Healthcare accessibility in the rural plains (terai) of Nepal: physical factors and associated attitudes of the local population.

Abstract:

BACKGROUND:While access to healthcare has been a focus of international development, populations around the world continue to lack proper access to care. Identifying at-risk demographic groups can help advance efforts both regionally and internationally. There are only a small number of studies that previously have assessed physical barriers and attitudes in Nepal. METHODS:This study assessed the factors and attitudes associated with healthcare accessibility in a rural population outside of Lumbini, Nepal. This descriptive cross-sectional study used a volunteer-sampling approach to collect 585 questionnaire responses from the area formerly known as the Madhuwani Village Development Committee. RESULTS:The study found that the population was more likely to access private care than public, and reported longer times to access a hospital than the national average. Across almost all findings, those with lower than a secondary education had significantly larger barriers, lower satisfaction and higher reported difficulty in accessing healthcare. Females were shown to have significantly larger transportation barriers in accessing care and lower satisfaction compared with males. CONCLUSIONS:Results identify women and the less-educated as having larger barriers to accessing healthcare. Further research should focus on how inequities in access affect health outcomes among these identified vulnerable groups.

journal_name

Int Health

journal_title

International health

authors

Ashworth HC,Roux TL,Buggy CJ

doi

10.1093/inthealth/ihz008

subject

Has Abstract

pub_date

2019-11-13 00:00:00

pages

528-535

issue

6

eissn

1876-3413

issn

1876-3405

pii

5420709

journal_volume

11

pub_type

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