiopia.
BMC Health Serv Res. 2024 Oct 28;24(1):1290. doi: 10.1186/s12913-024-11822-2.
Despite having similar healthcare needs to non-disabled individuals, people with disabilities in Ethiopia face significant challenges accessing healthcare services due to existing barriers. This study aimed to explore these barriers from the perspectives of care providers in primary healthcare facilities.
Qualitative research was conducted with care providers in Dire Dawa to identify barriers to healthcare access for people with disabilities. Thematic analysis was used to categorize data into themes.
Eight healthcare providers from four service departments participated in eight in-depth interviews and two focus groups. Six themes emerged: physical barriers, financial difficulties, non-accommodating diagnostic facilities, care providers' attitudes and capacity, communication barriers, and lack of access to health information. Non-confidential and non-dignified care was also identified as a barrier.
The study highlights important barriers that prevent people with disabilities from accessing primary healthcare services. Addressing these barriers is crucial for achieving disability-inclusive healthcare services. This research can serve as a starting point for further work in this area to promote equitable healthcare for people with disabilities.
尽管埃塞俄比亚的残疾人士与非残疾人士有着相似的医疗保健需求，但由于现有障碍，他们在获得医疗保健服务方面仍面临重大挑战。本研究旨在从初级保健设施的护理提供者的角度探讨这些障碍。
在 Dire Dawa 进行了定性研究，以确定残疾人士获得医疗保健的障碍。使用主题分析将数据分为主题。
来自四个服务部门的八名医疗保健提供者参加了八次深入访谈和两次焦点小组。出现了六个主题：物理障碍、经济困难、不适应的诊断设施、护理提供者的态度和能力、沟通障碍以及缺乏获取健康信息的机会。非保密和不体面的护理也被认为是一个障碍。
该研究强调了阻碍残疾人士获得初级保健服务的重要障碍。解决这些障碍对于实现包容残疾人士的医疗保健服务至关重要。这项研究可以作为该领域进一步工作的起点，以促进残疾人士的公平医疗保健。
