Youth migration and access to health services in a trading centre in southern Uganda: A qualitative exploration
Autor: | Zeynab B. Diop, Sarah Bernays, Edward Tumwesige, Allen Asiimwe, Rachel Kawuma, Janet Seeley |
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Jazyk: | angličtina |
Rok vydání: | 2023 |
Předmět: | |
Zdroj: | Global Public Health, Vol 18, Iss 1 (2023) |
Druh dokumentu: | article |
ISSN: | 1744-1692 1744-1706 17441692 |
DOI: | 10.1080/17441692.2023.2191689 |
Popis: | Impeded access to health services is a major factor influencing migrant health. In Uganda, previous research has shown lower utilisation of health services for young rural–urban migrants compared to their non-migrant counterparts. However, access to health services does not start at utilisation, but can be hampered by being able to identify a need for care. Using qualitative methods, we aimed to explore young rural–urban migrants’ perceptions of health and patterns of engagement with health services. We analysed, using thematic analysis, a purposive sample of 18 in-depth interviews with 10 young people who had recently migrated within Uganda. Our results are presented through a framework conceptualising access at the intersection between abilities of people and characteristics of services. Participants perceived a need for care mostly through serious crises. Their ability to obtain care was hindered by a lack of resources, as well as the relative social isolation brought by migration. Our study highlights other barriers to accessing care such as the role of social norms and HIV-related stigma in health issues prioritisation, and healthcare workers’ attitudes. This knowledge can inform approaches to ensure that community-based services are able to support healthcare access and improved health outcomes for this vulnerable group. |
Databáze: | Directory of Open Access Journals |
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