Health seeking behaviour and challenges in utilising health facilities in Wakiso district, Uganda
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There is potential to increase access to health care in rural areas by increasing the frequency of mobile clinic services and strengthening the community health worker strategy.Abstract:
Background : The health seeking behaviour of a community determines how they use health services. Utilisation of health facilities can be influenced by the cost of services, distance to health facilities, cultural beliefs, level of education and health facility inadequacies such as stock-out of drugs. Objectives : To assess the health seeking practices and challenges in utilising health facilities in a rural community in Wakiso district, Uganda. Methods : The study was a cross sectional survey that used a structured questionnaire to collect quantitative data among 234 participants. The sample size was obtained using the formula by Leslie Kish. Results : While 89% of the participants were aware that mobile clinics existed in their community, only 28% had received such services in the past month. The majority of participants (84%) did not know whether community health workers existed in their community. The participants’ health seeking behaviour the last time they were sick was associated with age (p = 0.028) and occupation (p = 0.009). The most significant challenges in utilising health services were regular stock-out of drugs, high cost of services and long distance to health facilities. Conclusions : There is potential to increase access to health care in rural areas by increasing the frequency of mobile clinic services and strengthening the community health worker strategy. Key words : Health seeking behaviour, Rural community, Health facilities, Challenges, Ugandaread more
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References
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Journal ArticleDOI
Health seeking behaviour and health service utilization in Pakistan: challenging the policy makers
TL;DR: An extensive literature review of the situation in developing countries is presented and relates the similar factors responsible for shaping up of a health seeking behaviour and health service utilization in Pakistan.
Journal ArticleDOI
Community health workers: integral members of the health care work force.
TL;DR: Information sharing, program support, program evaluation, and continuing education are needed to expand the use of community health workers and better integrate them into the health care delivery system.
Book
Primary Care: Concept, Evaluation, and Policy
TL;DR: This chapter discusses the elements of primary care in the United States, as well as issues in primary care, including organization, financing, and access to services.
Journal ArticleDOI
Anthropological and socio-medical health care research in developing countries.
TL;DR: The main point of this review is to show that a combination of those two approaches is highly desirable: the different methods currently available should be combined in order to consider all the factors intervening in the use of health care.