Zeina Jamaluddine, Akihiro Seita, Ghada Ballout, Hussam Al-Fudoli, Gloria Paolucci, Shatha Albaik, Rami Ibrahim, Miho Sato, Hala Ghattas, Oona M R Campbell
Establishment of a birth-to-education cohort of 1 million Palestinian refugees using electronic medical records and electronic education records
International journal of population data science
disparities child healthcare service utilization unacceptably high ethiopia nevertheless little known underlying barriers accessing child health services especially among low socioeconomic subgroups remote areas study aims identify barriers equity use child healthcare services ethiopia data obtained 20 key informant interviews kii 6 focus group discussions fgd mothers care givers study conducted oromia region arsi zone zuway dugda district june 130 2023 study participants research selected purposively information collected based principle saturation sixteen consecutives interview conducted kii fgd audiorecorded complementary notes taken record observations participants comments interactions interview fgd data transcribed wordforword local afaan oromo amaharic languages translated english language finally data analyzed thematically using nvivo 14 software narrated linked pattern child health service utilization study identified six major themes emerged barriers healthcare utilization equity caregivers underfive children barriers related equity low level awareness regarding need low socioeconomic status geographical inaccessibility barriers related deficient healthcare system community perception cultural restrictions barriers equity related political instability conflict commonly recognized barriers equity community level political instability conflict tremendous distance health facility transportation challenges poor functional services closure health facility working hours lack proper planning address marginalized populations identified barriers equity organizational policy level study showed inequity child healthcare utilization important challenge confronting ethiopia achieve equity policy makers planners need change health policy structure propoor also necessary improve healthcare system increase service utilization access impoverished women individuals lower levels education residents isolated rural areas furthermore context specific information pertaining cultural barriers political ecology required