Community-based health insights from rural Uganda: challenges and resilience in healthcare access.

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL
Ishani Sharma, Patience Nantume, Celine Tabche
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引用次数: 0

Abstract

The Ugandan healthcare system is a multilevel, decentralised network comprised of both government and privately funded institutions. Disparities in healthcare access between urban and rural settings remain an issue in Uganda. A mix of ethnographic fieldwork and informal interviews was conducted within a rural community north of Kampala. These aimed to explore determinants of community health behaviours, healthcare challenges faced by residents and existing healthcare strategies and resources. Four key themes emerged from the discussions: healthcare access and utilisation, community culture and health-seeking behaviour, role of voluntary health teams and resource use and community-led solutions. Interviews with community leads highlighted several potential community-designed strategies to address these issues. These community reflections echo wider literature on rural healthcare access. Critically, the importance of health outreach, integration of traditional medicine and cultural sensitivity cannot be understated. Co-design and community collaboration is essential to ensure sustainable, asset-based approaches to rural healthcare problem solving.

来自乌干达农村的基于社区的健康见解:获得医疗保健的挑战和复原力。
乌干达医疗保健系统是一个多层次的、分散的网络,由政府和私人资助的机构组成。在乌干达,城市和农村在获得保健服务方面的差距仍然是一个问题。在坎帕拉北部的一个农村社区进行了人种学实地调查和非正式访谈。这些研究旨在探讨社区卫生行为的决定因素、居民面临的卫生保健挑战以及现有的卫生保健战略和资源。讨论产生了四个关键主题:获得和利用保健服务、社区文化和求医行为、志愿保健队的作用和资源利用以及社区主导的解决办法。与社区领导的访谈强调了解决这些问题的几种潜在社区设计策略。这些社区反映反映了关于农村医疗保健获得的更广泛的文献。至关重要的是,不能低估保健推广、传统医学的融合和文化敏感性的重要性。共同设计和社区协作对于确保以可持续的、基于资产的方法解决农村医疗保健问题至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMJ Case Reports
BMJ Case Reports Medicine-Medicine (all)
CiteScore
1.40
自引率
0.00%
发文量
1588
期刊介绍: BMJ Case Reports is an important educational resource offering a high volume of cases in all disciplines so that healthcare professionals, researchers and others can easily find clinically important information on common and rare conditions. All articles are peer reviewed and copy edited before publication. BMJ Case Reports is not an edition or supplement of the BMJ.
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