Arne H. Eide|Hasheem Mannan|Mustafa Khogali|Gert Van Rooy|Leslie Swartz|Alister Munthali|Karl-Gerhard Hem|Malcolm MacLachlan|Karin Dyrstad
Perceived Barriers for Accessing Health Services among Individuals with Disability in Four African Countries
SINTEF|Stellenbosch University|Trinity College Dublin|Ahfad University for Women|University of Namibia|Stellenbosch University|University of Malawi|SINTEF|Trinity College Dublin|SINTEF
increasing awareness among researchers others marginalized vulnerable groups face problems accessing health care access problems particular lowincome countries may jeopardize targets set united nations millennium development goals thus identifying barriers individuals disability accessing health services research priority current study aimed identifying magnitude specific barriers estimate impact disability barriers accessing health care general population based household survey carried sudan namibia malawi south africa including total 9307 individuals sampling strategy twostage cluster sampling within selected geographical areas country listing procedure identify households disabled members using washington group six screening question followed administering household questionnaires households without disabled members questionnaires individuals without disability study shows lack transport availability services inadequate drugs equipment costs four major barriers access study also showed substantial variation perceived barriers reflecting largely socioeconomic differences participating countries urbanity socioeconomic status severity activity limitations important predictors barriers gender difference suggested education reduces barriers health services extent reduces poverty persons disability face additional particular barriers health services addressing barriers requires approach health stresses equity equality