11 research outputs found
Additional file 1: of Healthcare provider’s attitude towards disability and experience of women with disabilities in the use of maternal healthcare service in rural Nepal
Tables, File 2 Annex. (DOCX 31 kb
Are maternal healthcare services accessible to vulnerable group? A study among women with disabilities in rural Nepal
<div><p>Background</p><p>Studies report that vulnerable groups like people with disabilities have less access to healthcare. This study compares health service access between women with and without disabilities in general and explores the challenges encountered by women with disabilities in accessing maternal healthcare services during pregnancy.</p><p>Methods</p><p>A mixed method study was conducted in Rupandehi district of Nepal implementing a cross-sectional survey among 354 women including 79 women with disabilities, supplemented by 43 in-depth interviews. Descriptive and bivariate statistical analysis of quantitative data using Pearson’s Chi-square test for association was carried out, while qualitative data were analysed following the theme content analysis using a framework approach.</p><p>Results</p><p>The vast majority of women from both groups, women with and without disabilities (71% vs 74%) reported that the nearest health facility from their location was more than 30 minutes walking distance (P>0.05). Half of the women with disabilities walked to health facilities for ANC check-ups. Over one-third of women without disabilities and a slightly lesser proportion of women with disabilities (29%) used a low-cost means of transport (rikshaw, bi/tri-cycles) (P>0.05). Distribution of health facilities found uneven and poorly linked with road transport facilities. None of the health facilities accommodated the needs of women with disabilities with accessible buildings and convenient opening time. The travel cost and the extra cost of services, staff shortage, often delayed and inadequate drug supplies were common problems for both women with and without disabilities. Unavailability of beds during delivery, insensitive providers with negative attitudes and abusive behaviour, inadequate knowledge and experience in providing services to the people with disabilities as well as unwelcoming health facility environment made services particularly inaccessible to women with disabilities.</p><p>Conclusion</p><p>Maternal healthcare services are not easily and equitably accessible to women with disabilities. To increase access to healthcare for this vulnerable group, improvements are needed in distribution and management of resources from transportation through service delivery, as well as improved provider knowledge and awareness of a human rights approach to disability and health.</p></div
The detailed numbers for quantitative and qualitative interview participants.
<p>The detailed numbers for quantitative and qualitative interview participants.</p
Characteristics of respondents by disability status.
<p>Characteristics of respondents by disability status.</p
Variables and their description measuring access dimensions according to the Penchansky and Thomas model.
<p>Variables and their description measuring access dimensions according to the Penchansky and Thomas model.</p
Relative risks of work outcomes at age 50 for midlife sociodemographic factors and psychosocial work characteristics: Unadjusted models on imputed data.
<p>Paid work is the reference group.</p
Relative risks of work outcomes at age 50 for psychosocial work characteristics: Adjusted models on imputed data (sex, housing tenure, socioeconomic, marital status, education).
<p>Paid work is the reference group.</p
Additional file 1: Table S1. of Association between midlife health behaviours and transitions out of employment from midlife to early old age: Whitehall II cohort study
Description of data: Percentage reduction in the association between unhealthy behaviours and transition out of employment after adjustment for physical and mental health functioning over follow-up. (DOCX 12 kb