Challenges in accessing health care services for women and girls with disabilities using a humanitarian physical rehabilitation program in Lebanon: a mixed method study.

IF 4.5 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Linda Abou-Abbas, Diana Sabbagh, Rodolfo Rossi, Lavanya Vijayasingham, Maria Rita Lteif, Haya Rawi, Rouba Mitri, Hala Al Sultan, Aicha Benyaich, Ahmad Al-Mosa, Claudia Truppa
{"title":"Challenges in accessing health care services for women and girls with disabilities using a humanitarian physical rehabilitation program in Lebanon: a mixed method study.","authors":"Linda Abou-Abbas, Diana Sabbagh, Rodolfo Rossi, Lavanya Vijayasingham, Maria Rita Lteif, Haya Rawi, Rouba Mitri, Hala Al Sultan, Aicha Benyaich, Ahmad Al-Mosa, Claudia Truppa","doi":"10.1186/s12939-024-02356-4","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Achieving equitable healthcare access for persons with disabilities is vital, as they often face various barriers that impact their health and well-being. Recognizing the importance of gender equity, this study aims to explore the specific barriers faced by women and girls with disabilities in accessing quality healthcare services in Lebanon.</p><p><strong>Methods: </strong>A mixed-method sequential explanatory approach was employed. Initially, a retrospective descriptive study analyzed data from the International Committee of the Red Cross (ICRC)-supported physical rehabilitation programme (PRP) database. Subsequently, in-depth interviews were conducted to delve into factors influencing gender-disproportionate service users and to uncover barriers to accessing healthcare. Levesque et al.'s 'Conceptual framework on healthcare access' was used to organize and map the results.</p><p><strong>Results: </strong>The quantitative analysis of service utilization at ICRC PRP centers from 2015 to 2022 revealed significant gender disparities, with males comprising 66.6% of service users compared to 33.4% females. This trend was consistent across age categories, nationalities, and clinical conditions. Healthcare access for women and girls with disabilities was found to be inadequate across all five dimensions of the Levesque framework: adequacy, accessibility, affordability, appropriateness, and availability, as well as their corresponding abilities. While certain challenges such as transportation, financial constraints, inadequate infrastructure, and limited information on available services were common to both genders, gender-specific barriers primarily included societal norms, safety concerns during unaccompanied visits to healthcare facilities, limited access to societal information, economic disparities, preferences for female healthcare providers, and the need for privacy during consultations.</p><p><strong>Conclusion: </strong>This study underscores key barriers hindering healthcare access for women and girls with disabilities in Lebanon, necessitating tailored interventions. Gender-specific challenges, including societal norms and safety concerns, require targeted solutions for improved access and outcomes. This study serves as a call to action for stakeholders at various levels to collaborate and implement concrete measures to bridge the gap in healthcare access and ensure that no one is left behind.</p>","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":"23 1","pages":"267"},"PeriodicalIF":4.5000,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11656964/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal for Equity in Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12939-024-02356-4","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Achieving equitable healthcare access for persons with disabilities is vital, as they often face various barriers that impact their health and well-being. Recognizing the importance of gender equity, this study aims to explore the specific barriers faced by women and girls with disabilities in accessing quality healthcare services in Lebanon.

Methods: A mixed-method sequential explanatory approach was employed. Initially, a retrospective descriptive study analyzed data from the International Committee of the Red Cross (ICRC)-supported physical rehabilitation programme (PRP) database. Subsequently, in-depth interviews were conducted to delve into factors influencing gender-disproportionate service users and to uncover barriers to accessing healthcare. Levesque et al.'s 'Conceptual framework on healthcare access' was used to organize and map the results.

Results: The quantitative analysis of service utilization at ICRC PRP centers from 2015 to 2022 revealed significant gender disparities, with males comprising 66.6% of service users compared to 33.4% females. This trend was consistent across age categories, nationalities, and clinical conditions. Healthcare access for women and girls with disabilities was found to be inadequate across all five dimensions of the Levesque framework: adequacy, accessibility, affordability, appropriateness, and availability, as well as their corresponding abilities. While certain challenges such as transportation, financial constraints, inadequate infrastructure, and limited information on available services were common to both genders, gender-specific barriers primarily included societal norms, safety concerns during unaccompanied visits to healthcare facilities, limited access to societal information, economic disparities, preferences for female healthcare providers, and the need for privacy during consultations.

Conclusion: This study underscores key barriers hindering healthcare access for women and girls with disabilities in Lebanon, necessitating tailored interventions. Gender-specific challenges, including societal norms and safety concerns, require targeted solutions for improved access and outcomes. This study serves as a call to action for stakeholders at various levels to collaborate and implement concrete measures to bridge the gap in healthcare access and ensure that no one is left behind.

在黎巴嫩利用人道主义假肢康复方案为残疾妇女和女童获得保健服务方面面临的挑战:混合方法研究。
背景:为残疾人提供公平的医疗保健服务至关重要,因为他们经常面临影响其健康和福祉的各种障碍。认识到性别平等的重要性,本研究旨在探讨黎巴嫩残疾妇女和女童在获得优质保健服务方面面临的具体障碍。方法:采用混合方法序贯解释方法。最初,一项回顾性描述性研究分析了红十字国际委员会(红十字委员会)支助的假肢康复方案数据库的数据。随后,进行了深入访谈,以深入研究影响性别不成比例的服务使用者的因素,并揭示获得医疗保健的障碍。Levesque等人的“医疗保健获取的概念框架”被用于组织和绘制结果。结果:对2015年至2022年红十字国际委员会PRP中心服务利用情况的定量分析显示了显著的性别差异,男性占服务使用者的66.6%,而女性占33.4%。这一趋势在不同年龄类别、国籍和临床条件下都是一致的。在Levesque框架的所有五个方面,即充足性、可及性、可负担性、适当性和可获得性,以及她们相应的能力方面,残疾妇女和女童获得医疗保健的机会不足。虽然交通、财政限制、基础设施不足和现有服务信息有限等某些挑战对两性来说都是共同的,但与性别有关的障碍主要包括社会规范、无人陪伴前往医疗机构时的安全问题、获得社会信息的机会有限、经济差异、对女性医疗服务提供者的偏好以及咨询期间对隐私的需求。结论:这项研究强调了黎巴嫩残疾妇女和女童获得医疗保健服务的主要障碍,需要有针对性的干预措施。性别方面的挑战,包括社会规范和安全问题,需要有针对性的解决方案,以改善获取和成果。这项研究旨在呼吁各级利益攸关方采取行动,开展合作并采取具体措施,弥合医疗保健获取方面的差距,确保不让任何一个人掉队。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
7.80
自引率
4.20%
发文量
162
审稿时长
28 weeks
期刊介绍: International Journal for Equity in Health is an Open Access, peer-reviewed, online journal presenting evidence relevant to the search for, and attainment of, equity in health across and within countries. International Journal for Equity in Health aims to improve the understanding of issues that influence the health of populations. This includes the discussion of political, policy-related, economic, social and health services-related influences, particularly with regard to systematic differences in distributions of one or more aspects of health in population groups defined demographically, geographically, or socially.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信