{"title":"The importance of community support for women in a Gulf Coast Indigenous tribe.","authors":"Tess A Carlson, Jessica L Liddell","doi":"10.1108/ijhrh-06-2022-0060","DOIUrl":"10.1108/ijhrh-06-2022-0060","url":null,"abstract":"<p><strong>Purpose –: </strong>Community support is an integral aspect of health and well-being for Indigenous peoples. The purpose of this paper is to demonstrate the valuable role of community support for Indigenous women specifically, who experience reproductive health disparities at alarming rates. This study helps fill an important gap in Indigenous scholarship by centering the resilience of women and Indigenous tribes and by using a framework that is consistent with Indigenous holistic views of health.</p><p><strong>Design/methodology/approach –: </strong>The data for this paper was collected as part of a larger study exploring the reproductive health experiences of a state-recognized Gulf Coast tribe. A total of 31 semi-structured interviews were conducted with individuals who identify as women and as members of this tribe using qualitative descriptive methodology. This method is recommended for research with Indigenous communities. A community advisory board with representatives from this tribe provided feedback throughout the project.</p><p><strong>Findings –: </strong>Themes expressed by participants included Community Closeness and Support; Community Support in Raising Children; Informal Adoption Common; and Community Values of Mutual Aid and Self-Sufficiency. The findings support current literature noting the value of generational and communal ties for Indigenous peoples. Implications of this research include the need to value and support community networks in programs serving tribes, in addition to meaningfully including Indigenous communities in developing interventions.</p><p><strong>Originality/value –: </strong>This paper centers Indigenous women's resilience, approaches the health and well-being of Indigenous tribes holistically and helps to fill an important gap in literature describing informal adoption (outside the legal system) in state-recognized Indigenous communities.</p>","PeriodicalId":14129,"journal":{"name":"International Journal of Human Rights in Healthcare","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11104765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46190645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Historical prevalence of infectious diseases and gender equality in 122 countries","authors":"Omang Ombolo Messono, Simplice Asongu, Vanessa Tchamyou","doi":"10.1108/ijhrh-12-2022-0137","DOIUrl":"https://doi.org/10.1108/ijhrh-12-2022-0137","url":null,"abstract":"Purpose This study aims to examine the effects of the historical prevalence of infectious diseases on contemporary gender equality. Previous studies reveal the persistence of the effects of historical diseases on innovation, through the channel of culture. Design/methodology/approach Drawing on the parasite stress theory, the authors propose a framework which argues that historical prevalence of infectious disease reduces contemporary gender equality. The study uses ordinary least squares and two-stage least squares in a cross-section with data from 122 countries between 2000 and 2021. Findings This study provide support for the underlying hypothesis. Past diseases reduce gender equality both directly and indirectly. The strongest indirect effects occur through innovation output. Gender equality analysis may take these findings into account and incorporate disease pathogens into the design of international social policy. Originality/value This study complements the extant literature by assessing the nexus between historical prevalence of infectious diseases and gender equality.","PeriodicalId":14129,"journal":{"name":"International Journal of Human Rights in Healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136230422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B. Biswas, Piyal Basu Roy, Ankita Saha, Abhijit Sarkar
{"title":"Status of primary healthcare services in a geographically disadvantageous area: a study of Alipurduar district, West Bengal, India","authors":"B. Biswas, Piyal Basu Roy, Ankita Saha, Abhijit Sarkar","doi":"10.1108/ijhrh-09-2022-0097","DOIUrl":"https://doi.org/10.1108/ijhrh-09-2022-0097","url":null,"abstract":"\u0000Purpose\u0000The locational disadvantage of a health-care centre often restricts adequate delivery of health-care services in an area. The purpose of this study is to examine the status of primary health-care services in such a geographically disadvantageous area which is confined by forests, tea gardens and undulating topography.\u0000\u0000\u0000Design/methodology/approach\u0000Necessary secondary data of 13 primary health centres and 236 sub-centres has been collected from the Office of the Chief Medical Officer of Health. Based on obtained data, Health-care Infrastructure Index has been prepared which has been validated by an expert panel, and subsequently, the Thiessen Polygon method has been applied through Arc GIS software to show spatial variation of health-care services delivered by different health-care centres.\u0000\u0000\u0000Findings\u0000In the study area, there is wide variation found in the case of physical facilities, caregivers and connectivity of road networks, which altogether affect the overall status of health-care services. Among all the indicators, some health-care centres experience staff shortages for prolonged non-recruitment, inaccessibility and inconsistent patient load in different health centres.\u0000\u0000\u0000Originality/value\u0000In spite of the unfavourable geographical landscape, health-care centres have to be set up wherever possible. There is a need to make new roads and simultaneously the existing road connectivity should be improved so that patients and caregivers can move quickly whenever required. Existing physical facilities need to be renewed or redeveloped along with increasing the number of doctors and other health-care providers as per the need of people with an adequate and optimum level of services.\u0000","PeriodicalId":14129,"journal":{"name":"International Journal of Human Rights in Healthcare","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48135669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Akhtar Bibi, Muyu Lin, J. Brailovskaia, J. Margraf
{"title":"Mental health of university students of Pakistan and Germany and the right to health care","authors":"Akhtar Bibi, Muyu Lin, J. Brailovskaia, J. Margraf","doi":"10.1108/ijhrh-05-2022-0040","DOIUrl":"https://doi.org/10.1108/ijhrh-05-2022-0040","url":null,"abstract":"\u0000Purpose\u0000Poor mental health in men and women is attributable to disparities in physical traits, social roles, power and health-seeking behaviours. This study aims to examine the gender differences in mental health among Pakistan and German university students and focuses on their right to seek mental health care.\u0000\u0000\u0000Design/methodology/approach\u0000Data on depression, anxiety and stress symptoms, as well as positive mental health (PMH), resilience, social support and life satisfaction, were gathered from Pakistani and German students.\u0000\u0000\u0000Findings\u0000In contrast to the Pakistani group, where no such gender differences were seen, women in Germany reported higher degrees of stress, anxiety and depression, as well as a lower level of overall good mental health. In comparison to German men and women, Pakistani women scored equally high on resilience. While gender had no bearing on life happiness in either Pakistan or Germany, women in both countries perceived more social support than men did.\u0000\u0000\u0000Research limitations/implications\u0000The study’s strengths include its large sample size and battery of mental health measures. The results of partial weak measurement Invariance (MI) on the stress subscale underlined the importance of using MI in cross-cultural studies. The validity of a direct comparisons on sum score between different language versions or country samples shall be cautious. Still, there are limitations. Firstly, the authors did not differentiate gender and biological sex, and there was no group of non-binary gender. Pakistani (N = 1,840) and German (N = 7,890) students were in unequal numbers. Again, only university students were sampled, so the results cannot be generalised to older (probably less educated) populations. Self-reported data that mainly obtained via online survey were the third limitation. This design is cost-effective and easy to administer for cross-cultural survey research. However, social desirability and memory bias are common in self-report inventories. Fourthly, although English is an official language in Pakistan and the medium of instruction in education, the authors recommend future study to use questionnaires that have been translated and validated into Urdu (Pakistan’s national language) and investigate gender differences in a general population. Fifthly, this is a cross-sectional survey; the authors were not able to explore the causality or risk factors that contribute to the poor mental well-being in Pakistan students in general or the relatively worse mental health in German women. Future studies may investigate the mechanism behind the phenomena observed in this study with longitudinal or experimental design. Last but not least, Germany and Pakistan differ in so many different aspects from culture, religions and history to social structure and economic status, which make it hard to claim whether the observed differences were due to national differences, cultural differences, economic differences, gender inequality difference","PeriodicalId":14129,"journal":{"name":"International Journal of Human Rights in Healthcare","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43334583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Occupational health and safety rights of hospital workers in relation to needle stick injuries exposure in Pakistan","authors":"Mohsin Abbas, Sidra Rafique, Z. Asam","doi":"10.1108/ijhrh-10-2022-0108","DOIUrl":"https://doi.org/10.1108/ijhrh-10-2022-0108","url":null,"abstract":"\u0000Purpose\u0000The purpose of this study is to explore the determinants of needle stick injuries (NSIs) suffering in terms of occupational health and safety (OHS) coverage critically for health-care workers’ rights in Pakistan.\u0000\u0000\u0000Design/methodology/approach\u0000This is a qualitative study involving the designing of a questionnaire followed by the World Health Organization’s NSI prevention assessment tool and nationally published reports covering health-care workers’ OHS rights protection. A total of 17 public and private hospitals were surveyed with a two-stage sampling method. Descriptive and inferential statistics (one-way analysis of variance with multiple comparison tests) were applied and significant results were discussed (p = 0.05 & p = 0.01). The results were discussed critically in the context of the OHS rights of health-care workers.\u0000\u0000\u0000Findings\u0000Analysis revealed the following significant relationships: job type and safety behavior; age group of health-care workers and safety management; injection usage per day and safety behavior; past year’s needle sticks injuries cases with safety behavior and occupational exposure; work shift and work experience with safety knowledge, safety awareness and work experience with safety management. It was also found there is no specific OHS law in the country for health-care workers.\u0000\u0000\u0000Research limitations/implications\u0000This study is limited in terms of sampling size and quantification of NSI burden among health-care workers.\u0000\u0000\u0000Practical implications\u0000Improved OHS management practices among health-care workers can control NSIs that ultimately ensure their workplace OHS rights. Health-care workers need OHS coverage in terms of awareness about potential workplace hazards and job training accordingly. Findings from extensive studies of a similar kind can give useful policy directions for workplace health management in health-care setup at the national level.\u0000\u0000\u0000Originality/value\u0000This study highlights the importance of OHS coverage for health-care workers in hospitals. It reports different determinants of NSIs suffering causing health-care worker’s rights violations at the workplace in Pakistan.\u0000","PeriodicalId":14129,"journal":{"name":"International Journal of Human Rights in Healthcare","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44867854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Association of positive psychological factors with the mental health of older adult retirees: a systematic review","authors":"Farhana Sajjad Kiani, Saima Ehsan","doi":"10.1108/ijhrh-12-2022-0133","DOIUrl":"https://doi.org/10.1108/ijhrh-12-2022-0133","url":null,"abstract":"\u0000Purpose\u0000This study aimed to identify which positive psychological factors are associated with the mental health of older adult retirees. Positive psychology is an emerging discipline of psychology. The study and identification of such factors could lead to increased mental health and lower stress levels of individuals (Ho et al., 2014; Abbas et al., 2019).\u0000\u0000\u0000Design/methodology/approach\u0000The authors searched the following electronic databases: Web of Science Core Collection and Scopus. Thematic synthesis was used for analysis. Database search resulted in the recruitment of 948 articles; after the screening process, only 7 articles were left for further analysis.\u0000\u0000\u0000Findings\u0000Thematic synthesis of resulting articles from systematic literature review revealed that “staying active after retirement, participation in social activities, volunteering, and presence of loved ones” are positive psychological factors that are positively associated with the mental health of older adult retirees. A few positive psychological factors and their association with the mental health of older adult retirees have been examined. Other positive psychological factors and their association with the mental health of older adult retirees are yet to be investigated in future research.\u0000\u0000\u0000Research limitations/implications\u0000First, many studies have investigated meaning and purpose in life, relationships or having intimacy, well-being, transcendence, flow or engagement, spirituality and flourishing (pleasant life, engaged life and meaningful life, relationship and achievement) (LeBon, 2014). However, many other positive psychological constructs need to be studied yet in this age group examples include wisdom, courage, mindfulness, forgiveness, resilience, emotional intelligence, hope and humor. Second, there is need of theory in the field of successful aging with respect to the positive psychology. Third, which factors negatively contributed toward the mental health of older adult could be another area of future systematic literature review. Finally, role of culture needs to be examined with reference to which positive psychological factor could be important in a specific given cultural context.\u0000\u0000\u0000Practical implications\u0000The findings of the current research will be useful for clinical psychologist, counselors and gerontologists to understand which factors positively contributed toward the mental health of older adult retirees, which in turn will help to improve mental health of older adult retirees. Findings of the present study set grounds for future research in the field of gerontology in specific cultural context. The findings of this study have added to scientific body of existing literature. Better understanding of retirement can lead to increase in use of positive intervention-based programs for retirees that can facilitate them with life after retirement.\u0000\u0000\u0000Social implications\u0000Policymaker working on the well-being of older adult retirees can take help from this study’s eviden","PeriodicalId":14129,"journal":{"name":"International Journal of Human Rights in Healthcare","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41529135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Restrictive human rights measures against the spread of COVID-19: an interdisciplinary approach between law and health-care management","authors":"Ioanna Pervou, P. Mpogiatzidis","doi":"10.1108/ijhrh-05-2022-0049","DOIUrl":"https://doi.org/10.1108/ijhrh-05-2022-0049","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to demonstrate the close relationship between the disciplines of law and health-care studies. This interrelation has become particularly evident during the spread of the COVID-19 pandemic, when restrictive human rights provisions have been initiated by many states for the sake of public health. Research focuses on the notional proximity of the principle of proportionality and its health-care correlative: effectiveness. It also goes through the influence of acceptance rates for the application of restrictive measures.\u0000\u0000\u0000Design/methodology/approach\u0000Research focuses on interdisciplinary literature review, taking into consideration judicial decisions and data on acceptance rates of restrictive human rights measures in particular. Analysis goes in depth when two categories of restrictive human rights measures against the spread of the pandemic are examined in depth: restrictive measures to achieve social distancing and mandatory vaccination of professional groups.\u0000\u0000\u0000Findings\u0000Restrictive human rights measures for reasons of public health are strongly affected by the need for effective health-care systems. This argument is verified by judicial decision-making which relies to the necessity of health-care effectiveness to a great extent. The COVID-19 pandemic offers a laminate example of the two disciplines’ interrelation and how they infiltrate each other.\u0000\u0000\u0000Research limitations/implications\u0000Further implications for research point at the need to institutionalize a cooperative scheme between legal and health-care decision-making, given that this interrelation is strong.\u0000\u0000\u0000Originality/value\u0000The originality of this paper lies on the interdisciplinary approach between law and health-care studies. It explains how state policies during the pandemic were shaped based on the concepts of effectiveness and proportionality.\u0000","PeriodicalId":14129,"journal":{"name":"International Journal of Human Rights in Healthcare","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41308324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Mwalabu, C. Evans, S. Redsell, Pammla Petruka, Patrick Mapulanga
{"title":"“We are experiencing pain on our own”: mental health care to prevail over impacts of cultural silence on HIV","authors":"G. Mwalabu, C. Evans, S. Redsell, Pammla Petruka, Patrick Mapulanga","doi":"10.1108/ijhrh-08-2022-0089","DOIUrl":"https://doi.org/10.1108/ijhrh-08-2022-0089","url":null,"abstract":"\u0000Purpose\u0000This qualitative case study aims to investigate how current services meet the emotional needs of young women growing up with perinatally acquired human immunodeficiency virus (HIV). Young women (15–19 years old), caregivers and service providers were recruited through three multidisciplinary HIV management centres in Malawi.\u0000\u0000\u0000Design/methodology/approach\u0000In-depth interviews were used to collect data for 14 “cases” (each “case” involved a young woman, a caregiver and a service provider, for a total of 42 participants). The interviews with adolescents were conducted using an innovative visual method known as the “my story” book.\u0000\u0000\u0000Findings\u0000Thematic analysis revealed that young women experienced traumatic experiences and emotional neglect after being diagnosed as HIV positive. Lack of adult support networks and social isolation were identified as intersecting factors contributing to their mental distress. According to the findings of this study, HIV care should more explicitly include comprehensive mental health-care services. This provision should include ongoing individualised counselling sessions, supplemented by communication skills training to help break the prevalent cultural silence on HIV issues. Young people living with HIV, in general, and young women, are more likely to experience mental health issues than their non-infected peers. Integrating comprehensive mental health evaluation and treatment into HIV care for young people can be beneficial.\u0000\u0000\u0000Practical implications\u0000Mental health issues are critical and underserved challenges among young people living with perinatally acquired HIV. Women experience a higher prevalence of mental challenges than men. Integrating comprehensive mental health evaluation and treatment into HIV care for young people can be beneficial. Therefore, interventions to assist young people with mental health issues are needed within the context of HIV management in Malawi.\u0000\u0000\u0000Originality/value\u0000Many studies on mental health and HIV/AIDS have been conducted. However, there is very little information as regards the emotional needs of young women growing up with perinatally acquired HIV. This study fills the void.\u0000","PeriodicalId":14129,"journal":{"name":"International Journal of Human Rights in Healthcare","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44120247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Persistent economic inequalities in menstrual hygiene practices in India: a decomposition analysis","authors":"J. Pradhan, Kshirabdhi Tanaya Patra, S. Behera","doi":"10.1108/ijhrh-10-2022-0109","DOIUrl":"https://doi.org/10.1108/ijhrh-10-2022-0109","url":null,"abstract":"\u0000Purpose\u0000The purpose of this study is to examine the socio-economic inequalities that exist in the use of unhygienic menstrual practices in India and its states, as well as to identify the contribution of various socio-economic factors that leads to these inequalities.\u0000\u0000\u0000Design/methodology/approach\u0000Data from the National Family Health Survey-5 (2019–21) for 240,285 menstruating women aged 15–24 years is used to examine the above objectives. The concentration index for unhygienic menstrual practices is calculated to measure the socio-economic inequalities, which are then decomposed into their determining factors.\u0000\u0000\u0000Findings\u0000The state of Punjab experiencing the highest level of economic inequality, followed by Telangana and Haryana. The results from decomposition analysis suggest that rural residence (13%), illiteracy (7%), poor economic status (53%), not reading newspaper (12%) and not watching TV (14%) contribute 99% to the total socio-economic inequality in using unhygienic menstrual practices in India. The contribution of economic status to total inequalities is more in all the states except for Kerala and Mizoram, where caste and residence play an important role.\u0000\u0000\u0000Originality/value\u0000This paper signifies the role of economic inequality in the use of unhygienic menstrual practices in India as well as the contribution of various socio-economic factors contributing towards these inequalities. The results from decomposition analysis suggest the need for unique health intervention strategies for different states following the evidence of major contributions to total inequalities in the use of unhygienic menstrual practices.\u0000","PeriodicalId":14129,"journal":{"name":"International Journal of Human Rights in Healthcare","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46027088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anthony Nkrumah Agyabeng, Alexander Preko, Kofi Hilla Avusuglo, Anthony Sumnaya Kumasey, Akwasi Sarfo Kantanka, Mawuli Feglo
{"title":"COVID-19 phobia, response to the vaccine and the right of urban migrant dwellers in the Ghanaian slums","authors":"Anthony Nkrumah Agyabeng, Alexander Preko, Kofi Hilla Avusuglo, Anthony Sumnaya Kumasey, Akwasi Sarfo Kantanka, Mawuli Feglo","doi":"10.1108/ijhrh-06-2022-0057","DOIUrl":"https://doi.org/10.1108/ijhrh-06-2022-0057","url":null,"abstract":"\u0000Purpose\u0000This study investigate urban migrant dwellers’ gender and age differences in response to the specific phobia of COVID-19 and hesitancy toward vaccines in the slum settlements.\u0000\u0000\u0000Design/methodology/approach\u0000The study anchored on the two-factor model proposed by Mowrer (1939) and used a quantitative design approach with a convenience sampling method for data gathering among 362 urban migrants residing and working in the cities of Ghana. The study used the Mann–Whitney U test and the regression analysis for the analysis.\u0000\u0000\u0000Findings\u0000The result showed that there is a significant difference between males and females in their understanding of economic phobia, thoughts on social phobia and perception level of vaccine hesitancy. Additionally, there is a significant difference between age groups in their level of thoughts of psychological phobia, economic phobia and thoughts of vaccine hesitancy. Finally, the specific of phobias of COVID-19 are significant predictors of vaccine hesitancy.\u0000\u0000\u0000Research limitations/implications\u0000This research is slum-specific, which implies that the outcome cannot be generalized to other geographical settings.\u0000\u0000\u0000Practical implications\u0000The study demonstrates how a pandemic manifests itself to dwellers in slums. The outcome of the study sheds light on how policymakers appreciate the dynamics of the pandemic in a developing country, which may guide future responses to pandemics.\u0000\u0000\u0000Originality/value\u0000The outcome of the study sheds light on how policymakers appreciate the dynamics of the pandemic in a developing country, which may guide future responses to pandemics.\u0000","PeriodicalId":14129,"journal":{"name":"International Journal of Human Rights in Healthcare","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47751796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}