A path toward disability-inclusive health in Zimbabwe Part 1: A qualitative study on access to healthcare

African Journal of Disability

Field Value
Title A path toward disability-inclusive health in Zimbabwe Part 1: A qualitative study on access to healthcare
Creator Smythe, Tracey Mabhena, Thubelihle Murahwi, Shepherd Kujinga, Tapiwanashe Kuper, Hannah Rusakaniko, Simbarashe
Subject health care access; disability; health system disability; Zimbabwe; qualitative; equity; Missing Billion; inclusion; health system; health access
Description Background: On average, people with disabilities have greater healthcare needs, yet face a range of barriers in accessing care.Objectives: Our objectives were to explore the experiences of people with disabilities in accessing care and identify opportunities for the health system to be designed for inclusion in Zimbabwe.Methods: In-depth qualitative interviews were conducted between May and June 2021 with 24 people with disabilities (identified through purposive sampling) and with 10 key informants from local and national health authorities (identified through expert recommendations). Interviews explored the experience of accessing healthcare prior to the coronavirus disease 2019 (COVID-19) pandemic. Interviews were transcribed, coded and thematically analysed. We used the disability-inclusive health ‘Missing Billion’ framework to map and inform barriers to inclusive healthcare and disparities in outcomes faced by people with disabilities.Results: People with disabilities experienced difficulties accessing health services in Zimbabwe prior to COVID-19. These experiences were shaped by health literacy, self-stigma and affordability of services, which limited demand. Supply of health services was constrained by the perceived poor capacity of health workers to treat people with disabilities and discrimination. Inclusion was facilitated by clinic staff support of people with disabilities’ access to medication through referral to mission hospitals and private clinics, and the lobbying of organisations of people with disabilities.Conclusion: Strategies to promote disability inclusion in healthcare include meaningfully engaging people with disabilities, investing in organisations of people with disabilities, protecting funding for disability inclusion, collecting and analysing disability-disaggregated data and strengthening a twin-track approach to health service provision.
Publisher AOSIS
Contributor AHRC
Date 2022-05-30
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — qualitative research
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/ajod.v11i0.990
Source African Journal of Disability; Vol 11 (2022); 8 pages 2226-7220 2223-9170
Language eng
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://ajod.org/index.php/ajod/article/view/990/1825 https://ajod.org/index.php/ajod/article/view/990/1826 https://ajod.org/index.php/ajod/article/view/990/1827 https://ajod.org/index.php/ajod/article/view/990/1828
Coverage Zimbabwe May - June 2021 disability
Rights Copyright (c) 2022 Tracey Smythe, Thubelihle Mabhena, Shepherd Murahwi, Tapiwanashe Kujinga, Hannah Kuper, Simbarashe Rusakaniko https://creativecommons.org/licenses/by/4.0