'Helping my neighbour is like giving a loan…' -the role of social relations in chronic illness in rural Uganda
| Autor: | Janet Seeley, Flora Hajdu, Dominic Bukenya Yiga, Jovita Amurwon |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Rural Population Economic growth Access to care Context (language use) Chronic illness Health Services Accessibility Health administration Interviews as Topic 03 medical and health sciences Health systems 0302 clinical medicine Nursing Health care Humans Medicine Uganda 030212 general & internal medicine Qualitative Research Health policy Family Characteristics 030505 public health business.industry lcsh:Public aspects of medicine Health Policy Social relations lcsh:RA1-1270 Middle Aged Helping Behavior Livelihood Social relation Social protection Loan Chronic Disease Female Health Expenditures 0305 other medical science business Research Article |
| Zdroj: | BMC Health Services Research, Vol 17, Iss 1, Pp 1-12 (2017) BMC Health Services Research |
| ISSN: | 1472-6963 |
| Popis: | Background Understanding individuals’ experience of accessing care and tending to various other needs during chronic illness in a rural context is important for health systems aiming to increase access to healthcare and protect poor populations from unreasonable financial hardship. This study explored the impact on households of access to free healthcare and how they managed to meet needs during chronic illness. Methods Rich data from the life stories of individuals from 22 households in rural south-western Uganda collected in 2009 were analysed. Results The data revealed that individuals and households depend heavily on their social relations in order to meet their needs during illness, including accessing the free healthcare and maintaining vital livelihood activities. The life stories illustrated ways in which households draw upon social relations to achieve the broader social protection necessary to prevent expenses becoming catastrophic, but also demonstrated the uncertainty in relying solely on informal relations. Conclusion Improving access to healthcare in a rural context greatly depends on broader social protection. Thus, the informal social protection that already exists in the form of strong reciprocal social relations must be acknowledged, supported and included in health policy planning. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink